Disorders of anorectal motility: Functional defecation disorders and fecal incontinence

被引：5
作者：
Desprez, C. [1 ,2 ]
Bridoux, V. [3 ]
Leroi, A. -M. [1 ,2 ,4 ]
机构：
[1] Rouen Univ Hosp, Digest Physiol Dept, F-76000 Rouen, France
[2] Rouen Univ, Nutr Brain & Gut Lab UMR 1073, F-76000 Rouen, France
[3] Rouen Univ Hosp, Digest Surg Dept, F-76000 Rouen, France
[4] Rouen Univ Hosp, INSERM CIC CRB 1404, F-76000 Rouen, France
来源：
JOURNAL OF VISCERAL SURGERY | 2022年 / 159卷 / 01期
关键词：
Anorectal disorders; Defecation disorders; Constipation; Anismus; Recto-anal dyssynergia; Fecal incontinence; Megarectum; Microrectum; IDIOPATHIC MEGARECTUM; BOTULINUM TOXIN; CONSTIPATION; MANAGEMENT; PATHOPHYSIOLOGY; BIOFEEDBACK; DYSFUNCTION; PREVALENCE; DIAGNOSIS; THERAPY;
D O I：
10.1016/j.jviscsurg.2021.12.004
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Functional defecation disorders (FDDs) and fecal incontinence (FI) are common anorectal disorders often distressing and significantly add to the healthcare burden. They present with multiple, overlapping symptoms that can often obscure the underlying pathophysiology and can pose significant management dilemmas. A detailed history, stool diaries and visual scales of stool form, a careful digital rectal examination are needed to guide anorectal physiology tests. With high-resolution (3-D) anorectal manometry, anal ultrasonography, (magnetic resonance) defecography and imaging, and neurophysiological tests, it is possible to define and characterize the underlying structural and functional abnormalities more accurately. In this review, we present a succinct update on the latest knowledge with regards to the pathophysiology, diagnosis and management of FDDS, fecal incontinence and abnormalities of rectal capacity (i.e., megarectum, microrectum). (C) 2021 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码：S40 / S50
页数：11
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