Abstract：
PURPOSE:To present 10 patients who complained of passage of frequent loose stools which was found to be due to sigmoid colon hyperreflexia, a condition that, to our knowledge, has not been described before. PATIENTS AND METHODS:Ten patients (6 women, 4 men, mean age 46.6 years) complaining of frequent loose stools of 5-8 years' duration and 10 healthy volunteers (controls) matching the patients in age and gender, were included in the study. Colonoscopy, barium enema and intestinal transit studies were normal in all. The anorectal physiological studies comprised: recording of rectal, anal and intra-abdominal pressures, EMG of the external and internal anal sphincters and levator ani muscles, sigmoidometry and determination of the sigmoido-rectal junction reflex. RESULTS:Apart from sigmoidometry, all the aforementioned anorectal physiological studies were in accordance with those of the controls. Sigmoidometry showed that balloon expulsion occurred at a distending volume of 32.4 ml and a sigmoid colon pressure of 86.4 cmH2O in the patients, and of 86.2 ml and 98.6 cmH2O, respectively, in the controls. The tone limb exhibited major fluctuations (mean pressure rise 43.8 cmH2O) in the patients, while it was smooth or showed minor fluctuations (insignificant pressure changes) in the controls. CONCLUSIONS:The sigmoid colon contractions produced by small volumes of stools and the lack of proper storage necessary for water absorption from the stools, are suggested to explain the frequent loose stools in the studied patients and to be the result of sigmoid colon hyperreflexia.
journal_name
Int Surgjournal_title
International surgeryauthors
Shafik Akeywords:
subject
Has Abstractpub_date
2000-04-01 00:00:00pages
133-6issue
2eissn
0020-8868issn
2520-2456journal_volume
85pub_type
杂志文章abstract：:99mTc-MIBI-guided detection of abnormal parathyroid glands in primary hyperparathyroidism (1-HPT) has become a popular and effective technique, but its efficacy for detecting the ectopic glands of secondary hyperparathyroidism (2-HPT) is still controversial. Of the 2-HPT cases from 2000 to 2004, 14 ectopic parathyroid...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2009-04-01 00:00:00
abstract：:Endoscopic retrograde pancreatogram (ERP) has been recommended in patients with suspected pancreatic fistula to visualize the fistula tract and the ductal anatomy. Recently we have treated five men with chronic alcoholic pancreatitis complicated by pancreaticopleural or pancreaticoperitoneal fistula. The limited value...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1996-04-01 00:00:00
abstract：:This paper presents thermography as a useful method for the determination of regional thermal variations, during the pre- and postoperative periods, in the surgery and pathology of the hand. This method can give, directly or indirectly, very valuable information for both diagnosis and prognosis, and at times, can give...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-04-01 00:00:00
abstract：:Fifty-four patients with tracheal stenosis due to benign stricture and malignancy underwent airway reconstruction with a molded Silicone prosthesis (Neville Prosthesis). In 40 patients, the trachea was reconstructed with a straight prosthesis; of these 29 had a postintubation stricture and 11 a malignancy. In the form...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1982-07-01 00:00:00
abstract：:Experimentally produced angulatory deformities of rat tibia with and without physeal injury were observed at two to three-week intervals for an eight-week period by x-ray studies, in order to estimate the spontaneous correctability of tibial deformity in growing rats. The results obtained were as follows: 1) In the re...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-07-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：10.9738/INTSURG-D-14-00022.1
更新日期：2015-02-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-03-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-03-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1979-03-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：:Trigger digits can be treated surgically using a percutaneous or an open technique. The aim of this study was to evaluate the long-term results of the percutaneous and open surgery for trigger digits. The long-term results of 266 percutaneously released trigger digits and 70 open released trigger digits were evaluated...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：:Sixteen cases of acute pyogenic pericarditis have been reviewed. Uncontrollable septic course, episodes of cardiac tamponade and failure of the nonsurgical regimen were the main indications for surgery. Medical management is often ineffective because of the relentless septic course, presence of thick, viscid pus and g...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1976-09-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2008-09-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1995-04-01 00:00:00
abstract：:In a group of 82 women with congenital or acquired uterine malformation (such as intrauterine adhesions or uterus myomatosus), cerclage was successfully performed according to the McDonald method. The percentage of term deliveries increased from 29.8% to 69.2% and the percentage of spontaneous abortions decreased from...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1977-04-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1980-03-01 00:00:00
abstract：:No topic in the field of vascular surgery evokes more controversy than the management of the patient with asymptomatic carotid artery stenosis. The fact remains, however, that patients can and do develop stroke without any antecedent TIA, and there is no definite and predictable way to identify the stroke-prone group....
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1984-07-01 00:00:00
abstract：BACKGROUND:Laparoscopic herniorrhaphy (LH) shares the same repair principle as open preperitoneal prosthetic herniorrhaphy (PPH). Theoretically, the recurrence rate of LH for recurrent inguinal hernia will match the low recurrence rate of PPH (1.2-3%). METHODS:One-hundred forty-five cases of recurrent inguinal hernia ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
abstract：:Precutaneous Kirschner wire fixation of displaced Gartlands types II and III supracondylar fractures with image guidance remains a preferred procedure for most orthopaedic units. Various K-wire configurations have been in use, but recent objective evaluation of pin stability has favoured two techniques; the 2 crossed ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1998-07-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-10-01 00:00:00
abstract：:The development of techniques to prolong the window of fertility for women has the ability to meet the needs of future populations and their delay in childbearing. With current techniques of cryopreservation of embryos, oocytes, or ovarian tissue, prolongation of fertility with varying success is feasible. In the futu...
journal_title：International surgery
pub_type： 杂志文章,评审
doi：
更新日期：2006-09-01 00:00:00
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journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2005-01-01 00:00:00
abstract：:Two hundred and thirty patients, treated by resection for bronchial carcinoma, were analysed. The histological examination showed in 80% a squamous cell carcinoma, in 11.3% an adenocarcinoma, in 5.3% a large cell and in 3.4% a small cell carcinoma. There was a great difference between preoperative and postsurgical TNM...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1986-04-01 00:00:00
abstract：:The first Spigelian hernia was described in 1764. From April 1995 to April 2004, 29 patients underwent 35 Spigelian hernia repair operations in our department. The choice of primary closure or additional mesh was based on the condition of the local tissue. If the tissue appeared of good quality, primary closure was pe...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：:We developed a new method for thoracoscopically localizing pulmonary nodules using a tactile sensor. This sensor was originally designed to probe the hardness of an object, which is represented by changes in resonance frequency of the sensor (delta f: Hz). By moving over the lung surface, the sensor probe, introduced ...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：:This paper reports a case of ectopic abdominal pregnancy following total hysterectomy and reviews the literature. Pregnancy following total hysterectomy is a rare event. Ectopic pregnancy following supracervical hysterectomy can be explained in view of the remaining patent cervical canal. In cases of total hysterectom...
journal_title：International surgery
pub_type： 杂志文章
doi：
更新日期：1983-07-01 00:00:00
