An update on anorectal disorders for gastroenterologists.

Abstract:

:Gastroenterologists frequently encounter pelvic floor disorders, which affect 10% to 15% of the population. The anorectum is a complex organ that collaborates with the pelvic floor muscles to preserve fecal continence and enable defecation. A careful clinical assessment is critical for the diagnosis and management of defecatory disorders and fecal incontinence. Newer diagnostic tools (eg, high-resolution manometry and magnetic resonance defecography) provide a refined understanding of anorectal dysfunctions and identify phenotypes in defecatory disorders and fecal incontinence. Conservative approaches, including biofeedback therapy, are the mainstay for managing these disorders; new minimally invasive approaches may benefit a subset of patients with fecal incontinence, but more controlled studies are needed. This mini-review highlights advances, current concepts, and controversies in the area.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Bharucha AE,Rao SS

doi

10.1053/j.gastro.2013.10.062

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

37-45.e2

issue

1

eissn

0016-5085

issn

1528-0012

pii

S0016-5085(13)01580-1

journal_volume

146

pub_type

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