By Felix Aigner, Helga Fritsch (auth.), Jean-Claude R. Givel, Neil Mortensen, Bruno Roche (eds.)
This completely revised and enlarged new version bargains concise and well-structured chapters each one focussing at the medical, diagnostic, and healing elements of a situation mostly encountered through the coloproctologist and gastroenterological health professional, who're confronted with progressively more designated and particular remedy modalities. the excellent, but easy-to-read, details during this functional advisor on either universal and infrequent anorectal and colonic ailments is especially very important for either the practitioner, who must understand the entire attainable modalities of conservative and surgery, and the physician, who must adapt his surgery to the medical and anatomical findings. special directions are given and surgical options illustrated. every one bankruptcy is finished with updated references and a self-assessment quiz.
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Extra info for Anorectal and Colonic Diseases: A Practical Guide to Their Management
21 Anal Sensibility . . . . . . . . . . . . 22 Rectoanal Reflexes . . . . . . . . . . . 22 Defecation . . . . . . . . . . . . . . 22 Methods to Study Anal, Rectal, and Colonic Function . . . . . . . . . 23 Anal Manometry . . . . . . . . . . . 23 Electrophysiology . . . . . . . . . . . 23 Transanal Ultrasonography and MRI . . . 23 Rectal Capacity, Distensibility and Compliance . . . . . . . . .
In patients with Hirschsprung’s disease, developmental abnormalities of this plexus result in an aganglionic segment of bowel. Thus, this segment of bowel remains contracted and can result in an obstruction. The submucosal plexus plays an important role in secretory control and submucosal blood flow. Even though control of colon function is largely autonomous, the influence of extrinsic control is key to normal colonic physiology. The extrinsic control of bowel function is effected via two main mechanisms: 1.
33 Diurnal Variation in Colon Function . . . 34 The Rectum as Storage Conduit . . . . . 35 Physiological Variability in Disease States . 35 Gut Dysfunction Following Spinal Cord Injury . . . . . . . . . . . . . . . . 35 Chronic Intestinal Pseudo-Obstruction . . 36 Slow-Transit Constipation . . . . . . . . 36 Irritable Bowel Syndrome . . . . . . . . 37 Gut Dysmotility in IBS Patients . . . . . 37 Hypersensitivity to Gastrointestinal Pain . 37 Psychological Factors .