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Function and dysfun...
Function and dysfunction of the colon and anorectum in adults: working team report of the Swedish Motility Group (SMoG).
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- Karling, Pontus (author)
- Umeå universitet,Medicin,Umeå University Hospital
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- Abrahamsson, Hasse, 1943 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine,Sahlgrens University Hospital
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- Dolk, Anders (author)
- Karolinska University
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- Hallböök, Olof (author)
- Östergötlands Läns Landsting,Linköpings universitet,Kirurgi,Hälsouniversitetet,Kirurgiska kliniken i Östergötland med verksamhet i Linköping, Norrköping och Motala
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- Hellström, Per M., 1954- (author)
- Karolinska University
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- Knowles, Charles H (author)
- St Bartholomews & Royal London School of Med & Dent,
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- Kjellström, Lars (author)
- Ersta Hospital
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- Lindberg, Greger (author)
- Karolinska Institutet,Karolinska University
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- Lindfors, Per-Johan (author)
- Karolinska Institutet,Ersta Hospital
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- Nyhlin, Henry (author)
- Ersta Hospital
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- Ohlsson, Bodil (author)
- Lund University,Lunds universitet,Enheten för kroniska inflammatoriska och degenerativa sjukdomar,Forskargrupper vid Lunds universitet,Chronic Inflammatory and Degenerative Diseases Research Unit,Lund University Research Groups,Malmo University Hospital
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- Schmidt, Peter T (author)
- Karolinska Institutet,Karolinska University
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- Sjölund, Kristina (author)
- Trelleborg Hospital
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- Sjövall, Henrik, 1954 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för invärtesmedicin,Institute of Medicine, Department of Internal Medicine,Sahlgrens University Hospital
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- Walter, Susanna (author)
- Östergötlands Läns Landsting,Linköpings universitet,Gastroenterologi och hepatologi,Hälsouniversitetet,Endokrin- och magtarmmedicinska kliniken US
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(creator_code:org_t)
- 2009-07-08
- 2009
- English.
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In: Scandinavian journal of gastroenterology. - : Informa UK Limited. - 1502-7708 .- 0036-5521. ; 44:6, s. 646-60
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Abstract
Subject headings
Close
- Symptoms of fecal incontinence and constipation are common in the general population. These can, however, be unreliably reported and are poorly discriminatory for underlying pathophysiology. Furthermore, both symptoms may coexist. In the elderly, fecal impaction always must be excluded. For patients with constipation, colon transit studies, anorectal manometry and defecography may help to identify patients with slow-transit constipation and/or pelvic floor dysfunction. The best documented medical treatments for constipation are the macrogols, lactulose and isphagula. Evolving drugs include lubiprostone, which enhances colonic secretion by activating chloride channels. Surgery is restricted for a highly selected group of patients with severe slow-transit constipation and for those with large rectoceles that demonstrably cause rectal evacuatory impairment. For patients with fecal incontinence that does not resolve on antidiarrheal treatment, functional and structural evaluation with anorectal manometry and endoanal ultrasound or magnetic resonance (MR) of the anal canal may help to guide management. Sacral nerve stimulation is a rapidly evolving alternative when other treatments such as biofeedback and direct sphincter repair have failed. Advances in understanding the pathophysiology as a guide to treatment of patients with constipation and fecal incontinence is a continuing important goal for translational research. The content of this article is a summary of presentations given by the authors at the Fourth Meeting of the Swedish Motility Group, held in Gothenburg in April 2007.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- Anal Canal
- innervation
- Colon
- innervation
- Constipation
- diagnosis
- physiopathology
- therapy
- Fecal Incontinence
- gastrointestinal disorders
- functional
- fecal incontinence
- Anal incontinence
- constipation
- gastrointestinal motility disorders
- Gastroenterologi
- Medical Science
- MEDICINE
Publication and Content Type
- ref (subject category)
- for (subject category)
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To the university's database
- By the author/editor
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Karling, Pontus
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Abrahamsson, Has ...
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Dolk, Anders
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Hallböök, Olof
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Hellström, Per M ...
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Knowles, Charles ...
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show more...
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Kjellström, Lars
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Lindberg, Greger
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Lindfors, Per-Jo ...
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Nyhlin, Henry
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Ohlsson, Bodil
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Schmidt, Peter T
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Sjölund, Kristin ...
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Sjövall, Henrik, ...
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Walter, Susanna
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Gastroenterology ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
- Articles in the publication
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Scandinavian jou ...
- By the university
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University of Gothenburg
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Lund University
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Umeå University
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Uppsala University
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Karolinska Institutet
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Linköping University