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Results after sacra...
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Graf, WilhelmUppsala universitet,Kolorektalkirurgi
(author)
Results after sacral nerve stimulation for chronic constipation
- Article/chapterEnglish2015
Publisher, publication year, extent ...
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2015-03-25
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Wiley,2015
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-265751
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-265751URI
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https://doi.org/10.1111/nmo.12546DOI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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BACKGROUND: Sacral nerve stimulation is an established treatment for fecal incontinence and initial reports describe successful results also in subjects with chronic constipation.METHODS: Consecutive patients with slow transit or outlet obstruction type constipation were offered external stimulation through a test electrode inserted in a sacral foramen during a 3-week period. The symptomatic evaluation was based on the number of bowel movements and a validated obstructed defecation score (ODS). A permanent implant was performed provided an overall 50% decrease in symptoms was observed.KEY RESULTS: In total, 44 patients with chronic constipation were treated with a 3-week test stimulation. Fifteen experienced a 50% reduction of symptoms and received a permanent implant. Four of the 15 with permanent implants were explanted during the course of the study. Five subjects (11% of original group) reported sustained symptom relief at final follow-up after a mean of 24 months (range 4-81). Mean ODS score did not change during the treatment. Patients with predominantly slow transit constipation or outlet obstruction did not differ concerning success rate.CONCLUSIONS & INFERENCES: Sacral nerve stimulation has limited efficacy in unselected patients with chronic constipation and cannot be recommended for treatment on routine basis.
Added entries (persons, corporate bodies, meetings, titles ...)
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Sonesson, A-C
(author)
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Lindberg, B
(author)
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Åkerud, PeterUppsala universitet,Kolorektalkirurgi(Swepub:uu)petak537
(author)
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Karlbom, UrbanUppsala universitet,Kolorektalkirurgi(Swepub:uu)urbakarl
(author)
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Uppsala universitetKolorektalkirurgi
(creator_code:org_t)
Related titles
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In:Neurogastroenterology and Motility: Wiley27:5, s. 734-7391350-19251365-2982
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