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Related Experiment Videos

Obstructed defecation.

A D'Hoore1, F Penninckx

  • 1Department of Abdominal Surgery, University Clinics Gasthuisberg, Leuven, Belgium. andre.dhoore@uz.kuleuven.ac.be

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|June 20, 2003
PubMed
Summary
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Constipation due to obstructed defecation (OD) affects 7% of adults. While diagnostic tests exist, conservative treatments like biofeedback are often best, with surgery reserved for carefully selected patients.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pelvic Floor Disorders

Background:

  • Significant advancements in understanding pelvic floor function and dysfunction over the past decade.
  • Improved diagnostic and therapeutic strategies for obstructed defecation (OD).

Purpose of the Study:

  • To review the current understanding and management of constipation due to obstructed defecation (OD).

Main Methods:

  • Literature search of the PubMed database, focusing on recent publications.
  • Review of diagnostic tests and treatment approaches for OD.

Main Results:

  • Obstructed defecation (OD) affects approximately 7% of the adult population.
  • Diverse pathophysiological mechanisms underlie OD, requiring various diagnostic tests (defecography, manometry, etc.).

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  • Diagnostic tests have limitations, including abnormal findings in asymptomatic individuals and poor correlation with symptoms; conservative treatment (biofeedback) is often preferred, with surgery effective in select cases.
  • Conclusions:

    • Further validation of scoring systems and quantitative tests for OD is necessary.
    • Standardized criteria for anismus are needed for comparable therapeutic approaches.
    • Careful patient selection is crucial for successful surgical outcomes in OD.