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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the colonic...
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...

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[Transabdominal procedures for functional bowel diseases].

P Kienle1, K Horisberger

  • 1Chirurgische Klinik, Universitätsklinikum Mannheim. peter.kienle@umm.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|December 25, 2012
PubMed
Summary
This summary is machine-generated.

Pelvic floor dysfunction can cause incontinence and constipation. Surgical outcomes vary, with ventral rectopexy and resection rectopexy showing superiority for constipation relief.

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Area of Science:

  • Gastroenterology and Colorectal Surgery
  • Pelvic Floor Disorders

Context:

  • Pelvic floor dysfunction frequently leads to incontinence and constipation.
  • Surgical intervention is typically reserved for cases with severe clinical symptoms, not solely morphological changes.

Purpose:

  • To compare the efficacy of different surgical approaches for pelvic floor dysfunction, specifically addressing constipation and incontinence.
  • To evaluate rectopexy techniques, including suture rectopexy, dorsal and ventral mesh rectopexy, and resection rectopexy.

Summary:

  • Suture rectopexy is less effective for both constipation and incontinence compared to other methods.
  • Dorsal and ventral mesh rectopexy, along with resection rectopexy, demonstrate comparable results for improving incontinence.
  • Ventral rectopexy without dorsal mobilization and resection rectopexy are more effective for constipation than mesh rectopexy.

Impact:

  • Highlights the comparative effectiveness of various rectopexy procedures for managing constipation and incontinence.
  • Suggests a pragmatic approach to treatment due to the current limitations in robust evidential status for specific procedures.