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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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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:
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Irritable Bowel Syndrome III: Medical and Nursing Management01:30

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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
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Assessment of the Rectum and Anus01:25

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
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Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease
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Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease

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Management of obstructed defecation.

Vlasta Podzemny1, Lorenzo Carlo Pescatori1, Mario Pescatori1

  • 1Vlasta Podzemny, Lorenzo Carlo Pescatori, Mario Pescatori, Coloproctology Unit, Parioli Clinic, 00100 Rome, Italy.

World Journal of Gastroenterology
|January 30, 2015
PubMed
Summary

Obstructed defecation syndrome (ODS) management is primarily conservative, but 20% of patients require surgery. A multidisciplinary approach is crucial, addressing both overt and occult conditions for optimal outcomes in ODS treatment.

Keywords:
ConstipationObstructed defecationPelvic floor rehabilitationRectal prolaxectomyRectopexy

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pelvic Floor Disorders

Background:

  • Obstructed defecation syndrome (ODS) is a complex condition impacting quality of life.
  • Current management strategies are predominantly conservative, including dietary changes, laxatives, and biofeedback.
  • A significant minority of patients with ODS do not respond to conservative measures and may require surgical intervention.

Purpose of the Study:

  • To review the management strategies for obstructed defecation syndrome (ODS).
  • To evaluate the role of surgical interventions in selected ODS cases.
  • To emphasize the importance of a multidisciplinary approach in managing ODS.

Main Methods:

  • Review of conservative management options for ODS.
  • Analysis of surgical interventions for ODS, including rectocele repair, prolapse excision, and laparoscopic procedures.
  • Discussion of occult ODS-related disorders and their management.

Main Results:

  • Approximately 20% of ODS patients necessitate surgical treatment.
  • Specific surgical procedures like rectocele repair, prolapse excision, and laparoscopic ventral sacral colporectopexy show efficacy in selected cases.
  • Occult conditions such as anismus and rectal hyposensation often require conservative management alongside surgical treatment for overt ODS.

Conclusions:

  • A significant portion of ODS patients benefit from surgical intervention when conservative methods fail.
  • Careful patient selection and consideration of associated occult disorders are vital for successful ODS management.
  • A multidisciplinary team approach optimizes outcomes for patients suffering from obstructed defecation syndrome.