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Related Concept Videos

Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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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.
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Irritable Bowel Syndrome I: Introduction01:17

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Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
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Related Experiment Video

Updated: Mar 29, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
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Pelvic floor dysfunction in inflammatory bowel disease.

A Bondurri1, A Maffioli, P Danelli

  • 1Department of General Surgery, Luigi Sacco University Hospital, University of Milan, Milan, Italy - bondurri.andrea@hsacco.it.

Minerva Gastroenterologica E Dietologica
|November 26, 2015
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Summary
This summary is machine-generated.

Inflammatory bowel disease (IBD) patients often experience defecatory symptoms impacting quality of life. Early diagnosis and tailored pelvic floor therapies improve outcomes, avoiding unnecessary interventions.

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Area of Science:

  • Gastroenterology and Colorectal Surgery
  • Pelvic Floor Disorders
  • Inflammatory Bowel Disease (IBD) Management

Background:

  • Despite advances in inflammatory bowel disease (IBD) treatment leading to remission, many patients report persistent defecatory symptoms like anal incontinence, obstructed defecation, and pelvic pain.
  • These symptoms significantly impact patients' quality of life, yet often receive insufficient attention and investigation due to the primary IBD diagnosis.
  • The epidemiology and pathogenesis of these functional defecatory disorders in IBD patients are not well understood, and existing diagnostic and therapeutic pathways are underutilized.

Purpose of the Study:

  • To highlight the prevalence and impact of defecatory symptoms in patients with inflammatory bowel disease (IBD).
  • To outline current diagnostic workflows and therapeutic options for managing pelvic floor dysfunction in IBD.
  • To emphasize the importance of accurate diagnosis and appropriate management to improve quality of life for IBD patients experiencing these symptoms.

Main Methods:

  • Initial evaluation includes endoscopy to exclude active IBD, followed by standard diagnostic workups for functional anorectal disorders.
  • Conservative management (dietary changes, fluid intake) is the first line for fecal incontinence and obstructed defecation.
  • For refractory cases, anorectal physiology tests, imaging, pelvic floor muscle training, biofeedback, and minimally invasive neuromodulation techniques (sacral/tibial nerve stimulation) are employed.

Main Results:

  • Conservative therapies are effective for most patients with fecal incontinence and obstructed defecation.
  • Pelvic floor muscle training and biofeedback have demonstrated efficacy in IBD patients.
  • Minimally invasive options like nerve stimulation show promise, though some procedures exclude IBD patients.
  • Surgical interventions are reserved for a select few due to high risks of complications like poor wound healing and incontinence.

Conclusions:

  • Functional anorectal disorders are common in IBD patients and significantly affect quality of life.
  • A systematic diagnostic approach and utilization of pelvic floor services are crucial.
  • Tailored conservative and minimally invasive therapies, including pelvic floor rehabilitation and neuromodulation, can effectively manage these symptoms in IBD patients.
  • Avoiding unnecessary or detrimental medical and surgical treatments is key to improving patient outcomes.