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[Diagnostic explorations in constipation].

N Musicco

    Annales De Gastroenterologie Et D'Hepatologie
    |July 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Diagnostic tests for severe constipation in ano-rectal diseases identified the cause in 45% of patients. This allowed for targeted therapeutic indications in a study of 40 individuals.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery
    • Physiology

    Context:

    • Severe constipation is a common symptom in patients with ano-rectal diseases.
    • Accurate diagnosis is crucial for effective treatment of constipation.
    • A comprehensive diagnostic approach is needed for complex cases.

    Purpose:

    • To evaluate the diagnostic yield of various tests in patients with severe constipation and ano-rectal diseases.
    • To determine the effectiveness of these tests in identifying the underlying causes of constipation.
    • To establish appropriate therapeutic indications based on diagnostic findings.

    Summary:

    • Forty patients with ano-rectal diseases and severe constipation underwent a battery of tests including ano-rectal manometry, rectal distention sensitivity measurement, and intestinal transit time studies.

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  • Additional investigations like defecography, barium enema, biopsies, neurological examination, and blood glucose tests were performed in select cases.
  • These diagnostic examinations successfully identified the cause of constipation and guided therapeutic strategies in 45% of the patients evaluated.

    • Impact:

    • The study highlights the utility of a multi-faceted diagnostic approach in managing severe constipation associated with ano-rectal conditions.
    • Findings can inform clinical practice by emphasizing the importance of specific investigations for etiological diagnosis.
    • Improved diagnostic accuracy leads to more precise and effective treatment plans, potentially improving patient outcomes.