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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.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
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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
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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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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系统性硬化和阳门功能障碍:利兹的经验.

Nikhil Suresh1,2, Ranjitha Karanth1,2, Ramsah Cheah2

  • 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK.

Journal of scleroderma and related disorders
|October 10, 2024
PubMed
概括

系统性硬化症会导致内部关节缩,导致便失禁. 这项研究发现,与对照人群相比,系统性硬化症和便失禁患者的关节厚度和静止压力显著降低.

关键词:
系统性硬化症 系统性硬化症一个厌恶性排泄症.便失禁 便失禁 便失禁内部门缩器 内部门缩器

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科学领域:

  • 胃肠病学 胃肠病学
  • 类风湿病学 类风湿病学
  • 自免疫性疾病 自免疫性疾病

背景情况:

  • 系统性硬化症 (SSc) 是一种影响多个器官的自身免疫性疾病,经常涉及胃肠道.
  • 直肠功能障碍,特别是内部关节缩 (IAS) 缩,是SSc患者的常见并发症.
  • 在SSc中便失禁 (FI) 通常归因于IAS缩.

研究的目的:

  • 在SSc和FI患者中评估内部关节 (IAS).
  • 为了比较SSc患者与FI和对照组之间的IAS特征.
  • 调查SSc,IAS结构和FI症状之间的关系.

主要方法:

  • 直肠测量和内超声波用于评估IAS.
  • 17名SSc和FI患者与年龄和性别匹配的对照组进行了比较.
  • 记录了患者的人口统计,临床表现 (泄漏,紧急情况) 和直肠感觉.

主要成果:

  • 与对照组相比,全身性硬化症患者的IAS平均厚度明显较低 (p < 0.001).
  • 在SSc患有FI的患者中观察到较低的基底缩压.
  • 直肠的感觉被保留了,外部关节的厚度在各组之间没有差异.

结论:

  • 内部关节缩是与全身性硬化症相关的便失禁的关键因素.
  • 减少IAS厚度和静止压力有助于SSc中的被动便泄漏.
  • 需要对SSc中的FI的自然史,风险因素和治疗方法进行进一步的研究.