The second edition revised and updated edition is a comprehensive text on the etiology, evaluation and management of chronic, intractable constipation, which as well as being debilitating, is a complaint with many causes and can also be a symptom of more serious pathological changes. Innovations include Professor Norman Williams’ Malone Procedure (antegrade continent colonic conduit) and the newer pharmacologic treatments such as nitric oxide and botulinum toxin injections. Written by an international panel of authors, it includes all the new advances developed, described and tested since the first edition - biofeedback, surgery for constipation, sacral nerve stimulation, the use of laparoscopy for rectal prolapse, treament and our understanding of some of the psychological problems of these patients.The book is essential for coloproctologists, general surgeons and, with chapters on irritable bowel syndrome, botulinum toxin and other new pharmacologic approaches, will also appeal to gastroenterologists.Table of contents Definitions and epidemiology.- Etiology of congenital colorectal disease.- Etiology of acquired colorectal disease.- Extra colonic causes.- Initial evaluation.- Constipation predominant irritable bowel syndrome.- Methods to measure small bowel and colonic transit.- Anorectal manometry and the rectoanal inhibitory reflex.- Defecography.- Compliance and manovolumetry.- Electromyography and pudendal nerve terminal motor latency.- Dynamic MRI and nuclear imaging.- Biofeedback.- Medical treatment.- Surgical treatment of colonic inertia.- Botulinum toxin and other new pharmacological approaches.- Sacral nerve stimulation.- Surgical treatment of rectocele: the colorectal surgeon’s approach.- Surgical treatment of rectocele: gynecologic approaches.- Perineal procedures for rectal prolapse.- Rectal prolapse.- Laparoscopic surgery for rectal prolapse.- Antegrade continent colonic conduit.- Hischsprung’s disease.- Chagasic megacolon.- Puborectalis hypertrophy.
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Titolo: Constipation - Etiology - Evaluation and Management
Autori: Wexner - Duthie
Editore: Springer Verlag
Edizione: II 2006
Finitura: Copertina rigida
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