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Constipation. --- Defecation disorders --- Intestines --- Diagnosis. --- Diseases.

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Constipation is common in both adults and children. Estimates would suggest a median prevalence of around 12-16% in the general population. While regarded as a minor nuisance in some cases, its consequences can be severe, with a substantial impact on quality of life. Secondary faecal soiling has a profound psychological effect at all ages. This book provides contributions from authors with a range of backgrounds which clarify the pathogenesis, diagnosis, and therapy of constipation for the general population and also for certain high risk groups.

Constipation. --- Endocrinology. --- Internal medicine --- Hormones --- Defecation disorders --- Intestines --- Diseases --- Hepatology

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The book provides a comprehensive overview of high resolution and high definition anorectal manometry (HRAM/HDAM), showing the possible benefits of a wider use of these techniques in clinical practice, as well as their limitations. Although these techniques provide fresh insights into anorectal function and offer a new perspective on the pathophysiologic mechanisms of many defecation disturbances, there is a need to clarify whether their use has beneficial effects on clinical management compared to conventional manometry. There is still a considerable way to go to gain the clinical diffusion of esophageal HRM, which has become the gold standard in studying esophageal motility. Indeed, many gastroenterologists and surgeons are convinced that further studies are necessary in order to be able to recommend HRAM and HDAM over and above conventional anorectal manometry. The first part of the book presents anorectal anatomy and pathophysiology, highlighting the indications and limitations of conventional anorectal manometry. The second part then focuses on the general concepts of high resolution manometry and the difference between conventional anorectal manometry and HRAM/HDAM, including technical aspects and different equipment. The third part explains how to perform, analyze and interpret HRAM and HDAM recordings, and describes the parameters study protocol, normal values and how to formulate a particular diagnosis. Lastly, the fourth part includes a collection of normal and pathological images with a glossary of the most frequently terms. Written by experts in the field of anorectal manometry and defecation disorders, this book is of interest to specialists and residents dealing with these conditions.

Gastroenterology . --- Rectum—Surgery . --- Gastroenterology. --- Colorectal Surgery. --- Internal medicine --- Digestive organs --- Diseases --- Defecation disorders --- Diagnosis.

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L'incontinence anale est un handicap majeur, tant sur le plan médical et psychologique, que sur le plan social et relationnel. Son impact sur la qualité de vie est particulièrement négatif. Contrairement à certaines idées reçues, l'incontinence anale est une pathologie fréquente, touchant toutes les tranches d'âge, les femmes mais également les hommes. Les améliorations récentes dans la prise en charge sont liées à une meilleure compréhension des mécanismes physiopathologiques et au développement de nouvelles options thérapeutiques.Cet ouvrage réunit un panel de médecins experts dans le domain

Fecal incontinence. --- Fecal soiling --- Feces --- Incontinence, Fecal --- Soiling, Fecal --- Defecation disorders --- Incontinence

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Constipation may simply be a symptom that signi?es an obsessive desire to defecate with regular frequency. The authors of this text,however,have demonstrated admirably that this nebulous condition often has a multifaceted etiology. I enjoyed reading this exc- lent text,which covers the gamut of topics related to the etiology,assessment,investi- tion,and management of constipation. The editors have recruited an international team of exemplary ability and have amassed a very comprehensive and consistent text. The chapters merge imperceptibly with minimal repetition. Novel treatments and the more accepted approaches have been presented in considerable detail. This book should be considered the standard for health care professionals managing functional bowel and allied disorders. It provides a benchmark on how to approach and treat the constipated patient. The majority of the authors have been my esteemed colleagues for a number of years; thus it is with particular pleasure that I am able to share their opinions so ably expressed in their respective chapters. This book demonstrates that coloproctology remains a dynamic specialty that provides a holistic approach to constipation. Man- ing constipation without understanding the psyche and emotions, together with the background of emotional and physical traumas of life, would be analogous to walking blindfolded. It has been my pleasure and privilege to have been associated with the editors for some nineteen years and to watch their reputations grow in the international arena. It has been an honor to write the foreword for this book which deserves great success.

Constipation. --- Gastroenterology. --- Internal medicine --- Digestive organs --- Diseases --- Defecation disorders --- Intestines --- Endocrinology. --- Colon (Anatomy) --- Surgery. --- Gynecology. --- Proctology. --- Colorectal Surgery. --- General Surgery. --- Gynaecology --- Medicine --- Generative organs, Female --- Surgery, Primitive --- Hormones --- Rectum—Surgery . --- Gynecology . --- Gastroenterology . --- Gastroenterology --- Restorative proctocolectomy --- Constipation