2008
DOI: 10.1590/s0004-28032008000100010
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Chronic constipation - the role of clinical assessment and colorectal physiologic tests to obtain an etiologic diagnosis

Abstract: -Background -Diagnosis of subtypes of chronic constipation has been considered difficult to achieve even in specialized centers.Although colorectal physiologic tests have brought an important contribution, it remains unclear in which patients these tests should be indicated for. Aims -This study aims to establish a differential diagnosis for chronic constipation cases using clinical assessment and physiologic tests and to identify clinical parameters that could predict which patients need physiologic tests. Me… Show more

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Cited by 12 publications
(4 citation statements)
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“…The sample of individuals involved in this study was at its absolute majority, composed of elderly females. The literature confirms the predominance of female patients with anal incontinence, since they are more prone to obstetric trauma, in addition to hypoestrogenism and a higher prevalence of constipation with chronic straining, which can also cause or aggravate the stretching of the pelvic floor and pudendal innervation favoring the development of symptoms of incontinence (13,14) . However, Christoforidis et al (6) comparing the data of 408 women and 85 men with anal incontinence, underwent a rehabilitation program, found after FISI assessment, that symptom severity between genders is quite similar.…”
Section: Discussionmentioning
confidence: 55%
“…The sample of individuals involved in this study was at its absolute majority, composed of elderly females. The literature confirms the predominance of female patients with anal incontinence, since they are more prone to obstetric trauma, in addition to hypoestrogenism and a higher prevalence of constipation with chronic straining, which can also cause or aggravate the stretching of the pelvic floor and pudendal innervation favoring the development of symptoms of incontinence (13,14) . However, Christoforidis et al (6) comparing the data of 408 women and 85 men with anal incontinence, underwent a rehabilitation program, found after FISI assessment, that symptom severity between genders is quite similar.…”
Section: Discussionmentioning
confidence: 55%
“…Defecography also enables the evaluation of rectal emptying function by fluoroscopic way. Quantitative analysis of rectal emptying in patients with "difficulty in defecation" is important [7]. Doublecontrast colon graphy can determine the lumenal pathologies over a diameter of 6 mm.…”
Section: Introductionmentioning
confidence: 99%
“…Experimental physiological tests such as colonic transit times have been used to evaluate patients with severe constipation (Halverson & Orkin 1998;Lacerda-Filho et al 2008). Electrogastrography (EGG) is also used as a test to record electrical rhythmic activity (gastric slow wave) from the stomach (Smout et al 1980;Bassotti et al 1991) generated by the interstitial cells of Cajal (Huizinga 2001;Rao et al 2001).…”
Section: Introductionmentioning
confidence: 99%