Abstract:SirWe feel that the conclusions drawn by Pinho, Yoshioka and Keighley (Br JSurg 1989; 76: 1 1 6 3 4 ) are unwarranted. In this study, the authors found that only 17 per cent of patients (I 1/63) with chronic constipation who were treated by anorectal myectomy achieved satisfactory results while as many as 70 per cent (44/63) had outcomes that were poor. Based on these results, and the fact that 10 per cent of their patients (6/63) developed mild incontinence, the authors recommended that anorectal myectomy sho… Show more
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