By Felix Aigner, Helga Fritsch (auth.), Jean-Claude R. Givel, Neil Mortensen, Bruno Roche (eds.)
This absolutely revised and enlarged new version deals concise and well-structured chapters each one focussing at the medical, diagnostic, and healing facets of a situation regularly encountered by way of the coloproctologist and gastroenterological physician, who're confronted with increasingly more distinct and particular remedy modalities. the great, but easy-to-read, details during this useful advisor on either universal and infrequent anorectal and colonic ailments is very vital for either the practitioner, who must recognize all of the attainable modalities of conservative and surgical procedure, and the health practitioner, who must adapt his surgery to the medical and anatomical findings. distinctive instructions are given and surgical strategies illustrated. every one bankruptcy is done with up to date references and a self-assessment quiz.
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Extra info for Anorectal and Colonic Diseases: A Practical Guide to Their Management
Sample text
Moreover, the markers could behave differently from the bowel content and the content may not be homogeneous. 7 Colorectal Emptying Various tests have been developed to study colorectal changes during defecation. In anal physiology laboratories, a balloon expulsion test has been used. A party balloon is placed in the rectum and inflated with 50 ml of warm water. The electromyographic (EMG) activity of the EAS is recorded with a cutaneous electrode. The patient is placed in a sitting position and asked to expel the balloon.
23 Transanal Ultrasonography and MRI . . . 23 Rectal Capacity, Distensibility and Compliance . . . . . . . . . . . . 24 Anal Sensation . . . . . . . . . . . . 24 Colorectal Transit Time . . . . . . . . . 24 Colorectal Emptying . . . . . . . . . . 25 Defecography . . . . . . . . . . . . . 25 Anal Continence and Normal Bowel Movements . . . . . . 27 Practical Guidelines for Use of Tests of Incontinence and Constipation . 27 Fecal Incontinence .
Colorectal scintigraphy 2. 3. markers 4. 5. 1 Introduction . . . . . . . . . . . . . 31 Colonic Physiology . . . . . . . . . . . 31 Water and Electrolyte . . . . . . . . . . 31 Digestion and Salvage of Nutrients . . . . 31 Colonic Motility . . . . . . . . . . . . 32 Neural Control of Motility . . . . . . . 32 Motility Pattern . . . . . . . . . . . . 33 Diurnal Variation in Colon Function . . . 34 The Rectum as Storage Conduit .