지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 375 - 384 (10page)
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초록· 키워드
오류제보하기
Anorectal disorders are common and present with overlapping symptoms. They include several disorders with both structural and functional dysfunction(s). Because symptoms alone are poor predictors of the underlying pathophysiology, a diagnosis should only be made after evaluating symptoms and physiologic and structural abnormalities. A detailed history, a thorough physical and digital rectal examination and a systematic evaluation with high resolution and/or high definition three-dimensional (3D) anorectal manometry, 3D anal ultrasonography, magnetic resonance defecography and neurophysiology tests are essential to correctly identify these conditions. These physiological and imaging tests play a key role in facilitating a precise diagnosis and in providing a better understanding of the pathophysiology and functional anatomy. In turn, this leads to better and more comprehensive management using medical, behavioral and surgical approaches. For example, patients presenting with difficult defecation may demonstrate dyssynergic defecation and will benefit from biofeedback therapy before considering surgical treatment of coexisting anomalies such as rectoceles or intussusception. Similarly, patients with significant rectal prolapse and pelvic floor dysfunction or patients with complex enteroceles and pelvic organ prolapse may benefit from combined behavioral and surgical approaches, including an open, laparoscopic, transabdominal or transanal, and/or robotic-assisted surgery. Here, we provide an update on the pathophysiology, diagnosis, and management of selected common anorectal disorders.
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등록된 정보가 없습니다.
참고문헌 (72)
참고문헌 신청
Wu JM / 2014 / Prevalence and trends of symptomatic pelvic floor disorders in U.S. women / Obstet Gynecol 123:141~148
Raizada V / 2011 / Functional morphology of anal sphincter complex unveiled by high definition anal manometery and three dimensional ultrasound imaging / Neurogastroenterol Motil 23:1013~1019
Tantiphlachiva K / 2010 / Digital rectal examination is a useful tool for identifying patients with dyssynergia / Clin Gastroenterol Hepatol 8:955~960
Wong RK / 2012 / The digital rectal examination: a multicenter survey of physicians' and students' perceptions and practice patterns / Am J Gastroenterol 107:1157~1163
Mertz H / 1999 / Physiology of refractory chronic constipation / Am J Gastroenterol 94:609~615
Raizada V / 2011 / Functional morphology of anal sphincter complex unveiled by high definition anal manometery and three dimensional ultrasound imaging / Neurogastroenterol Motil 23:1013~1019
Tantiphlachiva K / 2010 / Digital rectal examination is a useful tool for identifying patients with dyssynergia / Clin Gastroenterol Hepatol 8:955~960
Wong RK / 2012 / The digital rectal examination: a multicenter survey of physicians' and students' perceptions and practice patterns / Am J Gastroenterol 107:1157~1163
Mertz H / 1999 / Physiology of refractory chronic constipation / Am J Gastroenterol 94:609~615
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