Methods of Evaluation of Anorectal Causes of Obstructed Defecation. [Review] (Record no. 2180)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02412nam a22003137a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 170428s20172017 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 1530-9681 |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 28144212 |
| 245 ## - TITLE STATEMENT | |
| Title | Methods of Evaluation of Anorectal Causes of Obstructed Defecation. [Review] |
| 251 ## - Source | |
| Source | Clinics in Colon & Rectal Surgery. 30(1):46-56, 2017 Feb |
| 252 ## - Abbreviated Source | |
| Abbreviated source | Clin. colon rectal surg.. 30(1):46-56, 2017 Feb |
| 253 ## - Journal Name | |
| Journal name | Clinics in colon and rectal surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2017 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2017 |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2017-05-06 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | Obstructed defecation is a complex disorder that results in impaired propagation of stool from the rectum. It is one of the major subtypes of functional constipation and can be secondary to either functional or anatomic etiologies. Patients with obstructed defecation typically present with symptoms of abdominal discomfort, a sensation of incomplete evacuation and rectal obstruction, passage of hard stools, the need for rectal or vaginal digitation, excessive straining, and reduced stool frequency. Evaluation of obstructed defecation is multimodal, starting with a thorough history and physical examination with focus on the abdominal, perineal, and rectal examination. Additional modalities to elicit the diagnosis of obstructed defecation include proctoscopy, colonic transit time studies, anorectal manometry, a rectal balloon expulsion test, defecography, electromyography, and ultrasound. The results from these studies should be taken in the context of each patient's clinical situation, as there is no single criterion standard for the diagnosis of obstructed defecation. Surgery is typically a last resort for these patients and the majority of patients will have good symptomatic management with diet and lifestyle changes. Patients who are found to have functional mechanisms behind their obstructed defecation also benefit from pelvic floor exercises and biofeedback therapy. |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | PubMed-not-MEDLINE -- Not indexed |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION | |
| Department | Surgery/General Surgery |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Journal Article |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Review |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Alimi, Yewande |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Fabrizio, Anne C |
| 790 ## - Authors | |
| All authors | Alimi Y, Fabrizio AC, Kumar AS |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.1055/s-0036-1593427">https://dx.doi.org/10.1055/s-0036-1593427</a> |
| Public note | https://dx.doi.org/10.1055/s-0036-1593427 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedStar Authors Catalog | MedStar Authors Catalog | 05/06/2017 | 28144212 | 28144212 | 05/06/2017 | 05/06/2017 | Journal Article |