Biofeedback therapy for rectal intussusception

Techniques in Coloproctology
Y H HwangS D Wexner

Abstract

Surgery for isolated internal rectal intussusception is controversial due to high morbidity. Therefore, there is interest in other forms of treatment that are safe and effective. The aim of this study was to determine outcome and identify predictors for success of biofeedback therapy in patients with rectal intussusception. We retrospectively evaluated the results of electromyography (EMG)-based biofeedback in 34 patients with rectal intussusception without any other major pelvic floor or colonic physiologic disorder. A total of 34 patients (7 men) had undergone at least 2 biofeedback sessions. The patients had a mean age of 68.5 years (SD=11.4 years). In the 27 patients with constipation, the frequency of weekly spontaneous bowel movements (mean+/-SD) was 2.0+/-6.8 before and 4.1+/-4.6 after biofeedback (p<0.05). The frequency of weekly assisted bowel movements decreased from 3.8+/-3.5 before to 1.5+/-2.2 after therapy (p<0.005). The number of patients who experienced incomplete evacuation decreased from 17 (63%) to 9 (33%) (p<0.05). Thirty-three percent of patients had complete resolution of the symptoms, 19% had partial improvement, and 48% had no improvement. Patients with constipation lasting less than nine years had a 78%...Continue Reading

Citations

Jan 24, 2009·International Journal of Colorectal Disease·Mario PescatoriFederica Cadeddu
Dec 25, 2007·Diseases of the Colon and Rectum·Giuseppe GagliardiUNKNOWN Italian Society of Colo-Rectal Surgery (SICCR)
Jun 27, 2008·Diseases of the Colon and Rectum·Daniel DindoDieter Hahnloser
May 1, 2007·Clinics in Colon and Rectal Surgery·Scott R Steele, Anders Mellgren
May 1, 2008·Clinics in Colon and Rectal Surgery·Eric G Weiss, Elisabeth C McLemore
May 5, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Freddy Penninckx
Jun 26, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·H A Formijne JonkersE C J Consten
Jan 12, 2008·World Journal of Gastroenterology : WJG·Maria M SzojdaRichelle J F Felt-Bersma
Nov 28, 2013·Gastroenterology Clinics of North America·Quinton Hatch, Scott R Steele
Sep 17, 2008·Gastroenterology Clinics of North America·Richelle J F Felt-BersmaMiguel A Cuesta
Aug 5, 2015·Women's Health·Nikoletta DimitriouJustin Mc Yeung
Dec 13, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S H EmileS D Wexner
Apr 22, 2011·Journal of Physics. Condensed Matter : an Institute of Physics Journal·L Almenar, M Rauscher
Jan 30, 2015·World Journal of Gastroenterology : WJG·Vlasta PodzemnyMario Pescatori
Apr 26, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S EmileM Farid
May 7, 2009·Annals of the Royal College of Surgeons of England·Ridzuan FaroukR K S Phillips
Nov 29, 2016·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·A BenezechV Vitton
Aug 14, 2018·Techniques in Coloproctology·E M van der SchansE C J Consten
Sep 29, 2019·Journal of the Anus, Rectum and Colon·Yuma YagiHiroshi Kusanagi
Aug 17, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jae-Won ShinDoo-Seok Lee

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.