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Audit of Subtypes of Functional Constipation in a Gastroenterology Referral Center       03/18/07 04:26 PM Edit Reply Quote Heather Reged: 12/09/02 Posts: 7799 Loc: Seattle, WA Audit of Constipation in a Gastroenterology Referral Center Authors: Iantorno, Guido; Cinquetti, Monica; Mazzocchi, Alessandro; Morelli, Antonio; Bassotti, Gabrio1 Source: Digestive Diseases and Sciences, Volume 52, Number 2, February 2007, pp. 317-320(4) Publisher: Springer Abstract: This study was designed to assess the various subtypes of functional constipation in a referral gastrointestinal center of a Latino-American country. All patients referred for evaluation of constipation during a 10-year period were audited, and those with functional constipation according to Rome I criteria classified by physiologic tests of colonic transit, as well as tests of anorectal and pelvic floor function. More than 70% of patients with functional constipation had evidence of pelvic floor dysfunction, whereas those with slow transit and constipation-predominant irritable bowel syndrome subtypes were less frequently represented. Even in a setting different from those most frequently reported in the literature, pelvic floor dysfunction represents the most common cause of functional constipation. Simple, physiologic testing is needed and useful for the diagnosis. This fact has therapeutic implications, especially because many such patients may benefit from biofeedback. Keywords: Constipation; Pelvic floor dysfunction; Slow transit constipation Document Type: Research article http://www.ingentaconnect.com/content/klu/ddas/2007/00000052/00000002/00009486;jsessionid=6pb4kt10ii907.victoria -------------------- Heather is the Administrator of the IBS Message Boards. She is the author of Eating for IBS and The First Year: IBS, and the CEO of Heather's Tummy Care. Join her IBS Newsletter. Meet Heather on Facebook! Print     Remind Me     Notify Moderator

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