Anorectal Physiology and Testing

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Anorectal Physiology and Testing

A good understanding of anorectal physiology is essential for the diagnosis and appropriate treatment of various anorectal disorders, such as fecal incontinence, constipation, and pain. This article reviews the physiology…

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Dedication

Sep 6, 2017 by in GASTROENTEROLOGY Comments Off on Dedication

To my wife, Kammy, for her constant understanding and unending love and emotional support. And to my sons, Connor, Christopher, and Luke, for making every day a new adventure. (D.J.M.)…

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Management of Radiation Proctitis

Feb 26, 2017 by in GASTROENTEROLOGY Comments Off on Management of Radiation Proctitis

Radiation damage to the rectum following radiotherapy for pelvic malignancies can range from acute dose-limiting side effects to major morbidity affecting health-related quality of life. No standard guidelines exist for…

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Anal Squamous Intraepithelial Neoplasia

Feb 26, 2017 by in GASTROENTEROLOGY Comments Off on Anal Squamous Intraepithelial Neoplasia

Diagnosis, follow up, and treatment of anal intraepithelial neoplasia are complex and not standardized. This may be partly caused by poor communication of biopsy and cytology findings between pathologists and…

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Constipation and Pelvic Outlet Obstruction

Feb 26, 2017 by in GASTROENTEROLOGY Comments Off on Constipation and Pelvic Outlet Obstruction

Caring for patients with constipation and pelvic outlet obstruction can be challenging, requiring skill, patience, and empathy on the part of the medical professional. The mainstay of treatment is behavioral…

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Rectal Prolapse and Intussusception

Feb 26, 2017 by in GASTROENTEROLOGY Comments Off on Rectal Prolapse and Intussusception

Rectal prolapse continues to be problematic for both patients and surgeons alike, in part because of increased recurrence rates despite several well-described operations. Patients should be aware that although the…

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Surgical Management of Fecal Incontinence

Feb 26, 2017 by in GASTROENTEROLOGY Comments Off on Surgical Management of Fecal Incontinence

The surgical approach to treating fecal incontinence is complex. After optimal medical management has failed, surgery remains the best option for restoring function. Patient factors, such as prior surgery, anatomic…

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