Результаты поиска

Dietary habits after ileal pouch-anal anastomosis.

Dietary habits of patients who had undergone ileal pouch-anal anastomosis were assessed and correlated with bowel function. Twenty-four well-adapted patients (11 women, 13 men; mean age 32 years) voluntarily entered the study 30 +/- 4 months after closure of the diverting ileostomy. A standardized questionnaire on 108 food items and a 3-day food journal were used in the assessment. Twenty-one patients had no difficulty in selecting an appropriate diet. Caloric intake was adequate. Specific symptoms associated with several foods were as follows: increased stool frequency (beer, spirits, chinese

[Experiences with ileoanal anastomosis and ileal pouch formation following colectomy and proctomucosectomy].

Since 1981 12 patients (11 adenomatosis coli = AC/1 ulcerative colitis = CU) had a colectomy and mucosal proctectomy with ileo-anal anastomosis (IA) and formation of an ileal-S-pouch (IP). The mean age of 7 men and 5 women was 33 years (21-46 yrs). We preferred the synchronous abdomino-peranal operation. Protective ileostomy was closed after a mean of 4.6 months in 11 patients. Postoperative complications: IA-insufficiency = 4, sacral abscess = 1, stenosis = 3, ileus and reoperation = 2). Late results: spontaneous defecation: 11/11, continence 10/11, evacuation 6-8/day. This operative procedur

Developing expertise in laparoscopic management of total colonic aganglionosis cases: Duhamel vs. Swenson procedures.

AIM: To describe technical evolution of minimally invasive surgery (MIS) for total colonic aganglionosis (TCA) either Duhamel or Swenson pro … nge 4-7) in Group B, improving to 3 (range 2-4) and 2 (range 1-3), respectively, by last follow-up. Fecal incontinence occurred in two patients (Group A). Three patients required loperamide and six cases used dietary fiber modification. CONCLUSION: Laparoscopic management of TCA is safe and feasible. Both Swenson-type and Duhamel approaches yield acceptable contine …

Urgency warning time and urgency frequency represent distinct dimensions of urinary urgency: a nationwide study from the Japan Community Health Survey 2023.

PURPOSE: Urinary urgency is commonly evaluated by frequency. However, urgency warning time-the ability to defer voiding after urgency onset- … performance status, decline in walking speed, spinal disease, obstructive sleep apnea syndrome, and fecal incontinence. Higher urgency frequency was associated with male sex, poorer performance status, ischemic cardiac disease, and spinal disease. In stratified analyses, shorter warning time was consistently associated with greater impairment in daily life, regardle …

Delayed postoperative spinal epidural hematoma after one-hole split endoscope discectomy: a case report and literature review.

BACKGROUND: One-Hole Split Endoscopic (OSE) discectomy is an emerging minimally invasive technique for lumbar degenerative disease. While OS … perative day 5, he developed acute back pain, bilateral lower limb weakness, saddle anesthesia, and fecal incontinence. Emergency MRI confirmed a compressive epidural hematoma extending from L4 to L5. During the urgent surgical evacuation, multiple organized blood clots of varying sizes were identified and removed. Through postoperative rehabilitation therapy, the p …

Guideline on Pelvic Floor Disorders: consensus on Obstructed Defecation Syndrome (ODS).

BACKGROUND AND AIMS: Obstructed defecation syndrome (ODS) is a multifactorial condition that significantly impairs quality of life and prese … d structural components often coexisting. Symptoms overlap with functional constipation, IBS-C, and fecal incontinence, and quality of life is substantially impaired. Diagnosis requires multimodal evaluation, including digital rectal examination and anorectal testing. First-line treatment consists of conservative measures such as lifestyle optimization, laxatives, a …

Rome V: minimizing "functional", maximizing precision in gut-brain disorders.

Rome V represents a major conceptual and clinical evolution in the field of disorders of gut-brain interaction (DGBI). Its most important co … inal bloating/distension. The anorectal section is particularly relevant because it operationalizes fecal incontinence, defines dyssynergic defecation using objective testing, and formally recognizes rectal hypo- and hypersensitivity, which may guide biofeedback therapy. Rome V also raises future challenges: implementation in clinical practice, patient-centered comm …

Suspected recurrent sarcoma resembling feline injection-site sarcoma with spinal cord invasion in a cat.

CASE SUMMARY: A 6-year-old, neutered male domestic shorthair cat was referred for evaluation of a recurrent subcutaneous mass on the right c … onths after completion of radiation therapy, the cat developed progressive pelvic limb paraparesis, fecal incontinence and urinary retention. MRI identified a large contrast-enhancing extradural spinal lesion extending from L5 to the sacrum, with suspected intramedullary invasion and marked thickening of the lumbosacral nerve roots. Surgical exploration with hemilam …

[Не имеется].

ВВЕДЕНИЕ: NBD является хроническим заболеванием у людей с повреждениями спинного мозга, которое обычно проявляется как запор и фекалийное недержание. ТАИ является минимально инвазивной альтернативой традиционному управлению. Рекомендуемое устройство TAI Peristen Plus обеспечивает предсказуемую эвакуацию кишечника, уменьшая симптомы и качество жизни в соответствии с руководством NICE. Его использование подкрепляется структурированной профессиональной подготовкой и дистанционными последующими мероприятиями со стороны клинических специалистов, которые способствуют соблюдению и непрерывности медиц

Совпадение в аннотации оригинала
INTRODUCTION:: NBD is a chronic condition in people with spinal cord injury, commonly manifesting as constipation and fecal incontinence. TAI is a minimally invasive alternative to conventional management. Peristeen Plus, a TAI device recommended, enables predictable bowel evacuation, reducing symptoms and quality of life, in line with NICE guidance. Its use…

Potential interference of spinal cord and sacral stimulators with cardiac implantable electronic devices: a systematic review.

Spinal cord stimulation (SCS) and sacral nerve stimulation (SNS) are neuromodulation therapies increasingly used for treatment-resistant chronic pain and urinary or fecal incontinence. Despite their benefits, concerns remain regarding their potential interference with cardiac implantable electronic devices (CIEDs), including permanent pacemakers (PPMs) and implantable cardioverter defibrillators (ICDs), potentially leading to inappropriate pacing or shocks. This systematic review aimed to assess documented interactions between these devices to guide clinical decision-making and enhance patient…

Clinical Characteristics and Treatment Outcomes in Patients With Incomplete Microscopic Colitis: Consideration for Expanding the Definition of Microscopic Colitis.

BACKGROUND & AIMS: Incomplete microscopic colitis (MCi) is inadequately characterized and does not meet the histologic criteria for microsco … ponse, and 1.9.% intolerance. There were no differences in outcomes between MCi subtypes (P = .11). Fecal incontinence was the only predictor of nonresponse. After discontinuation of therapy, 35.8% had recurrence, and 13.7% developed MC. CONCLUSIONS: In one of the largest cohorts of MCi, the majority were on drugs implicated in MC and almost three-fourths had a com …

Spinal arachnoid diverticula in cats: Clinical presentation, diagnostic imaging findings, treatment, and outcome.

BACKGROUND: Spinal arachnoid diverticulum (SAD) is considered a rare disease in cats. Previous reports mainly classified SAD in cats as acqu … One cat with a C1-C5 myelopathy demonstrated bilateral vestibular clinical signs. One cat (5%) had fecal incontinence. Most cats demonstrated a chronic, progressive, nonlateralized, nonpainful myelopathy. No underlying previous or concurrent spinal condition was found in 48% of the cats. No difference in age, body weight, breed, sex, treatment, or outcome was found …

Quality of life following total neoadjuvant therapy for rectal cancer.

PURPOSE: This study aimed to assess the health-related quality of life (HRQoL) in patients with locally advanced rectal cancer (LARC) underg … similar to that of CRC patients following curative treatment. However, some symptom scores, notably fecal incontinence (+ 13.4 points, d = 0.52), impotence (+ 29.0 points, d = 0.73), and dyspareunia (+ 10.4 points, d = 0.40) appeared to be higher. Significant factors associated with HRQoL included the presence of chronic treatment-related toxicity and duration of TN …

Sphincter Preserving Anorectoplasty (SPARP) With Anterior Approach: A Revisited and Modified Technique in the Treatment of Anorectal Malformations.

BACKGROUND: Surgical management of anorectal malformations (ARM) such as rectoperineal and rectovestibular fistulas frequently involves post … tients had perineal body dehiscence, neoanal stenosis, rectal prolapse, misplacement of neoanus, or fecal incontinence according to RBFS. CONCLUSIONS: The modified SPARP with anterior approach avoids sphincter transection, minimizes morbidity from a sagittal incision, and demonstrates excellent anatomical and functional outcomes. SPARP offers a reliable, effective …

Complementary and alternative medicine (CAM) is frequently used by parents for the treatment of functional constipation in children.

OBJECTIVES: Complementary and alternative medicine (CAM) has gained increasing attention as a supportive treatment for chronic diseases such … t variables associated with CAM use. Parents reported positive changes in stool frequency (38%) and fecal incontinence (21%) with CAM. The vast majority (93%) plan to use CAM in the future, and even non-CAM users showed high interest (60%). CONCLUSION: One in four children with functional constipation receives CAM. Significant improvement in stool frequency and con …

Long-term clinical outcomes after high and low ligations with lymph node dissection around the root of the inferior mesenteric artery in patients with rectal cancer.

PURPOSE: This study aimed to evaluate the long-term clinical outcomes based on the ligation level of the inferior mesenteric artery (IMA) in … S). The functional outcomes, including defecatory and urogenital functions, were analyzed using the Fecal Incontinence Severity Index, International Prostate Symptom Score, and International Index of Erectile Function questionnaires. RESULTS: In total, 545 patients were included in the analysis. Of these, 244 patients underwent high ligation (HL), whereas 301 under …

Exosomes derived from umbilical cord mesenchymal stem cells promote healing of complex perianal fistulas in rats.

BACKGROUND: Complex perianal fistulas, challenging to treat and prone to recurrence, often require surgical intervention that may cause fecal incontinence and lower quality of life due to large surgical wounds and potential sphincter damage. Human umbilical cord-derived MSCs (hUC-MSCs) and their exosomes (hUCMSCs-Exo) may promote wound healing. METHODS: This study assessed the efficacy, mechanisms, and safety of these exosomes in treating complex perianal fistulas in SD rats. We established a rat model, divided rats with fistulas into the control and the exosome groups. We assessed treatment …

Closed trans-intersphincteric fistulotomy: a new modified sphincter-sparing technique for high transsphincteric anal fistula.

BACKGROUND: The main goals of surgery for fistula-in-ano are to completely resolve the condition and maintain optimal anal function. Effecti … stula healing while the secondary outcome measures evaluated healing time, Cleveland Clinic Florida fecal incontinence score (CCF-FIS), 11-point visual analog scale (VAS) pain score and postoperative complications. RESULTS: We included 55 patients with HTAF in this study. During a mean follow-up period of 9.3 months, CTiF achieved a healing rate of 90.91% (50/55). …

A Rare Case of Acute Aortic Occlusion Mimicking Cauda Equina Syndrome in a Patient With Inflammatory Bowel Disease.

Acute aortic occlusion (AAO) is a rare and life-threatening condition, mostly secondary to acute thrombosis or embolism. It usually presents as bilateral lower limb ischemia; however, in rare cases, spinal cord infarction might coexist, mimicking cauda equina syndrome. We present a rare case of AAO by saddle embolism of a thoracic aortic mural thrombus. A 48-year-old male patient with a past medical history of ulcerative colitis and smoking was admitted with urinary and fecal incontinence, flaccid paraplegia, bilateral lower limb anesthesia, peripheral cyanosis, and pulseless lower extremities…