An update on anorectal disorders for gastroenterologists

Adil E. Bharucha, Satish S.C. Rao

Research output: Contribution to journalReview article

98 Scopus citations

Abstract

Gastroenterologists frequently encounter pelvic floor disorders, which affect 10% to 15% of the population. The anorectum is a complex organ that collaborates with the pelvic floor muscles to preserve fecal continence and enable defecation. A careful clinical assessment is critical for the diagnosis and management of defecatory disorders and fecal incontinence. Newer diagnostic tools (eg, high-resolution manometry and magnetic resonance defecography) provide a refined understanding of anorectal dysfunctions and identify phenotypes in defecatory disorders and fecal incontinence. Conservative approaches, including biofeedback therapy, are the mainstay for managing these disorders; new minimally invasive approaches may benefit a subset of patients with fecal incontinence, but more controlled studies are needed. This mini-review highlights advances, current concepts, and controversies in the area.

Original languageEnglish (US)
Pages (from-to)37-45.e2
JournalGastroenterology
Volume146
Issue number1
DOIs
StatePublished - Jan 2014

    Fingerprint

Keywords

  • Anorectal Manometry
  • Biofeedback Therapy
  • Dyssynergic Defecation
  • Fecal Incontinence

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this