Anorectal motor disorders

Jose M. Remes-Troche, Satish Sanku Chander Rao

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Anorectal motor disorders such as faecal incontinence, chronic anorectal pain and solitary rectal ulcer syndrome are common in the community. They cause psychological distress, affect quality of life, and pose a significant economic burden. In recent years, many strides have been made in the diagnostic criteria and in the mechanistic understanding of anorectal disorders. The use of innovative manometric, neurophysiological and radiological techniques have shed new light on the underlying pathophysiology. Also, it has been recognised that psychological dysfunction play an important role. However, there is a lack of consensus regarding what is abnormal, regarding the overlap between phenotypes and regarding optimal diagnostic approaches or tests. There has been little advance in drug therapy for these conditions. Although several treatments have been tried and appear promising, controlled trials are either lacking or have provided insignificant evidence. There is a need for improved medical, behavioural and surgical treatments for these conditions.

Original languageEnglish (US)
Pages (from-to)733-748
Number of pages16
JournalBest Practice and Research in Clinical Gastroenterology
Volume21
Issue number4
DOIs
StatePublished - Aug 1 2007
Externally publishedYes

Fingerprint

Rectal Diseases
Psychology
Fecal Incontinence
Chronic Pain
Ulcer
Consensus
Economics
Quality of Life
Phenotype
Drug Therapy
Therapeutics
Motor Disorders

Keywords

  • faecal incontinence
  • levator ani syndrome
  • proctalgia fugax
  • solitary rectal ulcer

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Anorectal motor disorders. / Remes-Troche, Jose M.; Rao, Satish Sanku Chander.

In: Best Practice and Research in Clinical Gastroenterology, Vol. 21, No. 4, 01.08.2007, p. 733-748.

Research output: Contribution to journalArticle

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