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Etiology, Evaluation and Management
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Main description:

Constipation may simply be a symptom that signi?es an obsessive desire to defecate with regular frequency. The authors of this text,however,have demonstrated admirably that this nebulous condition often has a multifaceted etiology. I enjoyed reading this exc- lent text,which covers the gamut of topics related to the etiology,assessment,investi- tion,and management of constipation. The editors have recruited an international team of exemplary ability and have amassed a very comprehensive and consistent text. The chapters merge imperceptibly with minimal repetition. Novel treatments and the more accepted approaches have been presented in considerable detail. This book should be considered the standard for health care professionals managing functional bowel and allied disorders. It provides a benchmark on how to approach and treat the constipated patient. The majority of the authors have been my esteemed colleagues for a number of years; thus it is with particular pleasure that I am able to share their opinions so ably expressed in their respective chapters. This book demonstrates that coloproctology remains a dynamic specialty that provides a holistic approach to constipation. Man- ing constipation without understanding the psyche and emotions, together with the background of emotional and physical traumas of life, would be analogous to walking blindfolded. It has been my pleasure and privilege to have been associated with the editors for some nineteen years and to watch their reputations grow in the international arena. It has been an honor to write the foreword for this book which deserves great success.


The only book to deal specifically with constipation for specialists

Includes all the new advances developed, described and tested since the first edition (1995)

Back cover:

The second edition of Constipation is a comprehensive text on the etiology, evaluation, and management of chronic, intractable constipation. As well as being debilitating, constipation is a complaint with many causes and can also be a symptom of more serious pathological changes.

Innovations include Professor Norman Williams’s Malone Procedure (antegrade continent colonic conduit) as well as the newer pharmacologic treatments such as nitric oxide and botulinum toxin injections. The book is written by an international panel of expert authors. All of the new advances developed, described, and tested since writing the first edition are included. Novel chapters include those on biofeedback, surgery for constipation, sacral nerve stimulation, the use of laparoscopy for rectal prolapse, and treament and understanding of some of the psychological problems of patients affected by this condition.

This book is essential for coloproctologists, colorectal surgeons and general surgeons. In addition, the chapters on irritable bowel syndrome, botulinum toxin and other new pharmacologic approaches will appeal to gastroenterologists.


Definitions and Epidemiology of Constipation.- Etiology of Congenital Colorectal Disease.- Etiology of Acquired Colorectal Disease: Constipation.- Extracolonic Causes of Constipation.- Initial Evaluation of Constipation.- Constipation-Predominant Irritable Bowel Syndrome.- Methods to Measure Small-Bowel and Colonic Transit.- Anorectal Manometry and the Rectoanal Inhibitory Reflex.- Defecography: Technique, Interpretation, and Current Use.- Compliance and Manovolumetry.- Electromyography and Pudendal Nerve Terminal Motor Latency.- Dynamic Magnetic Resonance Imaging and Nuclear Imaging.- Biofeedback for Constipation.- Medical Treatment of Constipation.- Surgical Treatment of Colonic Inertia.- Botulinum Toxin and Other New Pharmacologic Approaches to Constipation.- Sacral Nerve Stimulation.- Surgical Treatment of Rectocele: Colorectal Approaches.- Surgical Treatment of Rectocele: Gynecologic Approaches.- Perineal Procedures for Rectal Prolapse.- Constipation and Rectal Prolapse.- Laparoscopic Surgery for Rectal Prolapse.- Antegrade Continent Colonic Conduit.- Surgical Treatment of Hirschsprung’s Disease.- Chagasic Megacolon.- Surgical Treatment of Puborectalis Hypertrophy.


ISBN-13: 9781849969017
Publisher: Springer (Springer London)
Publication date: October, 2010
Pages: 288
Weight: 544g
Availability: POD
Subcategories: Diseases and Disorders, Gastroenterology, Gastrointestinal/colorectal, General, Obstetrics and Gynaecology
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Average Rating 

From the reviews of the second edition:

"This compact, but complete, second edition, edited by Drs. Wexner and Duthie, brings an up-to-date approach to the medical and surgical therapy of this often debilitating condition. Excellent sections by authors … provide a complete picture of what is currently known about etiology and medical therapy, as well as advances in diagnostic strategies that direct surgical treatment, when indicated. … This comprehensive, easily read volume is a worthwhile edition to the library of any surgeon who encounters patients afflicted by this difficult entity." (Richard P. Billingham, Diseases of the Colon and Rectum, Vol. 51, 2008)