Main description:

The only book to deal specifically with constipation for specialists has been updated to include all the new advances since the first edition (1995). These advances include biofeedback, surgery for constipation, sacral nerve stimulation, the use of laparoscopy for rectal prolapse, treament and our understanding of some of the psychological problems of these patients. Innovations also include Professor Norman Williams' Malone Procedure and the newer pharmacologic treatments such as nitric oxide and botulinum toxin injections.

Contents:

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.