Journal
GASTROENTEROLOGY CLINICS OF NORTH AMERICA
Volume 37, Issue 3, Pages 605-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.gtc.2008.06.009
Keywords
surgery; constipation; fecal incontinence
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Funding
- Frances and Augustus Newman Foundation Research Fellowship of the Royal College of Surgeons of England
- Higher Education Funding Council for England
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Patients with constipation and fecal incontinence usually come to the attention of the surgeon when conservative measures have failed to alleviate sufficiently severe symptoms. Following detailed clinical and physiologic assessment, the surgeon should tailor the procedure to specific underlying physiologic abnormalities to restore function. This article describes the rationale, indications (including patient selection), results, and current position controversies of surgical procedures for constipation and fecal incontinence, dividing these into those regarded as historical, contemporary, or evolving. Reported surgical outcome data must be interpreted with
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