Among the most common disorders they must deal with are gastroesophageal reflux disease (GERD), gastric and duodenal ulcers, malignant tumours, inflammatory bowel diseases, colorectal cancer, and rectal disorders.
Proctologic diseases appear to be more frequent in geriatric age: constipation, hemorrhoids and rectal prolapse are some of the most frequent ano-rectal disorders in elderly patients.
Patients had no evidence of a rectal evacuation disorder.
Conclusions: PRU accelerates transit through the stomach, small bowel, and colon in patients with constipation unassociated with a rectal evacuation disorder.
In contrast, a physiologic study including 40 patients with chronic functional constipation and no evidence of a rectal evacuation disorder not only demonstrated that prucalopride in a dose of 2 and 4 mg accelerates overall colonic transit and ascending colonic emptying, but also gastric emptying and small bowel transit; the effect appeared to be dose dependent (Bouras et al. 2001).
The rationale for preserving these nerves during surgery is to avoid the well-known sequelae of nerve damage, such as impaired bladder function [2], rectal motility disorders and sexual dysfunction [3, 4, 5].
The Trust already had a pelvic floor dysfunction service set up by the colorectal team that managed patients with chronic constipation, rectal evacuatory disorders and FI.
Obstructed defecation syndrome (ODS) is recognized as a functional (e.g., anismus) and anatomic (e.g., rectocele and rectal intussusception) defecatory disorder of the pelvic floor.
Given that tests of anorectal function were not used to exclude patients with co-existent disordered rectal evacuation, it is likely that such mixed disorders existed in some of our study population and this could potentially impact upon our results.
Straining and pain/bloating, reported by 89% and 92% of our patients, respectively are commonly reported by patients who have a disorder of rectal evacuation [ 37, 38].
Colon and rectal surgery deals with disorders of the large intestine.
