The second part of the Consensus Statement of the Italian Association of Hospital Gastroenterologists and Italian Society of Colo-Rectal Surgery reports on the treatment of chronic constipation and obstructed defecati...The second part of the Consensus Statement of the Italian Association of Hospital Gastroenterologists and Italian Society of Colo-Rectal Surgery reports on the treatment of chronic constipation and obstructed defecation. There is no evidence that increasing fluid intake and physical activity can relieve the symptoms of chronic constipation. Patients with normal-transit constipation should increase their fibre intake through their diet or with commercial fibre. Osmotic laxatives may be effective in patients who do not respond to fibre supplements. Stimulant laxatives should be re- served for patients who do not respond to osmotic laxatives. Controlled trials have shown that serotonin- ergic enterokinetic agents, such as prucalopride, and prosecretory agents, such as lubiprostone, are effec- tive in the treatment of patients with chronic constipa- tion. Surgery is sometimes necessary. Total colectomy with ileorectostomy may be considered in patients with slow-transit constipation and inertia coil who are resistant to medical therapy and who do not have defecatory disorders, generalised motility disorders or psychological disorders. Randomised controlled trials have established the efficacy of rehabilitative treat- ment in dys-synergic defecation. Many surgical proce- dures may be used to treat obstructed defecation in patients with acquired anatomical defects, but none is considered to be the gold standard. Surgery should be reserved for selected patients with an impaired quality of life. Obstructed defecation is often associated with pelvic organ prolapse. Surgery with the placement of prostheses is replacing fascial surgery in the treatment of pelvic organ prolapse, but the efficacy and safety of such procedures have not yet been established.展开更多
Objective： To study the effect of Simotang （四磨汤） oral liquid and glycerin enema on the patients＇ bowel sound （BS） restoration and anal exhaust after abdominal gynecological operation. Method： Ninety patients...Objective： To study the effect of Simotang （四磨汤） oral liquid and glycerin enema on the patients＇ bowel sound （BS） restoration and anal exhaust after abdominal gynecological operation. Method： Ninety patients with benign tumor who had undergone gynecological operation were randomly divided into the Simotang group, treated after operation with Simotang oral liquid; the enema group, treated with glycerin enema, and the control group, non-treated. The restoration time of BS and anal exhaust were observed. Resuits： Compared with the control group, the restoration time of BS and anus exhaust were both significantly shorter in the Simotang group and the enema group, showing statistical significance （P〈0.05）; but the difference between the two treated groups was insignificant （ P〉0.05）. Conclusion： Simotang oral liquid and glycerine enema both could benefit the restoration of anal exhaust and BS after abdominal operation.展开更多
目的探讨不同坐浴时间对肛瘘术后创面愈合的影响,寻求适宜的坐浴时间。方法将40例肛瘘术后病人按随机双盲分为两组,每组各20人,分别用0.02%高锰酸钾溶液坐浴5 m in(实验组)和20 m in(对照组)1个疗程(7 d),对比创面疼痛、水肿、创面肉芽...目的探讨不同坐浴时间对肛瘘术后创面愈合的影响,寻求适宜的坐浴时间。方法将40例肛瘘术后病人按随机双盲分为两组,每组各20人,分别用0.02%高锰酸钾溶液坐浴5 m in(实验组)和20 m in(对照组)1个疗程(7 d),对比创面疼痛、水肿、创面肉芽生长情况以及创面愈合时间。结果实验组病人疼痛、水肿程度轻,创面肉芽组织生长良好,创面愈合时间短于对照组。结论适宜缩短坐浴时间可减轻病人创面疼痛、水肿,促进创口早期愈合。展开更多
基金Supported by Associazione Italiana Gastroenterologi and Endoscopisti Digestivi Ospedalieri, Via N Colajanni, 4, 00191 Roma, ItalySocietà Italiana di Chirurgia Colo-Rettale, Via Medici, 23, 10143 Torino, Italy
文摘The second part of the Consensus Statement of the Italian Association of Hospital Gastroenterologists and Italian Society of Colo-Rectal Surgery reports on the treatment of chronic constipation and obstructed defecation. There is no evidence that increasing fluid intake and physical activity can relieve the symptoms of chronic constipation. Patients with normal-transit constipation should increase their fibre intake through their diet or with commercial fibre. Osmotic laxatives may be effective in patients who do not respond to fibre supplements. Stimulant laxatives should be re- served for patients who do not respond to osmotic laxatives. Controlled trials have shown that serotonin- ergic enterokinetic agents, such as prucalopride, and prosecretory agents, such as lubiprostone, are effec- tive in the treatment of patients with chronic constipa- tion. Surgery is sometimes necessary. Total colectomy with ileorectostomy may be considered in patients with slow-transit constipation and inertia coil who are resistant to medical therapy and who do not have defecatory disorders, generalised motility disorders or psychological disorders. Randomised controlled trials have established the efficacy of rehabilitative treat- ment in dys-synergic defecation. Many surgical proce- dures may be used to treat obstructed defecation in patients with acquired anatomical defects, but none is considered to be the gold standard. Surgery should be reserved for selected patients with an impaired quality of life. Obstructed defecation is often associated with pelvic organ prolapse. Surgery with the placement of prostheses is replacing fascial surgery in the treatment of pelvic organ prolapse, but the efficacy and safety of such procedures have not yet been established.
文摘Objective： To study the effect of Simotang （四磨汤） oral liquid and glycerin enema on the patients＇ bowel sound （BS） restoration and anal exhaust after abdominal gynecological operation. Method： Ninety patients with benign tumor who had undergone gynecological operation were randomly divided into the Simotang group, treated after operation with Simotang oral liquid; the enema group, treated with glycerin enema, and the control group, non-treated. The restoration time of BS and anal exhaust were observed. Resuits： Compared with the control group, the restoration time of BS and anus exhaust were both significantly shorter in the Simotang group and the enema group, showing statistical significance （P〈0.05）; but the difference between the two treated groups was insignificant （ P〉0.05）. Conclusion： Simotang oral liquid and glycerine enema both could benefit the restoration of anal exhaust and BS after abdominal operation.
文摘目的探讨不同坐浴时间对肛瘘术后创面愈合的影响,寻求适宜的坐浴时间。方法将40例肛瘘术后病人按随机双盲分为两组,每组各20人,分别用0.02%高锰酸钾溶液坐浴5 m in(实验组)和20 m in(对照组)1个疗程(7 d),对比创面疼痛、水肿、创面肉芽生长情况以及创面愈合时间。结果实验组病人疼痛、水肿程度轻,创面肉芽组织生长良好,创面愈合时间短于对照组。结论适宜缩短坐浴时间可减轻病人创面疼痛、水肿,促进创口早期愈合。
