Abdominal Symptoms Are Common and Benefit from Biofeedback Therapy in Patients with Dyssynergic Defecation
| Autor: | Stacy B. Menees, Anne Barthelemy, Kim Erickson, William D. Chey, Shanti Eswaran, Jason Baker, Richard J. Saad, Jennifer Shifferd |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry Original Contributions digestive oral and skin physiology Gastroenterology MEDLINE behavioral disciplines and activities humanities body regions Dyssynergic defecation Physical therapy medicine In patient Abdominal symptoms Biofeedback therapy business psychological phenomena and processes |
| Zdroj: | Clinical and Translational Gastroenterology |
| ISSN: | 2155-384X |
| Popis: | Objectives: Dyssynergic defecation (DD) is a subtype of chronic constipation that responds to biofeedback therapy (BFT). Abdominal, anorectal, and stool symptoms are commonly reported by DD patients, but limited data exist to demonstrate the improvement of these associated symptoms to BFT. Aims to prospectively study the response of constipation and associated abdominal, rectal, and stool symptoms to biofeedback in a population with dyssynergia. Methods: Patients with DD as determined by anorectal manometry and balloon expulsion testing were included into the study. All patients completed a validated survey, the Personal Assessment of Constipation Symptom (PAC-SYM) questionnaire, before and following BFT. The PAC-SYM is a clinical tool to assess constipation-related symptom frequency and severity. Results: Seventy-seven dyssynergic patients fulfilled the study requirements. Abdominal symptoms were present in up to 74% of patients with dyssynergia. PAC-SYM summation scores improved following completion of biofeedback by 48%, from 22.08 to 11.48 (P |
| Databáze: | OpenAIRE |
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