Surgical management of malignant bowel obstruction carries with high morbidity and mortality. Placement of a trans-anal decompression tube TDT has traditionally been used for malignant bowel obstruction as a bridge to surgery. Recently, colonic metallic stent CMS as a bridge to surgery for malignant bowel obstruction, particularly left-sided malignant large bowel obstruction LMLBO caused by colorectal cancer, has been reported to be both a safe and feasible option.
Whether high-resolution anorectal pressure topography HRPThaving better fidelity and spatio-temporal resolution is comparable to waveform manometry WM in the diagnosis and characterization of defecatory disorders DD is not known. Eleven healthy volunteers were also evaluated. During bearing down, 2 or more anal pressure-segments distal and proximal could be appreciated and their expansion measured with HRPT but not WM.
Study record managers: refer to the Data Element Definitions if submitting registration or results information. The comparative study will be conducted by comparing the following products:. Our approach attempts to blend, based on the evidence of the most recent scientific literature, the experience of decades of colonproctologic clinical practice that has a predominantly surgical approach, with the clinical evidence of the Science of Nutrition which has a conservative vision in the treatment of ailments and constipation, a predisposing factor in the pathogenesis of anal fissure, in order to obtain healing without surgery.
Please take this quick survey to tell us about what happens after you publish a paper. PURPOSE: The aim of this study was to compare the intraanal sponge electrode with the conventional needle electrode for electromyography of the pelvic floor in constipated patients. The soft intra-anal sponge electrode and then the concentric needle electrode were used in each patient as an internal control.
The law relating to global navigation satellite systems, GNSS is a novel and complex subject. As a result, this paper addresses a considerable number of issues from a new, as of yet untested legal perspective. It will also address a number of altogether new issues which, from a legal perspective, have been dealt with often in other areas of law.
The accuracy of screening for anal cancer precursors relative to screening for cervical cancer precursors has not been systematically examined. The aim of the current meta-analysis was to compare the relative accuracy of anal cytology to cervical cytology in discriminating between histopathologic high grade and lesser grades of dysplasia when the reference standard biopsy is obtained using colposcope magnification. The outcome metric of discrimination was the receiver operating characteristic ROC curve area.
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Objective The aim of the study was to compare the results of internal sphincterotomy and sentinel pile flap SPF in the treatment of chronic anal fissure. Patients and methods This prospective study on consecutive 40 patients was conducted from July to February Patients were divided into two groups; 20 patients underwent lateral internal sphincterotomy LS and 20 patients underwent SPF.
Parikartika resembles fissure-in-ano which is very common among all ano-rectal disorders. In Ayurvedic texts, Parikartika is described as a complication of Vamana and Virechana as well as complication of Atisara. Ksharasutra was proved successful in the management of fistula-in-ano, piles, and there is a need to try its efficacy in fissure-in-ano.