• Gastroenterol. Clin. North Am. · Sep 2008

    Review

    Dyssynergic defecation and biofeedback therapy.

    • Satish S C Rao.
    • Division of Gastroenterology-Hepatology, University of Iowa Carver College of Medicine, University of Iowa Hospitals and Clinics, 4612 JCP, 200 Hawkins Drive, Iowa City, IA 52242, USA. satish-rao@uiowa.edu
    • Gastroenterol. Clin. North Am. 2008 Sep 1; 37 (3): 569-86, viii.

    AbstractConstipation caused by dyssynergic defecation is common and affects up to one half of patients with this disorder. It is possible to diagnose this problem through history, prospective stool diaries, and anorectal physiologic tests. Randomized controlled trials have now established that biofeedback therapy is not only efficacious but superior to other modalities and that the symptom improvement is caused by a change in underlying pathophysiology. Development of user friendly approaches to biofeedback therapy and use of home biofeedback programs will significantly enhance the adoption of this treatment by gastroenterologists and colorectal surgeons.

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