|
KMID : 0812020010070020245
|
|
Korean Journal of Neurogastroenterology and Motility
2001 Volume.7 No. 2 p.245 ~ p.250
|
|
|
A Case of Constipation with Decreased Rectal Sensation Improved by Electrical Stimulation Therapy Alone
|
|
장혜숙/Hye Sook Chang
명승재/윤인자/양석균/정훈용/홍원선/김진호/민영일/유창식/Seung Jae Myung/In Ja Yoon/Suk Kyun Yang/Hwoon Yong Jung/Weon Seon Hong/Jin Ho Kim/Young Il MIn/Chang Sik Yu
|
|
|
Abstract
|
|
|
Patients with intractable constipation often complain of social, physical and psychological stress. Recently, biofeedback therapy is widely used in the management of intractable constipation and improve the defecation act, particularly in cases
of
constipation associated with pelvic floor dyssynergia. However, some of constipated patients show only decreased rectal sensation and increased rectal compliance on the anorectal function tests. It is unclear whether the decreased rectal
sensation
is a
cause or outcome of constipation and not known how to treat such cases.
We recently experienced a 25-year-old female patient who complained of constipation. She had intractable constipation, which made her attempt a suicide. Colon transit time study and defecogram showed nonspecific findings. Her anorectal manometric
findings were within normal ranges except rectal sensation and compliance. Rectal volume for desire and urge to defecate, and maximal tolerable volume were markedly increased and compliance was impossible to measure. She was treated by electrical
stimulation therapy. After electrical stimulation therapy, her constipation symptoms improved dramatically. Furthermore, the desire and urge volume were decreased and the compliance became calculated. We report this constipation case with
decreased
rectal sensation and increased rectal compliance possibly treated by electrical stimulation therapy.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|