The physiology of continence: idiopathic fecal constipation and soiling.
The anatomic and functional elements contributing to fecal continence and defecation are explored. The high incidence and importance of chronic idiopathic constipation as an entity in itself and a contributing factor to fecal incontinence are emphasized, and its management is discussed. The importance of a proper clinical history and examination is highlighted, and investigative modalities including radiology, transit studies, and anorectal manometry are described and placed in the context of practical clinical management.
Griffiths
D M
DM
Wessex Regional Centre for Paediatric Surgery, Southampton University Hospitals NHS Trust, England.
D001003:Anal Canal / Q000502:physiology; D001676:Biofeedback, Psychology / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000175:diagnosis / Q000628:therapy; D003672:Defecation / Q000502:physiology; D004688:Encopresis / Q000175:diagnosis / Q000628:therapy; D004733:Enema / Q000379:methods; D005242:Fecal Incontinence / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D015994:Incidence; D011092:Polyethylene Glycols / Q000008:administration & dosage; D012007:Rectum / Q000502:physiology*; D013501:Surface-Active Agents / Q000008:administration & dosage
D013501:Surface-Active Agents; D011092:Polyethylene Glycols