Functional disorders of the anus and rectum
W E Whiteheada, A Waldb, N E Diamantc, P Enckd, J H Pembertone, S S C Raof
a Chair,
Committee on Functional Anorectal Disorders, Multinational Working
Teams to Develop Diagnostic Criteria for Functional Gastrointestinal
Disorders (Rome II), Professor of Medicine,
University of North Carolina,
Chapel Hill, NC, USA, b Co-Chair, Committee on Functional Anorectal
Disorders, Multinational Working Teams to Develop Diagnostic Criteria
for Functional Gastrointestinal Disorders (Rome II),
University of Pittsburgh Medical Center,
Pittsburgh, PA, USA, c The
Toronto Hospital, Western Division, Toronto,
Ontario, Canada, d Klinik für
Gastroenterologie and Infektiolagie, Heinrich
Heine Universität, Düsseldorf, Germany, e Mayo Clinic,
Rochester, MN, USA, f Department of Internal Medicine,
University of Iowa, IA, USA
Correspondence to: William E Whitehead, PhD, Division of Digestive Diseases, CB#7080, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7080, USA. Email: william_whitehead{at}med.unc.edu
In this report the functional anorectal disorders, the etiology
of which is currently unknown or related to the abnormal functioning of
normally innervated and structurally intact muscles, are discussed. These disorders include functional fecal incontinence, functional anorectal pain, including levator ani syndrome and proctalgia fugax,
and pelvic floor dyssynergia. The epidemiology of each disorder is
defined and discussed, their pathophysiology is summarized and
diagnostic approaches and treatment are suggested. Some suggestions for
the direction of future research on these disorders are also given.
Keywords: fecal incontinence; pelvic floor dyssynergia; anismus; proctalgia fugax; levator ani syndrome; constipation; Rome II
© 1999 by Gut
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Devanarayana, N. M., Rajindrajith, S.
(2009). Association between Constipation and Stressful Life Events in a Cohort of Sri Lankan Children and Adolescents. J Trop Pediatr
0: fmp077v1-fmp077
[Abstract] [Full Text] -
Hetzer, F. H., Andreisek, G., Tsagari, C., Sahrbacher, U., Weishaupt, D.
(2006). MR Defecography in Patients with Fecal Incontinence: Imaging Findings and Their Effect on Surgical Management. Radiology
240: 449-457
[Abstract] [Full Text] -
Bharucha, A. E., Croak, A. J., Gebhart, J. B., Berglund, L. J., Seide, B. M., Zinsmeister, A. R., An, K.-N.
(2006). Comparison of rectoanal axial forces in health and functional defecatory disorders. Am. J. Physiol. Gastrointest. Liver Physiol.
290: G1164-G1169
[Abstract] [Full Text] -
Munteis, E, Andreu, M, Tellez, M J, Mon, D, Ois, A, Roquer, J
(2006). Anorectal dysfunction in multiple sclerosis. Mult Scler
12: 215-218
[Abstract]
- Full Text
- Full Text (PDF)
- Alert me when this article is cited
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
