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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.
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 A. E. Bharucha, A. J. Croak, J. B. Gebhart, L. J. Berglund, B. M. Seide, A. R. Zinsmeister, and K.-N. An Comparison of rectoanal axial forces in health and functional defecatory disorders Am J Physiol Gastrointest Liver Physiol, June 1, 2006; 290(6): G1164 - G1169. [Abstract] [Full Text] [PDF]
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 E Munteis, M Andreu, M J Tellez, D Mon, A Ois, and J Roquer Anorectal dysfunction in multiple sclerosis Multiple Sclerosis, April 1, 2006; 12(2): 215 - 218. [Abstract] [PDF]
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