WORLD GASTROENTEROLOGY NEWS Official e-newsletter of the World Gastroenterology Organisation VOL. 22, ISSUE 1 MAY 2017 In this issue www.worldgastroenterology.org “Lobos” Intensive Hepatology Course for Young Physicians in Argentina Federico Villamil, MD Annual Scientific Meeting of the New Zealand Society of Gastroenterology (NZSG) Dr. Campbell White, MBChB, FRACP Continued on page 4 Pelvic Floor Dysfunction and Refractory Constipation Noemi Baffy, MD, MPH Division of Gastroenterology and Hepatology, Mayo Clinic Scottsdale, AZ USA Lucinda A. Harris, MD Division of Gastroenterology and Hepatology, Mayo Clinic Scottsdale, AZ USA Amy E. Foxx-Orenstein, DO Division of Gastroenterology and Hepatology, Mayo Clinic Scottsdale, AZ USA Introduction Constipation is one of the most common gastrointestinal complaints with one-third of the general population reporting it during their lifetime.(1,2) Patients use a broad range of symptoms to describe constipation, including being irregular, having hard stools, a feeling of incomplete evacuation, bloating, distention, prolonged time needed to evacu-ate or time between movements, as well as a need to strain or apply manual pressure. Physicians often equate constipation with infrequent bowel movements or a func-tional disorder, yet, less than 3% of the general population report fewer than a normal (<3times per week) number of evacuations(1,2) and testing is often needed to exclude other causes of constipation. Constipation is defined as a symptom-based disorder characterized by unsatisfactory defecation.(3) The three primary causes of constipation, which are distinguished according to their pathophysiological characteristics, include slow transit constipation (colonoparesis), defecatory disorders (pelvic floor dysfunction, outlet obstruction), and normal transit constipation (functional).
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