Constipation

This book demonstrates that coloproctology remains a dynamic specialty that provides a holistic approach to constipation. Man- ing constipation without understanding the psyche and emotions, together with the background of emotional and physical traumas of life, would be analogous to walking blindfolded. The second edition of Constipation is a comprehensive text on the etiology, evaluation, and management of chronic, intractable constipation. As well as being debilitating, constipation is a complaint with many causes and can also be a symptom of more serious pathological changes. Innovations include Professor Norman Williams’s Malone Procedure (antegrade continent colonic conduit) as well as the newer pharmacologic treatments such as nitric oxide and botulinum toxin injections. The book is written by an international panel of expert authors. All of the new advances developed, described, and tested since writing the first edition are included. Novel chapters include those on biofeedback, surgery for constipation, sacral nerve stimulation, the use of laparoscopy for rectal prolapse, and treament and understanding of some of the psychological problems of patients affected by this condition. This book is essential for coloproctologists, colorectal surgeons and general surgeons. In addition, the chapters on irritable bowel syndrome, botulinum toxin and other new pharmacologic approaches will appeal to gastroenterologists. Constipation: aetiology, evaluation and manamgent provides a comprehensive and in-depth text on the aetiology, evaluation and management of chronic, intractable constipation. As well as being debilitating, constipation is a complaint with many causes and can also be a symptom of more serious pathological changes. With contributions from an international panel of authors, the book is divided into three basic sections: one on background information including aetiology, epidemiology and incidence; the second on evaluation; and the third on treatment. Novel chapters include those on biofeedback, surgery for constipation, sacral nerve stimulation, the use of laparoscopy for rectal prolapse, treament and our understanding of some of the psychological problems of these patients. Innovations include Norman Williams Malone procedure (antegrade continent colonic conduit) as well as the newer pharmacologic treatments such as nitric oxide and botulinum toxin injections. The book is written for coloproctologists, general surgeons and, with chapters on irritable bowel syndrome, botulinum toxin and other new pharmacologic approaches, will appeal to gastroenterologists.