Mechanisms, evaluation, and management of chronic constipation

AE Bharucha, BE Lacy - Gastroenterology, 2020 - Elsevier
With a worldwide prevalence of 15%, chronic constipation is one of the most frequent
gastrointestinal diagnoses made in ambulatory medicine clinics, and is a common source …

Faecal incontinence in adults

AE Bharucha, CH Knowles, I Mack, A Malcolm… - Nature Reviews …, 2022 - nature.com
Faecal incontinence, which is defined by the unintentional loss of solid or liquid stool, has a
worldwide prevalence of≤ 7% in community-dwelling adults and can markedly impair …

Understanding the physiology of human defaecation and disorders of continence and evacuation

PT Heitmann, PF Vollebregt, CH Knowles… - Nature reviews …, 2021 - nature.com
The act of defaecation, although a ubiquitous human experience, requires the coordinated
actions of the anorectum and colon, pelvic floor musculature, and the enteric, peripheral and …

Review of the indications, methods, and clinical utility of anorectal manometry and the rectal balloon expulsion test

AE Bharucha, G Basilisco, A Malcolm… - …, 2022 - Wiley Online Library
Background Anorectal manometry (ARM) comprehensively assesses anorectal
sensorimotor functions. Purpose This review examines the indications, techniques …

The London classification: improving characterization and classification of anorectal function with anorectal manometry

SM Scott, EV Carrington - Current Gastroenterology Reports, 2020 - Springer
Abstract Purpose of Review Objective measurement of anorectal sensorimotor function is a
requisite component in the clinical evaluation of patients with intractable symptoms of …

Actionable biomarkers: the key to resolving disorders of gastrointestinal function

M Camilleri, V Chedid - Gut, 2020 - gut.bmj.com
A valid biomarker is defined as 'a characteristic that is measured and evaluated as an
indicator of normal biological processes, pathogenic processes or pharmacological …

Comparison of anorectal manometry, rectal balloon expulsion test, and defecography for diagnosing defecatory disorders

JW Blackett, M Gautam, R Mishra, NR Oblizajek… - Gastroenterology, 2022 - Elsevier
Background & Aims The utility of high-resolution anorectal manometry (HR-ARM) for
diagnosing defecatory disorders (DDs) is unclear because healthy people may have …

ACG clinical guidelines: management of benign anorectal disorders

A Wald, AE Bharucha, B Limketkai… - Official journal of the …, 2021 - journals.lww.com
Benign anorectal disorders of structure and function are common in clinical practice. These
guidelines summarize the preferred approach to the evaluation and management of …

Enteric neuropathy in diabetes: Implications for gastrointestinal function

MMI Abdalla - World Journal of Gastroenterology, 2024 - pmc.ncbi.nlm.nih.gov
Diabetes, commonly known for its metabolic effects, also critically affects the enteric nervous
system (ENS), which is essential in regulating gastrointestinal (GI) motility, secretion, and …

Assessment of gastrointestinal autonomic dysfunction: present and future perspectives

DS Kornum, AJ Terkelsen, D Bertoli, MW Klinge… - Journal of clinical …, 2021 - mdpi.com
The autonomic nervous system delicately regulates the function of several target organs,
including the gastrointestinal tract. Thus, nerve lesions or other nerve pathologies may …