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|Significantly diminished, although the diurnal variation of colonic motility is preserved ... (hapc) is significantly decreased [12,16], its velocity of propagation and amplitude is diminished, and they abort prematurely in constipated patients [12,14,15]... (hapc) is significantly decreased [12,16], its velocity of propagation and amplitude is diminished, and they abort prematurely in constipated patients [12,14,15]... Jose m. Remes-troche , et al. Defecation disorders: neuromuscular aspects and treatment... However, segmental colectomy was not shown to be helpful in adults with constipation ... However, during attempted defecation, some patients may not produce a normal relaxation largely because of the laboratory conditions ... In our laboratory, either a 4-cmâ€“long balloon filled with 50 ml of warm water or a silicone-filled stoollike device is placed in the rectum, and then in privacy the patient is asked to expel the device in the sitting position [41,49]... Ambulatory colonic manometry using solid-state probes and portable recorders provides reproducible and reliable information regarding the pathophysiology of cc [41,51]... Recent studies have confirmed that patients with slow transit constipation exhibit significant reduction of phasic colonic motor activity [41,50]... Also, the number of high-amplitude propagated contractions (hapc) is significantly decreased, its velocity of propagation and amplitude is diminished, and the hapc abort prematurely [41,50]... Based on these manometric patterns and neurophysiologic responses, colonic manometry may facilitate the identification of myopathy, neuropathy, or normal colonic neuromuscular function [41,50]... In a case-control study, patients with manometric features of colonic neuropathy failed aggressive medical treatment and had a better clinical outcome after colectomy, whereas those without neuropathy responded reasonably to conservative treatment ... Jose m. Remes-troche , et al. Diagnostic testing in patients with chronic constipation... Using 24-hour ambulatory colonic manometry rao et al.  demonstrated that patients with chronic slow-transit constipation had significantly decreased colonic pressure activity following waking or meals when compared with control subjects... Willemijntje a. Hoogerwerf. Biologic clocks and the gut references (28) epidemiology of constipation (epoc) study in the united states: relation of clinical subtypes to sociodemographic features (citations: 132) walter f stewart , joshua n liberman , robert s sandler , michael s woods , annette stemhagen , elsbeth chee , richard b lipton , christina e farup journal: american journal of gastroenterology - amer j gastroenterol , vol. buy viagra cheap generic viagra viagra for sale floridalighttacklecharters.com/thq-buy-generic-viagra-online-cheap-tx/ cheap viagra buy cheap viagra cheap generic viagra viagra without a doctor prescription cheap generic viagra buy cheap viagra 94, no. 12, pp. 3530-3540, 1999 obstructi. |