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Titlebook: Clinical Measurement in Coloproctology; Devinder Kumar (Senior Lecturer in Surgery, Honora Book 1991 Springer-Verlag London Limited 1991 D

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https://doi.org/10.1007/978-3-663-11321-8ed by irritable bowel syndrome (IBS), although the French still prefer the term . However, even though eminent authorities such as Christensen (1983) have denied the existence of such a syndrome, it remains obstinately manifest in the form of large numbers of patients who present with symptoms suggestive of colonic or colorectal dysfunction.
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Measurement of Colonic Motor Functionsuch as cellulose; water and electrolytes are absorbed actively at this time. The colonic contents are desiccated during further transit and solid faeces are formed, ready for defaecation. These processes are possible because colonic transit is much longer than is the time for movement through the rest of the gut.
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Measurement of Anorectal Functionhe assessment of the internal as well as the external anal sphincter. Assessment of anorectal function is generally made separately from measurement of colonic activity. Such studies must be interpreted with caution because an apparently normal anal canal may have associated motor abnormalities of the rectum and colon above.
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Assessment of the Paediatric Patientelay bowel control and in later childhood may disturb the mechanism for bowel control after normal control had been established. The purpose of this chapter is to review the techniques of anorectal manometry and their application in the investigation and management of disorders of the colon and anorectum in childhood.
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C. Plaaß,C. Stukenborg-Colsman,T. Stief enable this modification of ileal output to occur; for reviews of large intestinal mucosal transport itself the reader is referred elsewhere (Powell 1979; Edmonds 1981; Schultz 1981; Wrong et al. 1981; Kerlin and Phillips 1983; Binder and Sandie 1987; Donowitz 1987; Powell 1987).
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