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Gastroenterology Clinics of North the United States updates you at the most modern developments in sufferer administration; retains you brand new at the most modern advances; and offers a legitimate foundation for selecting treatments. every one factor makes a speciality of a unmarried subject in gastroenterology and is gifted less than the course of an skilled visitor editor.

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Scand J Gastroenterol 1999;34(Suppl 230): 52–63. 91. Zar S, Benson MJ, Kumar D. Rectal afferent hypersensitivity and compliance in irritable bowel syndrome: differences between diarrhoea-predominant and constipation-predominant subgroups. Eur J Gastroenterol Hepatol 2006;18(2): 151–8. 535 536 Scott & Gladman 92. Gladman MA, Knowles CH. Novel concepts in the diagnosis, pathophysiology and management of idiopathic megabowel. Colorectal Dis 2008; [Epub ahead of print]. 93. Gregersen H, Christensen J.

Felt-Bersma RJ, Klinkenberg-Knol EC, Meuwissen SG. Anorectal function investigations in incontinent and continent patients: differences and discriminatory value. Dis Colon Rectum 1990;33(6):479–85. 28. Sun WM, Donnelly TC, Read NW. Utility of a combined test of anorectal manometry, electromyography, and sensation in determining the mechanism of idiopathic faecal incontinence. Gut 1992;33(6):807–13. Evaluation of Anorectal Function 29. Lunniss PJ, Scott SM. Pathophysiology of anal incontinence. In: Sultan AH, Thakar R, Fenner DE, editors.

The major caveat is that there is no uniform standardization of tests, and results between centers are often difficult to compare. In addition, robust normative data for all measures of function remain inadequate, particularly with regard to age and gender stratification. 137 To address these issues satisfactorily, particularly through education, must remain a principal focus for those actively involved in this field. 46 Such an approach would enable the refinement of existing techniques, both in terms of test performance, indications for use, and data interpretation, which together with evolving newer modalities will further enhance the diagnostic capabilities available to the physician, and it is hoped contribute to the development of novel therapeutic options.

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Gastroenterology Clinics of North America by Eamonn M.M. Quigley MD FRCP FACP FACG FRCPI

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