John Damianos, M.D. Profile picture
@MayoClinicGIHep Gastroenterology & Hepatology Fellow. Yale Internal Medicine, Dartmouth Med. 🦠Microbiome, brain-gut axis, diet, IBS, IBD, motility, #MedEd🇬🇷

Oct 23, 2022, 17 tweets

Management of benign anorectal disorders with #AdilBharucha

#MedTwitter #GITwitter #ACG2022

🔑Have patient complete symptom questionnaire to get a more detailed picture of their symptoms

🔑Digital rectal examination

🔑Constipation workup and treatment

🔑Normal and abnormal defecatory physiology

Impaired propulsion = "rectal asystole"

🔑Constipation physiology testing

Dyssynergic defecation

MR defecography

🔑Biofeedback is very effective for dyssynergic defecation

Refractory constipation

⚠️Colectomy ONLY if slow transit and there is no pelvic floor dysfunction

Defecatory disorders summary

Fecal incontinence

Pathophysiology of fecal incontinence

Workup and management of fecal incontinence

Managing diarrhea in fecal incontinence

Keep your đź‘€ out!

Fecal incontinence summary

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