便秘（英文）课件.pptVIP

Constipation: The Evolving Role for Surgery Ursula Szmulowicz, MD Department of Colorectal Surgery Digestive Disease Institute Cleveland Clinic Foundation Shanghai, China March 12, 2011 Outline Normal defecation Definition of constipation Incidence History and evaluation Surgical options Colectomy Bypass Antegrade colonic enema Stoma Sacral nerve stimulation Normal Defecation Colonic and rectal motility Reservoir function of the rectum Rectal Sensation Expulsion Incidence Prevalence of 2-28% in Western populations Estimated 30 million affected 25.92% prevalence in Chinese adolescents