Electrical Stimulation Therapy in Chronic Functional Constipation: Five Years' Experience in Patients Refractory to Biofeedback Therapy and With Rectal Hyposensitivity
Journal of Neurogastroenterology and Motility
;
: 366-373, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-23365
ABSTRACT
BACKGROUND/AIMS:
Biofeedback therapy (BFT) can be unsuccessful in constipated patients, even those with pelvic floor dysfunction. Electrical stimulation therapy (EST) has been introduced as a novel therapeutic modality in patients with chronic constipation, especially those who have rectal hyposensitivity. We evaluated the efficacy of EST based on five years' clinical experience.METHODS:
From January 2002 to February 2007, 159 patients underwent EST. After exclusion of 12 drop-outs, 147 (MF = 6186, 49 +/- 17 years) finished all treatment sessions. Among them, 88 (MF = 2959, 49 +/- 17 years) were refractory to BFT without rectal hyposensitivity (RH), and 59 (MF = 3227, 54 +/- 17 years) were those with RH.RESULTS:
The overall response to EST was 59.2% (87/147) by per-protocol analysis. In the EST-responsive group, overall satisfaction improved significantly (from 7.3 +/- 3.0 to 4.3 +/- 2.5, P < 0.05). Subgroup analysis showed that the response rate was 64.8% (57/88) in patients refractory to BFT without RH, and 50.8% (30/59) in those with RH.CONCLUSIONS:
EST may have additional therapeutic efficacy in patients who are refractory to BFT. EST may also be effective in patients with RH, including restoration of rectal sensation. Therefore, EST could be considered as an alternative choice in patients refractory to BFT and with or without RH.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Sensação
/
Biorretroalimentação Psicológica
/
Terapia por Estimulação Elétrica
/
Diafragma da Pelve
/
Constipação Intestinal
/
Estimulação Elétrica
Tipo de estudo:
Guia de Prática Clínica
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Neurogastroenterology and Motility
Ano de publicação:
2013
Tipo de documento:
Artigo
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