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Dışkının Tam Boşalmaması   

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Tuvalete gitmeye rağmen dışkının tam bitmemesi hissi, yada bakiye dışkı kalması ciddi rahatsızlık veren bir durumdur. Tuvalete gitmeye rağmen, dışkının tam boşalmama hissi aşağıdaki hastalıklar nedeniyle olabilmektedir. Makat çıkışında tıkanıklık hangi nedenlerle olur?

Fonksiyonel nedenler
Fiziksel nedenler
Anahtar kelimeler: hemoroid, basur, bağsur, mayasıl, babasıl, makat çatlağı, makat yırtığı, makatta yırtık, kabızlık, konstipasyon, anismus, anal sfinkter dissinerjisi, spastik pelvik taban sendromu, dissinerjik defekasyon, paradoksal puborektal kontraksiyon, pelvik taban dissinerjisi, bağırsak kanseri, barsak kanseri, kolon ca, kolon karsinomu, bağırsak karsinomu, barsak karsinomu, rektum kanseri, rektum ca, rektum karsinomu, rektosel, makat sarkması, rektal prolapsus, bağırsak divertikülü, barsak divertikülü, divertikülozis koli, kolon divertikülü, bağırsak inkontinensi, barsak inkontinensi, dışkı kaçırma, gaz kaçırma, irritabıl bağırsak sendromu, huzursuz bağırsak sendromu, İBS, çölyak hastalığı, soliter rektal ülser sendromu, rektumda varis, Whipple hastalığı, bağırsak kurdu, kıl kurdu, bağırsakta amip

Kaynaklar
1. Verma A, Misra A, Ghoshal UC. Effect of biofeedback therapy on anorectal physiological parameters among patients with fecal evacuation disorder. Indian J Gastroenterol 2017 Feb 18. doi: 10.1007/s12664-017-0731-y.
2. Brusciano L, Del Genio G, Tolone S, et al. Should perineal descent be managed as a multifactorial clinicopathologic entity in patients with obstructed defecation? Dis Colon Rectum 2017 Feb;60(2):e9. doi: 10.1097/DCR.0000000000000772.
3. Fabrizio AC, Alimi Y, Kumar AS. Methods of evaluation of anorectal causes of obstructed defecation. Clin Colon Rectal Surg 2017; 30 (1): 46-56.
4. Madbouly KM, Abbas KS, Emanuel E. Bilateral posterior tibial nerve stimulation in the treatment of rectal evacuation disorder: a preliminary report. Dis Colon Rectum 2017; 60 (3): 311-317.
5. Park SY, Burton D, Busciglio I, et al. Regional colonic transit pattern does not conclusively identify evacuation disorders in constipated patients with delayed colonic transit. J Neurogastroenterol Motil 2017; 23 (1): 92-100.
6. Takano S, Sands DR. Influence of body posture on defecation: a prospective study of "The Thinker" position. Tech Coloproctol 2016; 20 (2): 117-121.
7. Staller K, Barshop K, Kuo B, et al. Resting anal pressure, not outlet obstruction or transit, predicts healthcare utilization in chronic constipation: a retrospective cohort analysis. Neurogastroenterol Motil 2015; 27 (10): 1378-1388.
8. Lee TH, Lee JS, Hong SJ, et al. Rectal hyposensitivity and functional anorectal outlet obstruction are common entities in patients with functional constipation but are not significantly associated. Korean J Intern Med 2013; 28 (1): 54-61.
9. Bove A, Pucciani F, Bellini M, et al. Consensus statement AIGO/SICCR: diagnosis and treatment of chronic constipation and obstructed defecation (part I: diagnosis). World J Gastroenterol 2012; 18 (14): 1555-1564.
10. Bove A, Bellini M, Battaglia E, et al. Consensus statement AIGO/SICCR diagnosis and treatment of chronic constipation and obstructed defecation (part II: treatment). World J Gastroenterol 2012; 18 (36): 4994-5013.
11. Wijffels NA, Angelucci G, Ashrafi A, et al. Rectal hyposensitivity is uncommon and unlikely to be the central cause of obstructed defecation in patients with high-grade internal rectal prolapse. Neurogastroenterol Motil 2011; 23: 151-154.
12. Elshazly WG, El Nekady AEa, Hassan H. Role of dynamic magnetic resonance imaging in management of obstructed defecation case series. Int J Surg 2010; 8 (4): 274-282.
13. Varma MG, Hart SL, Brown JS, et al. Obstructive defecation in middle-aged women. Dig Dis Sci 2008; 53 (10): 2702-2709.
14. Altomare DF, Spazzafumo L, Rinaldi M, et al. Set-up and statistical validation of a new scoring system for obstructed defaecation syndrome. Colorectal Dis 2008; 10: 84-88.
15. Lehur PA, Stuto A, Fantoli M, et al. Outcomes of stapled transanal rectal resection vs. biofeedback for the treatment of outlet obstruction associated with rectal intussusception and rectocele: a multicenter, randomized, controlled trial. Dis Colon Rectum 2008; 51: 1611-1618.
16. Morgan DM, DeLancey JO, Guire KE, et al. Symptoms of anal incontinence and difficult defecation among women with prolapse and a matched control cohort. Am J Obstet Gynecol 2007; 197 (5): 509.e1-6. Epub 2007 Aug 21.
17. Khaikin M, Wexner SD. Treatment strategies in obstructed defecation and fecal incontinence. World J Gastroenterol 2006; 12 (20): 3168-3173.
18. Boccasanta P, Venturi M, Salamina G, et al. New trends in the surgical treatment of outlet obstruction: clinical and functional results of two novel trans- anal stapled techniques from a randomised controlled trial. Int J Colorectal Dis 2004; 19: 359-369.
19. Peticca L, Pescatori M. Outlet obstruction due to anismus and rectal hyposensation: effect of biofeedback training. Colorectal Dis 2002; 4: 67.
20. Rao SS, Welcher KD, Leistikow JS. Obstructive defecation: a failure of rectoanal coordination. Am J Gastroenterol 1998; 93: 1042-1050.

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Güncelleme tarihi: 12.06.2017

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