JNM : Original Article ; Electrical Stimulation Therapy in Chronic Functional Constipation: Five Years` Experience in Patients Refractory to Biofeedback Therapy and With Rectal Hyposensitivity
분야
의약학 > 내과학
저자
( Kee Wook Jung ) , ( Dong Hoon Yang ) , ( In Ja Yoon ) , ( So Young Seo ) , ( Hyun Sook Koo ) , ( Hyo Jeong Lee ) , ( Ho Su Lee ) , ( Ji Beom Kim ) , ( Jong Wook Kim ) , ( Soo Kyung Park ) , ( Sang Hyoung Park ) , ( Kyung Jo Kim ) , ( Byong Duk Ye ) , (
발행기관
대한소화기기능성질환·운동학회(구 대한소화관운동학회)
간행물정보
Journal of Neurogastroenterology and Motility 2013년, 제19권 제3호, 366~373페이지(총8페이지)
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19202020.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    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 (M:F = 61:86, 49 ± 17 years) finished all treatment sessions. Among them, 88 (M:F = 29:59, 49 ± 17 years) were refractory to BFT without rectal hyposensitivity (RH), and 59 (M:F = 32:27, 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 im - proved 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. (J Neurogastroenterol Motil 2013; 19:366-373)
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