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Predictive capability of anorectal physiologic tests for unfavorable outcomes following biofeedback therapy in dyssynergic defecation

DC FieldValueLanguage
dc.contributor.author김원호-
dc.contributor.author김은수-
dc.contributor.author문창모-
dc.contributor.author박재준-
dc.contributor.author신재국-
dc.contributor.author이용찬-
dc.contributor.author전승민-
dc.contributor.author정재복-
dc.contributor.author천재희-
dc.contributor.author홍성필-
dc.date.accessioned2015-04-23T16:44:53Z-
dc.date.available2015-04-23T16:44:53Z-
dc.date.issued2010-
dc.identifier.issn1011-8934-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/101151-
dc.description.abstractThe purpose of this study is to evaluate the predictive capability of anorectal physiologic tests for unfavorable outcomes prior to the initiation of biofeedback therapy in patients with dyssynergic defecation. We analyzed a total of 80 consecutive patients who received biofeedback therapy for chronic idiopathic functional constipation with dyssynergic defecation. After classifying the patients into two groups (responders and non-responders), univariate and multivariate analyses were performed to determine the predictors associated with the responsiveness to biofeedback therapy. Of the 80 patients, 63 (78.7%) responded to biofeedback therapy and 17 (21.3%) did not. On univariate analysis, the inability to evacuate an intrarectal balloon (P=0.028), higher rectal volume for first, urgent, and maximal sensation (P=0.023, P=0.008, P=0.007, respectively), and increased anorectal angle during squeeze (P=0.020) were associated with poor outcomes. On multivariate analysis, the inability to evacuate an intrarectal balloon (P=0.018) and increased anorectal angle during squeeze (P=0.029) were both found to be independently associated with a lack of response to biofeedback therapy. Our data show that the two anorectal physiologic test factors are associated with poor response to biofeedback therapy for patients with dyssynergic defecation. These findings may assist physicians in predicting the responsiveness to therapy for this patient population-
dc.description.statementOfResponsibilityopen-
dc.format.extent1060~1065-
dc.relation.isPartOfJOURNAL OF KOREAN MEDICAL SCIENCE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAnal Canal/physiopathology*-
dc.subject.MESHAtaxia/physiopathology*-
dc.subject.MESHAtaxia/therapy-
dc.subject.MESHBiofeedback, Psychology*-
dc.subject.MESHConstipation*/physiopathology-
dc.subject.MESHConstipation*/therapy-
dc.subject.MESHDefecation/physiology*-
dc.subject.MESHDefecography/methods-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMultivariate Analysis-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHRectum/physiopathology*-
dc.subject.MESHTreatment Outcome-
dc.titlePredictive capability of anorectal physiologic tests for unfavorable outcomes following biofeedback therapy in dyssynergic defecation-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학)-
dc.contributor.googleauthorJae Kook Shin-
dc.contributor.googleauthorJae Hee Cheon-
dc.contributor.googleauthorEun Sook Kim-
dc.contributor.googleauthorJin Young Yoon-
dc.contributor.googleauthorJin Ha Lee-
dc.contributor.googleauthorSoung Min Jeon-
dc.contributor.googleauthorHyun Jung Bok-
dc.contributor.googleauthorJae Jun Park-
dc.contributor.googleauthorChang Mo Moon-
dc.contributor.googleauthorSung Pil Hong-
dc.contributor.googleauthorYong Chan Lee-
dc.contributor.googleauthorWon Ho Kim-
dc.identifier.doi10.3346/jkms.2010.25.7.1060-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00774-
dc.contributor.localIdA01390-
dc.contributor.localIdA01636-
dc.contributor.localIdA02138-
dc.contributor.localIdA02988-
dc.contributor.localIdA03526-
dc.contributor.localIdA03706-
dc.contributor.localIdA04404-
dc.contributor.localIdA00804-
dc.contributor.localIdA04030-
dc.relation.journalcodeJ01517-
dc.identifier.eissn1598-6357-
dc.identifier.pmid20592899-
dc.subject.keywordAnorectal Manometry-
dc.subject.keywordBalloon Expulsion Test-
dc.subject.keywordBiofeedback, Psychology-
dc.subject.keywordDefecogram-
dc.subject.keywordDyssynergic Defecation-
dc.subject.keywordPredicting Factors-
dc.contributor.alternativeNameKim, Won Ho-
dc.contributor.alternativeNameKim, Eun Soo-
dc.contributor.alternativeNameMoon, Chang Mo-
dc.contributor.alternativeNamePark, Jae Jun-
dc.contributor.alternativeNameShin, Jae Kook-
dc.contributor.alternativeNameLee, Yong Chan-
dc.contributor.alternativeNameJeon, Soung Min-
dc.contributor.alternativeNameChung, Jae Bock-
dc.contributor.alternativeNameCheon, Jae Hee-
dc.contributor.alternativeNameHong, Sung Pil-
dc.contributor.affiliatedAuthorKim, Won Ho-
dc.contributor.affiliatedAuthorMoon, Chang Mo-
dc.contributor.affiliatedAuthorPark, Jae Jun-
dc.contributor.affiliatedAuthorShin, Jae Kook-
dc.contributor.affiliatedAuthorLee, Yong Chan-
dc.contributor.affiliatedAuthorJeon, Soung Min-
dc.contributor.affiliatedAuthorChung, Jae Bock-
dc.contributor.affiliatedAuthorHong, Sung Pil-
dc.contributor.affiliatedAuthorKim, Eun Soo-
dc.contributor.affiliatedAuthorCheon, Jae Hee-
dc.citation.volume25-
dc.citation.number7-
dc.citation.startPage1060-
dc.citation.endPage1065-
dc.identifier.bibliographicCitationJOURNAL OF KOREAN MEDICAL SCIENCE, Vol.25(7) : 1060-1065, 2010-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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