Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.11851/9862
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dc.contributor.authorArl, D.-
dc.contributor.authorÖztürk, O.-
dc.contributor.authorÖzin, Y.-
dc.contributor.authorTenlik, İ.-
dc.contributor.authorBacakslz, F.-
dc.contributor.authorGökbulut, V.-
dc.contributor.authorAkdo?an, M.-
dc.date.accessioned2022-12-25T20:51:47Z-
dc.date.available2022-12-25T20:51:47Z-
dc.date.issued2022-
dc.identifier.issn0257-2753-
dc.identifier.urihttps://doi.org/10.1159/000522180-
dc.identifier.urihttps://hdl.handle.net/20.500.11851/9862-
dc.description.abstractBackground: The treatment of solitary rectal ulcer (SRU) is challenging and controversial; generally, no response to conventional treatments can be obtained, particularly in patients with dyssynergic defecation (DD). We assessed the efficiency of biofeedback therapy (BFT) in patients who did not respond to conservative treatments and had coexistence of SRU and DD. Methods: BFT responses, as well as anorectal manometry and rectoscopy results of 20 patients with the coexistence of SRU and DD, were assessed. Results: Mean age was 32.5 years. Of the patients, 12 were female, and 8 of them were male. An average of 12 sessions of BFT was performed on the patients. Ulcer disappeared in 11 patients (55%) after BFT, and the ulcer size decreased in 3 patients (15%). However, ulcers healed in 9 (90%) of 10 patients whose DD pattern disappeared following BFT, and ulcers healed in only 20% of patients whose DD pattern continued (p = 0.005). The change in anal resting pressure after BFT was significant (p = 0.016). Ulcers were healed in 87.5% (7/8) of the patients whose anal resting pressure decreased after BFT and whose DD disappeared, while ulcers remained untreated in 85.7% of the patients whose anal resting pressure decreased, but the DD pattern continued (p = 0.005). Conclusions: SRU patients with DD are typically unresponsive to medical treatments. Ameliorating anorectal dyssynergia should be the priority of treatment in these patients. BFT is an effective treatment for DD. BFT enhances the healing of ulcers in patients with SRU by restoring coordination of the pelvic floor. © 2022 S. Karger AG, Basel. Copyright: All rights reserved.en_US
dc.language.isoenen_US
dc.publisherS. Karger AGen_US
dc.relation.ispartofDigestive Diseasesen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBiofeedback therapyen_US
dc.subjectDyssynergic defecationen_US
dc.subjectSolitary rectal ulceren_US
dc.subjectadulten_US
dc.subjectanal canalen_US
dc.subjectataxiaen_US
dc.subjectbiofeedbacken_US
dc.subjectconstipationen_US
dc.subjectdefecationen_US
dc.subjectfemaleen_US
dc.subjecthumanen_US
dc.subjectmaleen_US
dc.subjectmanometryen_US
dc.subjectproceduresen_US
dc.subjectulceren_US
dc.subjectAdulten_US
dc.subjectAnal Canalen_US
dc.subjectAtaxiaen_US
dc.subjectBiofeedback, Psychologyen_US
dc.subjectConstipationen_US
dc.subjectDefecationen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectMaleen_US
dc.subjectManometryen_US
dc.subjectUlceren_US
dc.titleThe Efficacy of Biofeedback Therapy in Patients With Solitary Rectal Ulcer and Dyssynergic Defecationen_US
dc.typeArticleen_US
dc.departmentESTÜen_US
dc.identifier.volume40en_US
dc.identifier.issue6en_US
dc.identifier.startpage728en_US
dc.identifier.endpage733en_US
dc.identifier.scopus2-s2.0-85142400706en_US
dc.institutionauthor[Belirlenecek]-
dc.identifier.pmid35100590en_US
dc.identifier.doi10.1159/000522180-
dc.authorscopusid57983923400-
dc.authorscopusid56282060400-
dc.authorscopusid22235017200-
dc.authorscopusid36538176800-
dc.authorscopusid57982278700-
dc.authorscopusid57192876403-
dc.authorscopusid57072429700-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.scopusqualityQ1-
dc.identifier.trdiziniden_US]
item.openairetypeArticle-
item.languageiso639-1en-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
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