UCuffitisor Inflammation of ATZ

The preservation of ATZ after stapled anastomosis is meant to optimize anal canal sensation, to minimize sphincter injury and septic complications, and to maximize the preservation of normal postoperative resting and squeeze pressures. This zone is susceptible to inflammation (cuffitis). This rarely reaches significant proportions, and can be managed by topical agents such as corticosteroids or 5-aminosalicyclic acid (5-ASA) preparations. Patients with symptomatic cuffitis have similar symptoms to those with pouchitis. However, bloody bowel movements are more commonly seen in patients with cuffitis. This problem rarely required the need for further mucosectomy in our experience. Also, in our recent experience with usage of topical mesalamine suppositories (500 mg twice daily) in 14 consecutive patients with symptomatic cuffitis was safe and effective (Shen et al, 2003).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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