Rectal evacuation disorders account for about 30% of chronic constipation in tertiary referral centers. Rectal evacuation disorders include anorectal disorders of functional or structural abnormalities. If a patient fails to respond to medical treatment for control of constipation, a more detailed evaluation to understand the cause should be considered, especially regarding the evaluation of rectal evacuation disorder. There are several diagnostic methods to evaluate anorectal structure and functioning tests in clinical practice.
For patients with rectal evacuation disorder who are unresponsive to conservative management, non-pharmacological therapy such as biofeedback, colectomy, correction of underlying structural abnormalities or ileostomy need to be considered. Here, I will discuss the review or future perspectives of diagnostic tools and management in patients with rectal evacuation disorder. |
