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Your search keyword '"Surrenti, E."' showing total 4 results
Start Over Author "Surrenti, E." Topic constipation
4 results on '"Surrenti, E."'

1. Audit of constipation in a tertiary referral gastroenterology practice.

Author

Surrenti E, Rath DM, Pemberton JH, and Camilleri M

Subjects
Adult, Algorithms, Anal Canal physiopathology, Autonomic Nervous System Diseases complications, Autonomic Nervous System Diseases epidemiology, Colonic Diseases, Functional complications, Colonic Diseases, Functional epidemiology, Constipation diagnosis, Constipation epidemiology, Female, Gastrointestinal Motility, Gastrointestinal Transit, Humans, Male, Medical Audit, Pelvic Floor, Referral and Consultation, Retrospective Studies, Constipation etiology
Abstract

Objective: Our objective was to assess how often "outlet obstruction" was the cause of constipation in a tertiary referral population., Methods: We retrospectively audited the case records of 70 consecutive patients referred to a single gastroenterologist in a tertiary referral motility clinic. Patients were classified by physiological tests of colonic transit, as well as tests of anorectal and pelvic floor function. A subset of 28 patients also underwent a battery of tests to assess the autonomic nervous system supply., Results: Thirty-six patients had symptoms suggestive of a rectal outlet obstruction syndrome. Thirty seven percent of patients had pelvic floor dysfunction, 27% had slow transit constipation, and 8% had anismus. Fully 55% of those with pelvic floor dysfunction had slow transit in addition. The remaining patients (23%) had at least two of Manning's criteria suggestive of the irritable bowel syndrome. Only four patients had documented abnormalities of autonomic function., Conclusions: Pelvic floor dysfunction is the most common cause of severe constipation in a tertiary referral motility clinic; slow transit constipation and irritable bowel syndrome occur equally. An algorithmic approach to evaluating patients using clinical features, anorectal functions tests, and assessment of colonic transit facilitates selection of management strategies. Autonomic dysfunction occurs rarely.

Published
1995

2. Clinical outcome of sacral neuromodulation in incomplete spinal cord-injured patients suffering from neurogenic bowel dysfunctions.

Author

Lombardi, G, Del Popolo, G, Cecconi, F, Surrenti, E, and Macchiarella, A

Subjects
PATIENTS with spinal cord injuries, TREATMENT of fecal incontinence, NEUROLOGICAL disorders, ANORECTAL function tests, RETROSPECTIVE studies, CONSTIPATION, PSYCHOLOGY
Abstract

Study design:Retrospective study.Objectives:Efficacy and safety of sacral neuromodulation (SNM) in incomplete spinal cord-injured patients (SCIPs) affected by chronic neurogenic bowel symptoms (NBSs).Setting:Neurourology Department. Primary to tertiary care.Methods:Retrospective non-blinded study without controls. Thirty-nine SCIPs were submitted to temporary stimulation for NBS. Permanent implantation was carried out if both their NBSs improved and the Wexner questionnaire scores were reduced by at least 50% during the first stage compared with that at baseline. Outcome measures included episodes of fecal incontinence and number of evacuations per week, as well as the Wexner score and the Short Form 36 (SF-36) Health Survey questionnaire.Results:Twenty-three SCIPs were submitted to definitive SNM, maintaining their clinical benefits after permanent implantation with a median follow-up of 38 months. The length of time since neurological diagnosis to SNM therapy represents the only factor related to the success of the implantation, P<0.05. In subjects with constipation (12), the median number of evacuations shifted from 1.65 to 4.98 per week, whereas the Wexner score changed from 19.91 to 6.82 in the final checkup with P<0.05. In subjects with fecal incontinence (11), the median number of episodes per week in the final follow-up was 1.32 compared with 4.55 pre-SNM. The general and mental health of both groups was measured with the SF-36 questionnaire and consistently showed statistical improvement (P<0.05).Anorectal manometry showed no important variation compared with baseline. There were no major complications.Conclusions:SNM therapy should be considered for the treatment of NBS for select patients with incomplete spinal cord injury when conservative treatments fail. [ABSTRACT FROM AUTHOR]

Published
2010
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3. Effect of a symbiotic preparation on the clinical manifestations of irritable bowel syndrome, constipation-variant: Results of an open, uncontrolled multicenter study

Author

Colecchia, A., Vestito, A., La Rocca, A., FRANCESCA PASQUI, Nikiforaki, A., DAVIDE FESTI, Abruzzo, F., Almureden, N., Angiolucci, A., Arrigoni, A., Balzano, A., Brandimarte, G., Buono, M., Calcamuggi, G., Cammarota, G., Gabriele campana, Cotticeli, G., Cuomo, R., D Amore, F., Felici, I., Anna, A., Di Bona, A., Di Cesare, D., Di Napoli, A., Sughera, L., Febbraio, I., Ferrini, G., Fornaciari, G., Gallo, S., Glielmo, G., Iafrancesco, G., La Barbera, M., Lavanda, R., Manca, A., Matarazzo, F., Mazzei, C., Monastra, S., Montalto, M., Morace, F., Murgia, R., Nico Pagano, Pio, A., Panarese, A., Paraocchi, D., Peccetti, A., Perasso, A., Perego, M., Piscopo, R., Rizzi, S., Romano, M., Rosati, S., Santoro, G., Surrenti, E., Villa, E., Colecchia, A., Vestito, A., La Rocca, A., Pasqui, F., Nikiforaki, A., Festi, D., Abruzzo, F., Almureden, N., Angiolucci, A., Arrigoni, A., Balzano, A., Brandimarte, G., Buono, M., Calcamuggi, G., Cammarota, G., Campana, G., Cotticeli, G., Cuomo, R., D'Amore, F., De Felici, I., Dell'Anna, A., Di Bona, A., Di Cesare, D., Di Napoli, A., Sughera, L., Febbraio, I., Ferrini, G., Fornaciari, G., Gallo, S., Glielmo, G., Iafrancesco, G., La Barbera, M., Lavanda, R., Manca, A., Matarazzo, F., Mazzei, C., Monastra, S., Montalto, M., Morace, F., Murgia, R., Pagano, N., Pio, A., Panarese, A., Paraocchi, D., Peccetti, A., Perasso, A., Perego, M., Piscopo, R., Rizzi, S., Romano, M., Rosati, S., Santoro, G., Surrenti, E., Villa, E., Colecchia, A, Vestito, A, La Rocca, A, Pasqui, F, Nikiforaki, A, Festi, D, Almureden, N, Angiolucci, A, Arrigoni, A, Balzano, A, Brandimarte, G, Buono, M, Calcamuggi, G, Cammarota, G, Campana, G, Cotticeli, G, Cuomo, Rosario, and others of Symbiotic Study, Group

Subjects
Male, Time Factors, Endocrinology, Diabetes and Metabolism, Oligosaccharides, Prebiotic, Probiotic, Irritable Bowel Syndrome, Endocrinology, Surveys and Questionnaires, Nutrition and Dietetic, Internal Medicine, Humans, Intestinal microflora, Symbiosis, Aged, Aged, 80 and over, Nutrition and Dietetics, Probiotics, Gastroenterology, Abdominal Pain, Intestines, Diabetes and Metabolism, Treatment Outcome, Prebiotics, Data Interpretation, Statistical, Female, Bifidobacterium, Constipation
Abstract

Aim. Irritable bowel syndrome (IBS) is frequently associated with an imbalance in intestinal bacteria. To date, few studies have evaluated the efficacy and safety of probiotic administration in patients with constipation-variant IBS. A new agent recently available in clinical practice is a symbiotic consisting of a probiotic, Bifidobacterium longum W11, and the short chain oligosaccharide prebiotic Fos Actilight. The aim of this study was to evaluate the efficacy and safety of this symbiotic in patients with constipation-variant IBS. Methods. A total of 636 patients (250 men, 386 women) diagnosed with constipation-type IBS according to the Roma II criteria were enrolled in 43 centers and received the symbiotic at a dose of 3 g/die for at least 36 days. A validated questionnaire investigating symptoms and stool frequency was administered before and after treatment. Results. Based on patient responses to visual scale items, frequency increased significantly after treatment in the "no symptom" class from 3% to 26.7% for bloating and from 8.4% to 44.1% for abdominal pain (P

4. Chronic constipation diagnosis and treatment evaluation: the 'CHRO.CO.DI.T.E.' study

Author

Bellini, Massimo, Usai-Satta, Paolo, Bove, Antonio, Bocchini, Renato, Galeazzi, Francesca, Battaglia, Edda, Alduini, Pietro, Buscarini, Elisabetta, Bassotti, Gabrio, Balzano, Antonio, Portincasa, Piero, Bonfrate, Leonilde, D'Alba, Lucia, Badiali, Danilo, Marchi, Santino, Gambaccini, Dario, Neri, Maria Cristina, Muscatiello, Nicola, Di Stefano, Michele, Giannelli, Claudio, Goffredo, Fabio, Turco, Luigi, Camilleri, Salvatore, Ceccarelli, Giovanni, Iovino, Paola, Montalbano, Luigi Maria, Morreale, Gaetano Cristian, Rentini, Silvia, Savarino, Vincenzo, Segato, Sergio, Manfredi, Guido, Cannizzaro, Renato, Passaretti, Sandro, Alessandri, Matteo, Corti, Federico, Cuomo, Rosario, Zito, Francesco Paolo, Mellone, Carmine, Barbera, Roberta, Milazzo, Giuseppe, Pucciani, Filippo, Soncini, Marco, Lai, Maria Antonia, Ruggeri, Maurizio, Savarese, Maria Flavia, De Bona, Manuela, Surrenti, Elisabetta, Arini, Andrea, Dinelli, Marco, Leandro, Gioacchino, Peralta, Sergio, Manta, Raffaele, Quartini, Mariano, Torresan, Francesco, Vilardo, Luigi, Pulvirenti D'Urso, Antonino, Tarantino, Ottaviano, Noris, Roberto Antonio, Monica, Fabio, Carrara, Maurizio, Losco, Alessandra, Lauri, Adriano, Neri, Matteo, Grassini, Mario, Bellini, Massimo, Usai Satta, Paolo, Bove, Antonio, Bocchini, Renato, Battaglia, Edda, Alduini, P, Bassotti, Gabrio, Balzano, Antonio, Portincasa, Piero, Bonfrate, L, D'Alba, L, Badiali, Danilo, Marchi, Santino, Gambaccini, D, Neri, Mc, Muscatiello, N, Di Stefano, M, Giannelli, C, Goffredo, F, Turco, L, Camilleri, S, Ceccarelli, G, Iovino, Paola, Montalbano, Lm, Morreale, G, Rentini, S, Savarino, Vincenzo, Segato, S, Buscarini, E, Manfredi, G, Cannizzaro, Renato, Passaretti, S, Alessandri, M, Corti, F, Cuomo, Rosario, Zito, FRANCESCO PAOLO, Mellone, C, Barbera, Roberta, Milazzo, G, Pucciani, F, Marco, S, Lai, Ma, Ruggeri, M, Savarese, Mf, De Bona, M, Surrenti, E, Arini, A, Dinelli, M, Leandro, G, Peralta, S, Manta, Raffaele, Quartini, M, Torresan, F, Vilardo, L, Pulvirenti D'Urso, A, Tarantino, O, Noris, Ra, Monica, F, Carrara, M, Losco, A, Lauri, A, and Neri, M.

Subjects
Adult, Male, medicine.medical_specialty, Constipation, Diet therapy, Colonoscopy, Gastroenterology, Severity of Illness Index, Irritable Bowel Syndrome, 03 medical and health sciences, Diagnosis, Functional constipation, Irritable bowel syndrome, Treatment, Aged, Chronic Disease, Defecography, Digital Rectal Examination, Female, Humans, Italy, Middle Aged, Surveys and Questionnaires, Symptom Assessment, 0302 clinical medicine, Internal medicine, medicine, Gastrointestinal agent, Chronic constipation, Prucalopride, medicine.diagnostic_test, business.industry, General Medicine, medicine.disease, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, medicine.symptom, business, Diagnosi, medicine.drug, Research Article
Abstract

Background According to Rome criteria, chronic constipation (CC) includes functional constipation (FC) and irritable bowel syndrome with constipation (IBS-C). Some patients do not meet these criteria (No Rome Constipation, NRC). The aim of the study was is to evaluate the various clinical presentation and management of FC, IBS-C and NRC in Italy. Methods During a 2-month period, 52 Italian gastroenterologists recorded clinical data of FC, IBS-C and NRC patients, using Bristol scale, PAC-SYM and PAC-QoL questionnaires. In addition, gastroenterologists were also asked to record whether the patients were clinically assessed for CC for the first time or were in follow up. Diagnostic tests and prescribed therapies were also recorded. Results Eight hundred seventy-eight consecutive CC patients (706 F) were enrolled (FC 62.5%, IBS-C 31.3%, NRC 6.2%). PAC-SYM and PAC-QoL scores were higher in IBS-C than in FC and NRC. 49.5% were at their first gastroenterological evaluation for CC. In 48.5% CC duration was longer than 10 years. A specialist consultation was requested in 31.6%, more frequently in IBS-C than in NRC. Digital rectal examination was performed in only 56.4%. Diagnostic tests were prescribed to 80.0%. Faecal calprotectin, thyroid tests, celiac serology, breath tests were more frequently suggested in IBS-C and anorectal manometry in FC. More than 90% had at least one treatment suggested on chronic constipation, most frequently dietary changes, macrogol and fibers. Antispasmodics and psychotherapy were more frequently prescribed in IBS-C, prucalopride and pelvic floor rehabilitation in FC. Conclusions Patients with IBS-C reported more severe symptoms and worse quality of life than FC and NRC. Digital rectal examination was often not performed but at least one diagnostic test was prescribed to most patients. Colonoscopy and blood tests were the “first line” diagnostic tools. Macrogol was the most prescribed laxative, and prucalopride and pelvic floor rehabilitation represented a “second line” approach. Diagnostic tests and prescribed therapies increased by increasing CC severity. Electronic supplementary material The online version of this article (doi:10.1186/s12876-016-0556-7) contains supplementary material, which is available to authorized users.

Published
2017

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