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Servicio de Aparato Digestivo. This review refers to the multiple diagnostic tests available in coloproctology for the assessment of functional anorectal problems, mainly fecal incontinence and constipation. The debate today revolves around the real need to perform diagnostic tests on patients with functional anorectal disorders. Expert authors on anorectal functional disorders discuss the need to perform basic techniques such as anorectal manometry. Some authors defend the routine performance of manometry, rectal balloon expulsion tests and anorectal ultrasonographies, leaving the rest of explorations for selected patients. However, other authors consider that the most frequent causes of fecal incontinence can be identified by a physical examination and a perianal inspection, by a digital rectal examination and by a neurological assessment of the perineum, lower limbs and back. Processes such as fecal impaction in children and the elderly, reduced storage capacity in colon and rectum due to inflammatory bowel disease, radiotherapy or proctectomy, do not require special research and they benefit from conservative medical treatment. Lastly, other authors note that biofeedback is being questioned compared to conventional medical treatment, although new studies emphasize the effectiveness of biofeedback compared to general measures or simple pelvic exercises without manometry.

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Avisos de ocasion mujer busca hombre bilbao. La barra de pintxos es alucinante, todos tienen un toque especial que hace que te cueste elegir. Alto imprescindible y muy tentadora cuando pasas o provocas pasar por el principio de la calle Ercilla.

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