CURRENT ADVANCES AND CONTROVERSIES IN THE SURGICAL THERAPY FOR ANORECTAL MOTILITY DISORDERS

It is the goal of this review to discuss the increasingly common probl em of anorectal motility disorders and their potential surgical manage ment, Perhaps the most important goal in patients with anorectal motil ity disorders is to categorize them accurately into etiologic groups, The reason is that approaches to medical and surgical therapy are high ly dependent on accurate categorization of these patients with motilit y disorders, This review is written from the perspective of a surgical practice which sees a high volume of patients with anorectal motility disorders and has a very logical, nearly algorithmic approach to the evaluation and management of these patients, The review is not exhaust ive, nor does it include all possible alternatives, It is meant to be a relatively practical guide to physicians and surgeons who deal with patients with anorectal motility disorders and is based on the experie nce of surgeons and gastroenterologists who see large numbers of these patients.