Sabiston Ch52 — Pelvic Floor Disorders & Constipation
Citation: Galandiuk S, Netz U, Morpurgo E, Tosato SM, Abu-Freha N, Ellis CT. Chapter 52: Colon and Rectum. In: Sabiston Textbook of Surgery, 21st ed. Elsevier; pp. 1389–1398 (this chunk, to the end of the chapter).
Source type: Textbook chapter — reference source, not a primary study. See Sabiston Ch52 - Diverticular Disease, Obstruction & Pseudo-Obstruction for the general note on how this chapter is used in the wiki.
This is chunk 6, the final chunk of this chapter (chunk 1: diverticular disease/obstruction/ Ogilvie syndrome; chunk 2: IBD; chunk 3: infectious/ischemic colitis; chunk 4: colorectal neoplasia/colon cancer surgery; chunk 5: rectal cancer surgery). The chapter ends with a references list after this section — not itself ingested as content, though several references (e.g. the ASCRS Clinical Practice Guidelines cited throughout) are worth pursuing directly as future primary/guideline sources given how often this chapter defers to them.
Scope of this chunk
Pages 1389–1398: anorectal physiology testing and imaging, rectal prolapse (anatomy, diagnosis, nonoperative and operative management), solitary rectal ulcer syndrome, rectocele, and constipation (including Rome IV criteria and slow-transit constipation surgery).
Filing
- Anorectal Physiology Testing — new concept page (manometry, balloon expulsion, pudendal nerve terminal motor latency, EMG, endoanal ultrasound, defecography, colonic transit study).
- Rectal Prolapse (Procidentia) — new condition page.
- Rectal Prolapse Repair — new procedure page (abdominal vs. perineal approaches).
- Solitary Rectal Ulcer Syndrome (SRUS) — new condition page.
- Rectocele — new condition page.
- Constipation — new condition page.
Relevance
This closes out the Sabiston “Colon and Rectum” chapter (Colon.pdf) entirely — all 82 pages now ingested across 6 chunks. As with every other chunk, this is textbook background rather than primary evidence; none of the specific recurrence rates, complication percentages, or treatment algorithms here trace to a specific cited trial that’s been independently ingested. The chapter’s own reference list (not reproduced in the wiki) points to ASCRS Clinical Practice Guidelines for rectal prolapse and for constipation evaluation/management as the fuller primary sources if a specific clinical decision is on the line.