Publications by authors named "Carlos M Lumi"

Sacral neuromodulation involves electrical stimulation of af­ferent nerve roots to restore the balance between inhibitory and excitatory reflexes who improve the functional activity of the pelvic floor. With benefits in patients with fecal inconti­nence, constipation and chronic anorectal pain. Objective.

View Article and Find Full Text PDF

The aim of this report is to describe a novel technical approach to total anorectal reconstruction and show surgical results and functional outcome. The technique is an innovative surgery to restore gastrointestinal perineal continuity after coloproctectomy in patients with familial adenomatous polyposis. We made the internal anal sphincter replacement with demucosated small bowel plication, the external anal sphincter replacement with an artificial bowel sphincter (ABS) and the restitution of intestinal transit with and ileal "S" pouch.

View Article and Find Full Text PDF

Introduction: Fecal incontinence is a complex disease that affects the quality of life of patients suffering from it. Anorectal manometry and endoanal ultrasound 360 grades are included among the studies used. There are no clear agreement about the relevance and usefulness of this studies and their role as apart of diagnostic procedures.

View Article and Find Full Text PDF

Patients: Fecal incontinence has been reported in 5.5% to 45% of patients after ileoanal pouch construction, predominantly at night. It has been shown that alpha1-adrenergic agonists as phenylephrine increase anal sphincter pressure in healthy volunteers and in patients with idiopathic fecal incontinence.

View Article and Find Full Text PDF

Introduction: Anal incontinence is a severe physical and emotional condition that affects quality of life. Its treatment with neuromodulation, that consists in sacral roots electrical stimulation, has became a therapeutic option.

Objective: This study was designed to present the surgical technique and the first prospective experience in neuromodulation for fecal incontinence in Argentina.

View Article and Find Full Text PDF
Article Synopsis
  • The study focused on comparing the enteric nervous systems in patients with chagas disease-related megacolon, idiopathic megacolon, and a control group.
  • A total of 12 chagasic megacolon patients, 9 idiopathic megacolon patients, and 10 control patients were examined through surgical specimens for differences in nerve and cell types.
  • Findings revealed significant reductions in enteric neurons and glial cells in chagasic patients, along with increased fibrosis and mild lymphocyte infiltration, indicating notable abnormalities in their enteric nervous systems compared to both idiopathic and control patients.
View Article and Find Full Text PDF