Publications by authors named "L D De Magliola Mundet"
Article Synopsis
- Women with fecal incontinence (FI) experience significant delays in motor evoked potentials (MEP) along the cortico-spino-anorectal pathway compared to age-matched and young healthy volunteers, indicating neurological impairments.
- The study involved 18 women with FI, using methods like high-resolution anorectal manometry and magnetic stimulation to assess motor function and quality of life.
- Findings revealed a high prevalence of external and internal anal sphincter dysfunction and worse quality of life scores for FI patients, emphasizing the need for better understanding and treatment strategies focused on neuromuscular function.
Objective: To compare the impact of fecal consistency with anorectal sphincter dysfunctions on clinical severity and quality of life (QoL) in women with fecal incontinence (FI).
Background: FI affects up to 24% of middle-aged women, significantly impacting their QoL. Pathophysiological studies have focused more on sphincter and anorectal dysfunctions than on the role of fecal consistency.
Characterization of obstructive defecation from a structural and a functional perspective.
Gastroenterol Hepatol
December 2024
Article Synopsis
- Defecation disorders can stem from either structural (SDD) or functional (FDD) anorectal issues, and this study aims to investigate their prevalence among patients with obstructive defecation.
- A retrospective analysis of 588 patients revealed that the majority (90.3%) were women, with the majority suffering from SDD, including conditions like rectocele and prolapse, alongside various functional impairments.
- The study found that incomplete rectal emptying was more common in those with FDD compared to SDD, and due to the frequent coexistence of both disorders, a combined therapeutic approach starting with FDD treatments is recommended.
Article Synopsis
- - The study aimed to analyze swallowing mechanics and nerve function in older patients with oropharyngeal dysphagia (OD) by comparing them to younger and older healthy individuals.
- - Results showed that 83.3% of older OD patients had unsafe swallowing behaviors and significantly delayed laryngeal closure compared to both healthy groups.
- - The findings suggest that older OD patients experience reduced sensitivity and delayed motor responses in their swallowing mechanism, highlighting the need for more targeted rehabilitation methods for these individuals.
Introduction: Functional constipation (FC) is very prevalent in older adults, especially in women, but its relationship with frailty is not fully understood. The aims were to assess FC prevalence, clinical symptoms and subtypes, association with frailty, and impact on quality of life (QoL) in older people.
Methods: This epidemiological study included 384 individuals aged over 70 years recruited from the community, a hospital, and a nursing home and stratified into robust, pre-frail, and frail groups (Fried criteria).