ASGE Endoscopy Course at ACG: Everyday Endoscopy: Expertise Meets Evidence

Video Transcription

Video Summary

Dr. Megan Barrett-Engler, from Roche University Medical Center, presented a detailed discussion on pelvic floor dysfunction and its associated anorectal complications and endoscopic management. She emphasized understanding the fundamentals of defecation and recognizing symptoms of pelvic floor dysfunction, which affects a significant number of both males and females, especially as they age. Common symptoms include constipation, feeling of fullness, or pain during bowel movements. The dysfunction involves uncoordinated muscle activity, leading to complications like rectocele, rectal prolapse, and fecal incontinence. Dr. Barrett-Engler stressed the importance of physical exams, understanding defecation processes, and behavioral modifications, such as pelvic floor physical therapy. She also discussed treatments for an array of complications, including solitary rectal ulcer syndrome, anal fissures, and hemorrhoids, noting that endoscopic procedures can aid in management but emphasizing the need for ongoing patient education and behavioral modifications.

Keywords

pelvic floor dysfunction

anorectal complications

endoscopic management

defecation process

behavioral modifications