New Course Release: Role of Manometry Assessment for the Investigation of Pelvic Floor Dysfunction
Chronic constipation and fecal incontinence are common disorders, reported in 14% of the general population. Both conditions can be related to anorectal neuromuscular sensory and/or motor dysfunction. Pelvic floor dyssynergic (dyssynergic defecation, DD) is found in at least one third of patients with chronic constipation.
We have recently reported that patients’ self-report constipation symptoms using a standardize questionnaire is useful in predicting DD in patients with CC. This presentation will present the utility of clinical history along and digital rectal examination to determine the of DD in patients presented with CC.
This presentation will present the utility of clinical history along and digital rectal examination to determine the of DD in patients presented with CC. This would allow clinicians to make a timely diagnosis to implement an appropriate treatment program, including biofeedback therapy, or referral for further investigation with ARM and BET.
About the Instructor:
Dr. Louis Liu. Ph.D.
Dr Louis Liu completed his Bachelor, Masters and PhD in Engineering, followed by Doctor of Medicine at McMaster University. He is the Head of Gastroenterology in University Health Network and Sinai Health System, and the Director of the Clinical Motility Unit in University Health Network. Dr. Liu has been actively involved in medical education. He established the University of Toronto Neurogastroenterology and Motility Fellowship Program in 2009 and the International Gastroenterology Fellowship Training Program at UHN and MSH. In addition, he served as the course co-director of the Metabolism and Nutrition Unit in the University of Toronto undergraduate MD Program between 2011-2015. Internationally, he is the University of Toronto Lead of the GI Residency Training Program at Addis Ababa University of Ethiopia and inaugurated the first Endoscopy Training Center in Ethiopia at the Tikur Anbessa Hospital with the support from World Gastroenterology Organization in 2015. He is a dedicated and accomplished educator and researcher who has received multiple education and research awards.