Abstract

Introduction The proctologic aspects of constipation were presented from a broad biologic standpoint at a symposium on the normal and abnormal physiology and therapeutics of the colon held by the Section of Biology of the New York Academy of Sciences on May 8 and 9, 1953. 1 Lesions such as diverticulitis, complete and incomplete colonic obstruction, megacolon and other congenital colonic and anorectal malformations, anal fissure, so-called pectinosis, hemorrhoids, prolapse, and megarectum were discussed briefly. It was then stated that laxatives have no place the therapy of constipation caused by organic etiologic factors. Although functional constipation, or constipation on a habit basis, hardly belongs the realm of the proctologist, I nevertheless stated that with Ogilvie I believe that in the absence of organic causes, normal defecation usually 'comes from equanimity and common sense.' Hardly ever do I find a need for cathartic drugs the management of the

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