Constipation and Fecal Incontinence and Motility Disturbances of the Gut

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Cofounding Editor P. P. Rickham Editors T. A. Angerpointner, Munich M. W. L. Gauderer . W. Ch. Hecker J. Prevot . L. Spitz U. G. Stauffer . P. Wurnig

Constipation and Fecal Incontinence and Motility Disturbances of the Gut

Volume Editors

J. Yokoyama, Tokyo T. A. Angerpointner, Munich

With 113 Figures and 62 Tables

Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Hong Kong

Professor JOTARO YOKOYAMA, MD Assistant Professor of Pediatric Surgery School of Medicine, Keio University 35 Shinanomachi Shinjuku-ku Tokyo,Japan Priv.-Doz. Dr. THOMAS A. ANGERPOINTNER ZenettistraBe 48/III, D-8000 Munich 2 Federal Republic of Germany

Volumes 1-17 of this series were published by Urban & Schwarzenberg, Baltimore-Munich

ISBN-I 3:978-3-642-74495-2 e-ISBN -13:978-3-642-74493-8 DOl: 10.1007/978-3-642-74493-8 Library of Congress Cataloging·in-Publication Data Constipation and fecal incontinence and motility disturbances of the gut 1 volume editors, J. Yokoyama, Th.A.Angerpointner. p. em. - (Progress in pediatric surgery; v. 24) Includes bibliographical references. ISBN-13:978-3-642-74495-2 (U.S.: alk. paper) 1. Constipation in children. 2. Fecal incontinence in children. 3. Gastrointestinal motility disorders in children. I. Yokoyama, J. (Jotaro), 1936- . II. Angerpointner, Thomas. III. Series. [DNLM: 1. Constipation - in infancy. 2. Fecal Incontinence - in infancy & childhood. 3. Gastrointestinal Diseases - in infancy & childhood. 4. Gastrointestinal Motility - in infancy & childhood. W1 PR677KA v. 241 WS 310 C758] RD137.A1P7 vol. 24 [RJ456.C76] 617.9'8 s - dc20 [618.92'33] DNLMIDLC 89-21805 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its version of June 24, 1985, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law. © Springer-Verlag Berlin Heidelberg 1989 Softcover reprint of the hardcover 1st edition 1989 The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature.

2123/3145-543210

Printed on acid-free paper

Table of Contents

Part I: Constipation and Fecal Incontinence

Preface. M. KASAl

3

Studies on the Rectoanal Reflex in Children and in Experimental Animals: An Evaluation of Neuronal Control of the Rectoanal Reflex. J.YOKOYAMA, S.NAMBA, N.