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Articles Published Processes
5/18/2026 10:29:13 AM | Browse: 3 | Download: 0
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Received |
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2025-09-08 14:02 |
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Peer-Review Started |
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2025-09-08 14:05 |
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First Decision by Editorial Office Director |
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2025-09-17 09:31 |
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Return for Revision |
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2025-09-17 09:31 |
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Revised |
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2026-01-08 17:51 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-03-05 02:48 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-03-05 09:30 |
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Articles in Press |
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2026-03-05 09:30 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-04-29 01:35 |
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Publish the Manuscript Online |
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2026-05-18 10:29 |
| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Pathology |
| Manuscript Type |
Minireviews |
| Article Title |
Functional disorders in patients with chronic constipation: Review of the literature and personal experience
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Mario Pescatori, Gerardo Perrotta and Paola De Nardi |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Mario Pescatori, FRCS, FRCS (Gen Surg), MD, Professor, Department of Coloproctology, Parioli Clinic, Via Courmayeur, 24, Rome 00100, Italy. ucpclub@virgilio.it |
| Key Words |
Constipation; Obstructed defecation; Anismus; Slow-transit; Rectal hyposensation |
| Core Tip |
Obstructed defecation is frequently driven by functional disorders that are often overlooked, leading to inappropriate surgical treatment and poor outcomes. Using the iceberg model, this editorial emphasizes that anxiety depression, anismus, rectal hyposensitivity, slow transit constipation, and pudendal neuropathy account for most hidden causes of obstructed defecation. Careful functional evaluation and multidisciplinary management allow surgery to be avoided in the majority of patients and significantly reduce treatment failure and complications. Surgery should be reserved for selected organic conditions, while functional disorders require targeted, non-surgical therapies to achieve durable symptom improvement. |
| Publish Date |
2026-05-18 10:29 |
| Citation |
Pescatori M, Perrotta G, De Nardi P. Functional disorders in patients with chronic constipation: Review of the literature and personal experience. World J Gastroenterol 2026; 32(19): 113841 |
| URL |
https://www.wjgnet.com/1007-9327/full/v32/i19/113841.htm |
| DOI |
https://dx.doi.org/10.3748/wjg.v32.i19.113841 |
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