Carboncoated Bead Injection

Injection of carbon-coated beads (ACYSTtm or Durasphere FIĀ®; Carbon Medical Technologies, St. Paul, MN) into the submucosa of the upper anal canal and lower rectum serves to provide additional bulk in the anal canal (Figures 6-10.5 and 6-10.6). This bulk provides resistance to the

Figure 6-10.5. Microscopic picture of the carbon-coated beads in a gel suspension.The beads are 212 to 500 |ig in size.
Figure 6-10.6. The beads are injected via a 1-mL syringe.

passage of stool and allows for improved sensation and discrimination. It is an outpatient office procedure that is well tolerated. A recent prospective, open-label trial study performed at our institution on 20 patients revealed symptomatic improvement of the fecal incontinence in 75% of cases at 2-year follow-up.11 This procedure has proven to be a safe, simple, inexpensive, and effective technique in the treatment of moderate to severe fecal incontinence. Currently, a prospective, randomized trial further evaluating this method is beginning.

Herbal Remedies For Acid Reflux

Herbal Remedies For Acid Reflux

Gastroesophageal reflux disease is the medical term for what we know as acid reflux. Acid reflux occurs when the stomach releases its liquid back into the esophagus, causing inflammation and damage to the esophageal lining. The regurgitated acid most often consists of a few compoundsbr acid, bile, and pepsin.

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