Medical Treatment Including Kampo Medicine

  • Minoru YagiEmail author
  • Suguru Fukahori


The surgeons should perform careful assessment and diagnostic plan and are able to improve the quality of life of the patients with HD who are not doing well after operations. In assessing the soiling postoperative patient with HD, it is important to discuss whether the colon of the patient is spastic or dilated. Examination under anesthesia to determine the integrity of the anal canal and status of the sphincters is important and adjusts the patient’s expectations concerning long-term functional result and helps determine what kinds of medical treatment including enema are administrated. In case of anal canal and sphincters intact with hypomotility (atonic constipation), it is necessary to administrate laxatives including prokinetics and Kampo medicine (Juncho-to, Daiokanzo-to, Choi-joki-to containing powdered Rhubarb) for constipation in addition to probiotics. In another case of anal canal and sphincters intact with hypermotility (spastic frequent loose stool), it is suitable to administrate calcium polycarbophil and Kampo medicine Shokentyu-to including Paeoniae radix, in addition to probiotics. Successful management depends on the appropriate evaluation and medical treatment and leads to clean and dry around the neo-anorectal lesion.


Fecal incontinence Constipation Laxatives Prokinetics Probiotics Kampo medicine 


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© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Pediatric SurgeryKurume University School of MedicineKurumeJapan

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