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Previous Volume 350:1259-1260 March 18, 2004 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: We are writing in response to the article by Lembo and Camilleri on chronic constipation (Oct. 2 issue).¹ Injection of botulinum toxin into the puborectalis may be effective in the treatment of obstructed constipation.^2,3,4,5 Furthermore, we believe that the injection of botulinum toxin is a safe treatment for patients with Parkinson's disease.⁶ Recent observation in several patients indicates that outlet obstruction is the main cause of anterior rectocele and provides evidence that botulinum toxin may be a remedy.⁵ Fourteen women with rectocele were treated with botulinum toxin, which was injected into the puborectalis; after two months, improvement . . . [Full Text of this Article]

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