Anorectal Physiology in the Rectal Prolapse Patient
Journal of the Korean Society of Coloproctology
;
: 467-476, 1998.
Artigo
em Coreano
| WPRIM
| ID: wpr-50856
ABSTRACT
PURPOSE:
The aim of our study was to evaluate the physiological spectrum of anorectal dysfunction among patients with full thickness circunferential rectal prolapse. MATERIAL ANDMETHODS:
Between January 1988 and March 1995, 88 patients who visited department colorectal surgery, Cleveland Clinic Florida with rectal prolapse were studied. There were 8 males and 80 females, with a mean age 69 (range 28~101) years. Patients underwent a detailed history and the following anorectal physiology tests were performed anal canal manometry, pudendal nerve terminal motor latency (PNTML) assessment, anal electromyography and cinedefecography.4 standard continence scoring system, based on the frequency and type of incontinence (0=full continence, 20=complete incontinence) was used. Patients with rectal prolapse (n=88) were divided into two subgroups Group I=continent patients (n=33) and Group II= incontinent patients (n=55).RESULTS:
There were statistically significant differences between each group when comparing mean resting pressures, anal pressures, anal canal length, rectal compliance, rectoanal inhibitory reflex, increased fiber density, the occurrence of premature evacuation (p0.05) between groups.CONCLUSION:
Continence may be disturbed in patients with rectal prolapse; knowledge of impairment in continence may assist in surgical management.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Canal Anal
/
Fisiologia
/
Reflexo
/
Florida
/
Prolapso Retal
/
Cirurgia Colorretal
/
Complacência (Medida de Distensibilidade)
/
Constipação Intestinal
/
Defecografia
/
Eletromiografia
Limite:
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Norte
Idioma:
Coreano
Revista:
Journal of the Korean Society of Coloproctology
Ano de publicação:
1998
Tipo de documento:
Artigo
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