RESUMO
At the Digestive Motility Department on gastroenterology floor of the "Hospital de Clinicas Jose de San Martin", 165 patients were evaluated due to chronic constipation, underlying the most frequent causes in our environment. The use of the present diagnostic methods is suggested following a suitable clinical orientation. The most frequent causes of constipation after this test were: chronic idiopathic constipation in 112 cases (67.87%) and with megarectum, megasigma and megacolon 32 cases (19.09%), rectocele in 9 cases (5.45%), rectal prolapse in 5 cases (3.03%), enf. De Hirschprung 5 cases (3.03%) and anal estenosis 2 cases (1.21%).
Assuntos
Constipação Intestinal/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Argentina , Criança , Doença Crônica , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
At the Digestive Motility Department on gastroenterology floor of the Hospital de Clinicas Jose de San Martin, 165 patients were evaluated due to chronic constipation, underlying the most frequent causes in our environment. The use of the present diagnostic methods is suggested following a suitable clinical orientation. The most frequent causes of constipation after this test were: chronic idiopathic constipation in 112 cases (67.87 per cent) and with megarectum, megasigma and megacolon 32 cases (19.09 per cent), rectocele in 9 cases (5.45 per cent), rectal prolapse in 5 cases (3.03 per cent), enf. De Hirschprung 5 cases (3.03 per cent) and anal estenosis 2 cases (1.21 per cent).
Assuntos
Adolescente , Humanos , Masculino , Feminino , Criança , Adulto , Pessoa de Meia-Idade , Constipação Intestinal , Idoso de 80 Anos ou mais , Argentina , Doença Crônica , ManometriaRESUMO
At the Digestive Motility Department on gastroenterology floor of the [quot ]Hospital de Clinicas Jose de San Martin[quot ], 165 patients were evaluated due to chronic constipation, underlying the most frequent causes in our environment. The use of the present diagnostic methods is suggested following a suitable clinical orientation. The most frequent causes of constipation after this test were: chronic idiopathic constipation in 112 cases (67.87
) and with megarectum, megasigma and megacolon 32 cases (19.09
), rectocele in 9 cases (5.45
), rectal prolapse in 5 cases (3.03
), enf. De Hirschprung 5 cases (3.03
) and anal estenosis 2 cases (1.21
).
RESUMO
At the Digestive Motility Department on gastroenterology floor of the Hospital de Clinicas Jose de San Martin, 165 patients were evaluated due to chronic constipation, underlying the most frequent causes in our environment. The use of the present diagnostic methods is suggested following a suitable clinical orientation. The most frequent causes of constipation after this test were: chronic idiopathic constipation in 112 cases (67.87 per cent) and with megarectum, megasigma and megacolon 32 cases (19.09 per cent), rectocele in 9 cases (5.45 per cent), rectal prolapse in 5 cases (3.03 per cent), enf. De Hirschprung 5 cases (3.03 per cent) and anal estenosis 2 cases (1.21 per cent). (AU)
Assuntos
Adolescente , Humanos , Masculino , Feminino , Criança , Adulto , Pessoa de Meia-Idade , Idoso , Constipação Intestinal/etiologia , Doença Crônica , Idoso de 80 Anos ou mais , Manometria , ArgentinaRESUMO
The aim of this study was to assess the importance of defecatography in the diagnosis of lower chronic constipation (4) or rectal type (12), principally in those patients on whom other diagnostic methods had not produced supportive data. Over a 64 month period, 65 patients who had consulted because of chronic constipation, were studied; they were suffering from low bowel symptoms like difficulty in the evacuation of the rectum. The average age was 48 and mostly female. All of them were asked to prepare the same mixture for the defecatory study, using the same type of contrast material and study technique. In most of the cases correlated functional elements were found, while very few cases resulting from just organic causes were found, and only one without functional or organic reason was found. Our results were as follows. 1) Insufficient laxity of the pubo-rectal beam related to forward or backward rectocele or lowering of the increased pelvic floor, a fact that was found in 19 patients (29.23%). 2) Inadequate laxity of the pubo rectal beam in 12 patients (18.46%). 3) Paradoxical contraction of the pubo rectal beam related to forward rectocele or lowering of the increased pelvic floor, in 11 patients (16.92%). 4) Lowering of the increased pelvic floor, related to forward or backward rectocele in 8 patients (12.30%). 5) Paradoxical contraction of the pubo rectal beam in 7 patients (10.76%). 6) Forward or backward rectocele in 3 patients (4.61%). 7) Lowering of the increased pelvic floor in 2 patients (3.07%). 8) Rectal intususception in 1 patient (1.53%). 9) Average study in 1 patient (1.53%). Therefore, the defecatography is a very useful method of study to appraise constipation with anorectoperineal symptoms, as it allows us to diagnose organic and functional problems in the area (6). Likewise, the importance of pre and post surgical tests, both therapeutic and reconstructive must be underlined.
Assuntos
Constipação Intestinal/diagnóstico por imagem , Defecografia , Doenças Retais/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Doença Crônica , Constipação Intestinal/etiologia , Defecografia/normas , Feminino , Trânsito Gastrointestinal , Humanos , Masculino , Pessoa de Meia-Idade , Diafragma da Pelve , Doenças Retais/etiologia , Reto/diagnóstico por imagem , Reto/fisiopatologiaRESUMO
The aim of this study was to assess the importance of defecatography in the diagnosis of lower chronic constipation (4) or rectal type (12), principally in those patients on whom other diagnostic methods had not produced supportive data. Over a 64 month period, 65 patients who had consulted because of chronic constipation, were studied; they were suffering from low bowel symptoms like difficulty in the evacuation of the rectum. The average age was 48 and mostly female. All of them were asked to prepare the same mixture for the defecatory study, using the same type of contrast material and study technique. In most of the cases correlated functional elements were found, while very few cases resulting from just organic causes were found, and only one without functional or organic reason was found. Our results were as follows. 1) Insufficient laxity of the pubo-rectal beam related to forward or backward rectocele or lowering of the increased pelvic floor, a fact that was found in 19 patients (29.23 percent). 2) Inadequate laxity of the pubo rectal beam in 12 patients (18.46 percent ). 3) Paradoxical contraction of the pubo rectal beam related to forward rectocele or lowering of the increased pelvic floor, in 11 patients (16.92 percent). 4) Lowering of the increased pelvic floor, related to forward or backward rectocele in 8 patients (12.30 percent). 5) Paradoxical contraction of the pubo rectal beam in 7 patients (10.76 percent ). 6) Forward or backward rectocele in 3 patients (4.61 percent). 7) Lowering of the increased pelvic floor in 2 patients (3.07 percent ). 8) Rectal intususception in 1 patient (1.53 percent). 9) Average study in 1 patient (1.53 percent ). Therefore, the defecatography is a very useful method of study to appraise constipation with anorectoperineal symptoms, as it allows us to diagnose organic and functional problems in the area (6). Likewise, the importance of pre and post surgical tests, both therapeutic and reconstructive must be underlined.
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Constipação Intestinal , Defecografia , Doenças Retais , Constipação Intestinal , Defecografia , Trânsito Gastrointestinal , Diafragma da Pelve , Doenças Retais , RetoRESUMO
The aim of this study was to assess the importance of defecatography in the diagnosis of lower chronic constipation (4) or rectal type (12), principally in those patients on whom other diagnostic methods had not produced supportive data. Over a 64 month period, 65 patients who had consulted because of chronic constipation, were studied; they were suffering from low bowel symptoms like difficulty in the evacuation of the rectum. The average age was 48 and mostly female. All of them were asked to prepare the same mixture for the defecatory study, using the same type of contrast material and study technique. In most of the cases correlated functional elements were found, while very few cases resulting from just organic causes were found, and only one without functional or organic reason was found. Our results were as follows. 1) Insufficient laxity of the pubo-rectal beam related to forward or backward rectocele or lowering of the increased pelvic floor, a fact that was found in 19 patients (29.23
). 2) Inadequate laxity of the pubo rectal beam in 12 patients (18.46
). 3) Paradoxical contraction of the pubo rectal beam related to forward rectocele or lowering of the increased pelvic floor, in 11 patients (16.92
). 4) Lowering of the increased pelvic floor, related to forward or backward rectocele in 8 patients (12.30
). 5) Paradoxical contraction of the pubo rectal beam in 7 patients (10.76
). 6) Forward or backward rectocele in 3 patients (4.61
). 7) Lowering of the increased pelvic floor in 2 patients (3.07
). 8) Rectal intususception in 1 patient (1.53
). 9) Average study in 1 patient (1.53
). Therefore, the defecatography is a very useful method of study to appraise constipation with anorectoperineal symptoms, as it allows us to diagnose organic and functional problems in the area (6). Likewise, the importance of pre and post surgical tests, both therapeutic and reconstructive must be underlined.
RESUMO
The aim of this study was to assess the importance of defecatography in the diagnosis of lower chronic constipation (4) or rectal type (12), principally in those patients on whom other diagnostic methods had not produced supportive data. Over a 64 month period, 65 patients who had consulted because of chronic constipation, were studied; they were suffering from low bowel symptoms like difficulty in the evacuation of the rectum. The average age was 48 and mostly female. All of them were asked to prepare the same mixture for the defecatory study, using the same type of contrast material and study technique. In most of the cases correlated functional elements were found, while very few cases resulting from just organic causes were found, and only one without functional or organic reason was found. Our results were as follows. 1) Insufficient laxity of the pubo-rectal beam related to forward or backward rectocele or lowering of the increased pelvic floor, a fact that was found in 19 patients (29.23 percent). 2) Inadequate laxity of the pubo rectal beam in 12 patients (18.46 percent ). 3) Paradoxical contraction of the pubo rectal beam related to forward rectocele or lowering of the increased pelvic floor, in 11 patients (16.92 percent). 4) Lowering of the increased pelvic floor, related to forward or backward rectocele in 8 patients (12.30 percent). 5) Paradoxical contraction of the pubo rectal beam in 7 patients (10.76 percent ). 6) Forward or backward rectocele in 3 patients (4.61 percent). 7) Lowering of the increased pelvic floor in 2 patients (3.07 percent ). 8) Rectal intususception in 1 patient (1.53 percent). 9) Average study in 1 patient (1.53 percent ). Therefore, the defecatography is a very useful method of study to appraise constipation with anorectoperineal symptoms, as it allows us to diagnose organic and functional problems in the area (6). Likewise, the importance of pre and post surgical tests, both therapeutic and reconstructive must be underlined. (Au)
Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Constipação Intestinal/diagnóstico por imagem , Defecografia , Doenças Retais/diagnóstico por imagem , Constipação Intestinal/etiologia , Defecografia/normas , Doenças Retais/etiologia , Reto/fisiopatologia , Reto/diagnóstico por imagem , Diafragma da Pelve , Trânsito GastrointestinalRESUMO
The objective of this piece of work was to assess the most frequent causes of fecal incontinence in our environment. 204 patients undergoing fecal incontinence of various types of severity were evaluated and later referred to "motilidad digestiva" department of Gastroenterology floor of Hospital de Clínicas José de San Martín, in an eight year span of time, 58 male (28.43%) and 146 female (71.56%) of an average age of 56 years. Every patient underwent a serious anamnesis, a proctologic examination, anoscopy, a rectosigmoid study, an anorectal manometry, and, a preventive electromyography was performed to those patients with a possible neurologic damage. The most frequent cause of incontinence was idiopathic 37.7%, followed by post surgery (19.6%) and rectal prolapse (13.7%), post menopause (11.2%), post delivery (9.8%), Neurogenic Incontinence (4.9%) and Traumatic Incontinence (2.9%). Doctor's performance may prevent some of the causes of incontinence.
Assuntos
Incontinência Fecal/etiologia , Idoso , Feminino , Humanos , Escala de Gravidade do Ferimento , Masculino , Pessoa de Meia-Idade , Pós-Menopausa , Complicações Pós-Operatórias , Prolapso Retal/complicaçõesRESUMO
The objective of this piece of work was to assess the most frequent causes of fecal incontinence in our environment. 204 patients undergoing fecal incontinence of various types of severity were evaluated and later referred to [quot ]motilidad digestiva[quot ] department of Gastroenterology floor of Hospital de Clínicas José de San Martín, in an eight year span of time, 58 male (28.43
) and 146 female (71.56
) of an average age of 56 years. Every patient underwent a serious anamnesis, a proctologic examination, anoscopy, a rectosigmoid study, an anorectal manometry, and, a preventive electromyography was performed to those patients with a possible neurologic damage. The most frequent cause of incontinence was idiopathic 37.7
, followed by post surgery (19.6
) and rectal prolapse (13.7
), post menopause (11.2
), post delivery (9.8
), Neurogenic Incontinence (4.9
) and Traumatic Incontinence (2.9
). Doctors performance may prevent some of the causes of incontinence.
RESUMO
Anal incontinence is a shameful disease in which degree of severity must be assessed to design a suitable treatment and to be able to quantly the degree of relief or cure of this ailment. Therefore we have set a score table on basis of: physical features of the leakage (gas, liquid or solid) relating it to the frequency (daily, weekly or monthly) (10 to 20 points), during night time, daily light or both (1 to 3 points), hability to perceive the leakage (1 to 2 points), diapers needed (0 to 1 point), social or work limitations (0 to 2 points) (see table N. 1). Adding point, 4 degrees of severity are determinated: 1. light (type 1): less then 5 points, 2. moderate (type 2): 6 to 10 points, 3. moderately severe (type 3): 11 to 15 points, 4. quite severe (type 4): 16 to 20 points, Comparing the score of the patient before and after treatment we shall be able to know whether he has cured, just relieved, or whether there been no response.
