THE CLINICAL CONTRIBUTION OF INTEGRATED LABORATORY AND AMBULATORY ANORECTAL PHYSIOLOGY ASSESSMENT IN FECAL INCONTINENCE

被引：17

作者：

FAROUK, R

BARTOLO, DCC

机构：

[1] Wards 11 and 12, Department of Surgery, Royal Infirmary of Edinburgh, Edinburgh, EH3 9YW, Lauriston Place

[2] Falkirk and District Royal Infirmary Major's Loan, Falkirk

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1993年 / 8卷 / 02期

关键词：

D O I：

10.1007/BF00299328

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

To determine the clinical value of anorectal physiology testing, we have assessed 73 patients with neurogenic incontinence (median age 55 years, 60 female) and 115 controls (median age 48 years, 81 female). All the faecally incontinent patients displayed abnormal anal mucosal electrosensitivity and prolonged pudendal nerve latencies. Rectal compliance was poor in 14% of patients with neurogenic incontinence. Twenty-seven sphincter injuries were identified by endoanal ultrasonography in patients with neurogenic incontinence. Anal sphincter electromyographic abnormalities were demonstrated in all the incontinent patients. Anal pressures were lower in the incontinent group. Frequent, abnormal internal sphincter relaxations were observed in patients with incontinence during ambulatory assessment. These tests provide objective evidence of injury but do not frequently affect clinical decision making. Endoanal ultrasonography and ambulatory assessment provided clinical information of the mechanism of incontinence in 60% of patients.

引用

页码：60 / 65

页数：6

共 30 条

[1]

Browning G.G.P., Parks A.G., Postanal repair for neuropathic faecal incontinence: correlation of clinical result and anal canal pressures, Br J Surg, 70, pp. 101-104, (1983)

[2]

Law P.J., Bartram C.I., Anal endosonography: technique and normal anatomy, Gastrointest Radiol, 14, pp. 349-353, (1989)

[3]

Roe A.M., Bartolo D.C.C., Mortensen N.J., A new method for assessment of anal sensation in anorectal disorders, Br J Surg, 73, pp. 310-332, (1986)

[4]

Kiff E.S., Swash M., Slowed conduction in the pudendal nerves in idiopathic faecal incontinence, Br J Surg, 71, pp. 614-616, (1984)

[5]

Varma J.S., Smith A.N., Reproducibility of the proctometrogram, Gut, 27, pp. 288-292, (1986)

[6]

Bartram C.I., Mahieu P.H.G., Evacuation proctography and endoanal endosonography, Coloproctology and the Pelvic, (1992)

[7]

McHugh S.M., Diamant N.E., Effect of age, gender, and parity on anal canal pressures, Dig Dis Sci, 32, pp. 726-736, (1987)

[8]

Parks A.G., Swash M., Denervation of the anal sphincter causing idiopathic anorectal incontinence and rectal prolapse, J R Coll Surg Ed, 24, pp. 94-96, (1979)

[9]

Mann C.V., Hoffman C., Complete rectal prolapse: the anatomical and functional results of treatment by an extended rectopexy, Br J Surg, 75, pp. 34-37, (1988)

[10]

Duthie G.S., Bartolo D.C.C., Abdominal rectopexy for rectal prolapse: A comparison of techniques, Br J Surg, 79, pp. 107-113, (1992)

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