Comparison of Anorectal Manometry to Endoanal Ultrasound in the Evaluation of Fecal Incontinence

2009 ◽  
Vol 337 (5) ◽  
pp. 336-339 ◽  
Author(s):  
Savio C. Reddymasu ◽  
Shailender Singh ◽  
Sana Waheed ◽  
Melissa Oropeza-Vail ◽  
Richard W. McCallum ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anorectal Manometry ◽  
Endoanal Ultrasound

Comparison of Anorectal Manometry to Endoanal Ultrasound in the Evaluation of Fecal Incontinence

2007 ◽  
Vol 102 ◽  
pp. S264
Author(s):  
Savio Reddymasu ◽  
Sana Waheed ◽  
Shailender Singh ◽  
Benjamin Alsop ◽  
Melissa Oropeza-Vail ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anorectal Manometry ◽  
Endoanal Ultrasound

Endoanal ultrasound compared to anorectal manometry for the evaluation of fecal incontinence: An outcomes study

2003 ◽  
Vol 124 (4) ◽  
pp. A427
Author(s):  
Keri L. Hill ◽  
M. Brian Fennerty ◽  
Shane Fanning ◽  
Douglas O. Faigel
Keyword(s):  
Fecal Incontinence ◽  
Anorectal Manometry ◽  
Endoanal Ultrasound ◽  
Outcomes Study

scholarly journals FUNCTIONAL AND ANATOMICAL ANALYSIS OF THE ANORECTUM OF FEMALE SCLERODERMA PATIENTS AT A CENTER FOR PELVIC FLOOR DISORDERS

2018 ◽  
Vol 55 (suppl 1) ◽  
pp. 47-51 ◽  
Author(s):  
Rodrigo Ambar PINTO ◽  
Isaac José Felippe CORRÊA NETO ◽  
Sérgio Carlos NAHAS ◽  
Leonardo Alfonso BUSTAMANTE LOPES ◽  
Carlos Walter SOBRADO JÚNIOR ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Systemic Sclerosis ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Anal Incontinence ◽  
Anorectal Manometry ◽  
Internal Anal Sphincter ◽  
Progressive Systemic Sclerosis ◽  
Endoanal Ultrasound ◽  
Incontinence Score

ABSTRACT BACKGROUND: Scleroderma or progressive systemic sclerosis is characterized by a chronic inflammatory process with proliferation of fibrous connective tissue and excessive deposition of collagen and extracellular matrix in the skin, smooth muscle, and viscera. The smooth muscle most involved in scleroderma is that of the esophagus, and dysphagia is the most commonly reported symptom. However, the internal anal sphincter may also be impaired by degeneration and fibrosis, leading to concomitant anal incontinence in scleroderma patients. These patients may neglect to complain about it, except when actively questioned. OBJECTIVE: To assess anorectal function and anatomy of female scleroderma patients with symptoms of anal incontinence through Cleveland Clinic Florida Fecal Incontinence Score (CCFIS), anorectal manometry and endoanal ultrasound at the outpatient clinic of colorectal and anal physiology, Clinics Hospital, University of São Paulo Medical School (HC-FMUSP). METHODS: Female scleroderma patients were prospectively assessed and questioned as to symptoms of anal incontinence. The anorectal manometry and endoanal ultrasound results were correlated with clinical data and symptoms. RESULTS: In total, 13 women were evaluated. Their mean age was 55.77 years (±16.14; 27-72 years) and their mean disease duration was 10.23 years (±6.23; 2-23 years). All had symptoms of fecal incontinence ranging from 1 to 15. Seven (53.8%) patients had fecal incontinence score no higher than 7; three (23.1%) between 8 and 13; and three (23.1%) 14 or higher, corresponding to mild, moderate, and severe incontinence, respectively. Ten (76.92%) patients had hypotonia of the internal anal sphincter. Three-dimensional endoanal ultrasound showed tapering associated with muscle atrophy of the internal sphincter in six cases and previous muscle defects in three cases. CONCLUSION: A functional and anatomical impairment of the sphincter is an important factor to assess in patients with progressive systemic sclerosis and it should not be underestimated.

scholarly journals Effectiveness of the ligation of intersphincteric fistula tract (LIFT) in the treatment of anal fistula: initial results

2014 ◽  
Vol 27 (2) ◽  
pp. 101-103 ◽  
Author(s):  
Sergio Danilo Tanahara TOMIYOSHI ◽  
Carlos Henrique Marques DOS SANTOS
Keyword(s):  
Fecal Incontinence ◽  
Anal Fistula ◽  
Anorectal Manometry ◽  
Fistulous Tract ◽  
Complete Healing ◽  
Fistula Tract ◽  
Anal Fistulas ◽  
Intersphincteric Fistula ◽  
The Mean ◽  
Initial Results

BACKGROUND: The abscesses and anal fistulas represent about 70% of perianal suppuration, with an estimated incidence of 1/10000 inhabitants per year and representing 5% of queries in coloproctology. AIM: To evaluate the effectiveness of the interesphincteric ligation technique of the fistulous tract in the treatment of anal fistula. METHODS: The records of eight patients who underwent this technique, evaluating age, gender and presence of incontinence were studied. Was named technical first-step the passage of cotton thread to promote the correct individualization of the fistula and, as the second, the surgical procedure. RESULTS: Two patients were men and eight women. The mean age was 42.8 years. Of these, seven (87.5%) had complete healing of the fistula; six were cured only with this procedure and one required additional operation with simple fistulotomy. Only one patient developed fecal incontinence which was documented by anorectal manometry. There were no deaths in this series. CONCLUSION: The interesphincteric ligation technique of the fistulous tract proved to be effective for the treatment of anal fistula and should not be discouraged despite the occurrence of eventual fecal incontinence.

Diagnostic accuracy of anorectal manometry for fecal incontinence: a meta-analysis

2017 ◽  
Vol 117 (6) ◽  
pp. 347-355 ◽  
Author(s):  
Zhu Hui Yeap ◽  
Constantinos Simillis ◽  
Shengyang Qiu ◽  
Lisa Ramage ◽  
Christos Kontovounisios ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Diagnostic Accuracy ◽  
Anorectal Manometry ◽  
Meta Analysis
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