Is anorectal endosonography valuable in dyschesia?
| Autor: | M J Van Outryve, B.Y. De Winter, S M Van Outryve, P.A. Pelckmans |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Adult
Male medicine.medical_specialty Constipation Adolescent Rectum Anal Canal Endosonography Dyssynergia medicine Humans Defecation Aged Aged 80 and over Pelvic floor Chi-Square Distribution business.industry Gastroenterology food and beverages Pelvic Floor Anal canal Middle Aged medicine.disease Surgery medicine.anatomical_structure Anismus Case-Control Studies Motility and Visceral Sensation Sphincter Female Human medicine medicine.symptom business |
| Zdroj: | Gut : the journal of the British Society for Gastroenterology |
| ISSN: | 0017-5749 |
| Popis: | Aims: Dyschesia can be provoked by inappropriate defecation movements. The aim of this prospective study was to demonstrate dysfunction of the anal sphincter and/or the musculus (m.) puborectalis in patients with dyschesia using anorectal endosonography. Methods: Twenty consecutive patients with a medical history of dyschesia and a control group of 20 healthy subjects underwent linear anorectal endosonography (Toshiba models IUV 5060 and PVL-625 RT). In both groups, the dimensions of the anal sphincter and the m. puborectalis were measured at rest, and during voluntary squeezing and straining. Statistical analysis was performed within and between the two groups. Results: The anal sphincter became paradoxically shorter and/or thicker during straining (versus the resting state) in 85% of patients but in only 35% of control subjects. Changes in sphincter length were statistically significantly different (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|