Investigations of the anal sphincter before and after restorative proctocolectomy
| Autor: | Kenneth G. Atkinson, George A. Bell, Andrew M. Seal, F.Ross Sharp |
|---|---|
| Rok vydání: | 1987 |
| Předmět: |
Adult
Male medicine.medical_specialty Manometry medicine.medical_treatment Population Anal Canal Colonic Polyps Electromyography Anastomosis Surgical anastomosis Reflex medicine Descending perineum syndrome Humans Postoperative Period education Colectomy education.field_of_study Mucous Membrane medicine.diagnostic_test Proctocolectomy business.industry Rectum General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure Sphincter Colitis Ulcerative Female business Puborectalis muscle |
| Zdroj: | American journal of surgery. 153(5) |
| ISSN: | 0002-9610 |
| Popis: | Twenty-eight patients who underwent sphinctersaving proctocolectomy and formation of an ileoanal reservoir had clinical evaluation of resting and maximal anal sphincter pressures and perfused catheter manometry. The clinical estimate of resting tone, heretofore believe to be a good predictive parameter of postoperative function, was inaccurate. This suggests the advisability of manometric evaluation. There were significant changes in sphincter pressures postoperatively. Operation did not effect the preoperative electromyographic findings of the puborectalis muscle and external sphincter in our small postoperative population The mechanism by which operation might influence these parameters has been discussed. Factors such as parity and the descending perineum syndrome may effect continence. Due to the length of time the sphincter is required to function in these patients and the multiplicity of factors involved, we believe that long-term studies are needed. |
| Databáze: | OpenAIRE |
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