medigraphic.com
Revista Mexicana de Coloproctología Enfermedades del Ano, Recto y Colon

2008, Number 1

<< Back Next >>

Rev Mex Coloproctol 2008; 14 (1)

Benefit of the physiology anorectal studies in anorectal diseases

Torres DCG, José SP

Language: Spanish
References: 36
Page: 18-28
PDF size: 170.47 Kb.


ABSTRACT

During the last years the great number of scientific advances to admitted the development of new methods for the evaluation of the anatomical, structural and functional integrity of the anal sphincters, pelvic floor and the intestinal tract. The mechanism of the fecal continence is a complex process. There are diverse methods for the diagnosis of the anus-rectal illnesses among which are: ultrasound endoanal, electromyography (EMG), latency terminal motor of the pudendal nerve (PNTML), anal manometry, cinedefecography. The studies of the traffic colonic and of the small bowel have been used to evaluate patient with diverse pathological states of the pelvic floor. The studies of laboratory of the anorectal physiology are applied to demonstrate the etiology and the subsequent plans for the treatment of diverse functional illnesses as the fecal incontinence, the constipation and the calls syndromes of anal pains. The following work is an introduction to the studies and techniques used in the laboratories anus-rectal physiology and applied in the daily practice in the investigation of anus-rectal illnesses.


REFERENCES

  1. Roberts PL. Principles of manometry. Seminaries in Colon rectal Surg 1992; 3: 64-67.

  2. Jorge JM, Wexner SD. Anorectal manometry: Techniques and clinical applications. Southern Med J 1993; 86: 924-931.

  3. Jorge MN. History, clinical examination, and basic physiology. In: Wexner SD, Zbar AP, Pescatori Meds. Complex anorectal disorders. Investigation and Management Springer 2005; 2.1: 18-38.

  4. Coller JA. Clinical application of anorectal manometry. Gastrointest Clin North Am 1987; 16: 17-33.

  5. Zbar AP, Asdlam M, Hider A et al. Comparison of vector of volume manometry with conventional manometry in anorectal dysfunction. Tech Coloproctol 1998; 2: 84-90.

  6. Lestar B, Pennicyk F, Kerremans R. The composition of the anal basal pressure. Int J Colorect Dis 1989; 4: 118-122.

  7. Lowry CA, Simmang CL, Boulos P et al. Report of tripartite consensus conference of definitions for anorectal physiology and rectal cancer. Washington, DC. Dis Colon Rectum 2001; 44: 915-919.

  8. Gibbons CP, Bannister JJ, Trowbridge EA et al. An analysis of anal cushions in maintaining continence. Lancet 1986; 1: 886-887.

  9. Zbar AP, Jayne DC, Marthur D et al. The importance of the internal anal sphincter (IAS) in maintaining continence: anatomical physiological and pharmacological considerations. Colorectal Dis 2000; 2: 193-202.

  10. Farouk R. Anal disorders/imaging techniques. Surgery 2003; 21: 184a–184e.

  11. Sun WM, Read NW, Donnelly TC. Impaired internal anal sphincter in a subgroup of patients with idiopathic fecal incontinence. Gastroenterology 1989; 97: 130-135.

  12. Tjandra JJ, Sharma BRK, McKirdy HC et al. Anorectal physiological testing in defecatory disorders: a prospective study. Aust N Z J Surg 1994; 64: 322–326.

  13. Law PJ, Bartram CI. Anal Ultrasonography- technique and normal anatomy. Gastrointest Radiol 1989; 14: 349-353.

  14. Zbar AP, Ramesh J. Parameters of the rectoanal inhibitory reflex in different anorectal disorders. Dis Colon Rectum 2003; 46: 557-558.

  15. Rao SS. Practice guidelines: diagnosis and management of fecal incontinence. Am J Gastroenterology 2004; 99: 1585-1604. 9

  16. Sentovich SM, Blatchford GJ, Rivela LJ et al. Diagnosing anal sphincter injury with transanal ultrasound and manometry. Dis Colon Rectum 1997; 40: 1430–1434.

  17. Sultan Ah, Nicholls RJ, Hudson CN et al. Anal endosonography and correlation with in vitro and in vivo anatomy. Br J Surg 1993; 80: 508-511.

  18. Bartram CI, Burnett SJD. Atlas of Anal Endosonography. Oxford: Butterworth- Heinemann. 1991;

  19. Bartram C. Radiology evaluation of anorectal disorders. Gastroenterology Clin North Am 2001; 30: 55–75.

  20. Sangwan YP, Coller JA, Barreto RC et al. Unilateral pudendal neuropathy. Impact on outcome after anal repair. Dis Colon Rectum 1996; 39: 686–689.

  21. Gilliland R, Altomare DF, Moreira H et al. Pudendal neuropathy is predictive of failure following anterior overlapping sphincteroplasty. Dis Colon Rectum 1998; 41: 1516-1522.

  22. Rosato GO, Lumi C, Miguel MA. Anal sphincter electromyography and pudendal nerve terminal motor latency assessment. Seminaries in Colon rectal Surg 1992; 3: 68–74.

  23. Burnett SJD et al. Confirmation of endosonographic detection of external anal sphincter defects by simultaneous electromyography mapping. Br J Surgery 1991; 78: 448-450.

  24. Bartolo DC, Macdonald ADH. Fecal incontinence and defecation. In: Swash M, Henry M, Pemberton J (Eds). The pelvis floor. Butterworth-Heinemann, London. 2002: 77-83.

  25. Mellgren A, Anzen B, Nilsson BY et al. Results of rectocele repair, a prospective study. Dis Colon Rectum 1995; 38: 7-13.

  26. Agachan F, Pfeifer J, Wexner SD. Defecography and proctography. Results of 744 patients. Dis Colon Rectum 1996; 39: 899-905.

  27. Wiersma T, Mulder CJJ, Reeders WAJ. Dynamic rectal examination: its significant clinical value. Endoscopy 1997; 29: 462–471.

  28. Jones HJS, Blake H, Swift RI. A prospective audit of the usefulness of evacuating proctography. Ann R Coll Surg Engl 1998; 80: 40–45.

  29. Jorge MN, Habr-Gama A, Wexner SD. Clinical applications and techniques of cinedefecography. Am J Surg 2001; 182: 93-101.

  30. Jorge JMN, Yang YK, Wexner SD. Incident and clinical significance of sigmoidocele as determined by a new classification system. Dis Colon Rectum 1994; 37: 1112-1117.

  31. Halligan S, Malouf A, Bartram C et al. Predictive value of impaired evacuation at proctography in diagnosing anismus. AJR Am J Roentgenol 2001; 177: 633–637.

  32. Ashraf W, Park F, Lof J et al. An examination of the reliability of reported stool frequency in the diagnosis of idiopathic constipation. Am J Gastroenterol 1996; 91: 26–33.

  33. Beck DE, Wexner SD. Fundamentals of anorectal surgery. 2nd edition. WB Saunders Company Ltd, Philadelphia, PA. USA. 1998.

  34. Jorge JMN, Habr-Gama A. A Tempo de transito colonico total e segmentar: analise critica dos metodos e studio em individuos normais con marcadores radiopacos. Rev Bras Colo-Proct 1991; 11: 55-60.

  35. Charles F, Camilleri M, Phillips SF, et al. Scintigraphy of the whole gut: clinical evaluation of transit disorders. Mayo Clin Proc 1995; 70: 113–118.

  36. Bond JH, Levitt MD. Investigation of small bowel transit time in man utilizing pulmonary hydrogen (H2) to quantitative small bowel transit time following partial gastrectomy. J Lab Clin Med 1977; 90: 30–36.




2020     |     www.medigraphic.com