Fecoflowmetric Analysis of Anorectal Motor Function in Postoperative Anal-Preserving Surgery Patients With Low Rectal Cancer Comparison With the Wexner Score and Anorectal Manometry

被引:6
作者
Ryu, Yasuhiko [1 ]
Akagi, Yoshito [1 ]
Yagi, Minoru [2 ]
Sasatomi, Teruo [1 ]
Kinugasa, Tetsushi [1 ]
Yamaguchi, Keizo [1 ]
Oka, Yousuke [1 ]
Fukahori, Suguru [2 ]
Shiratsuchi, Ichitaro [1 ]
Yoshida, Takefumi [1 ]
Gotanda, Yukito [1 ]
Tanaka, Natsuki [1 ]
Ohchi, Takafumi [1 ]
Romeo, Kansakar [1 ]
Shirouzu, Kazuo [1 ]
机构
[1] Kurume Univ, Sch Med, Dept Surg, Kurume, Fukuoka 8300011, Japan
[2] Kurume Univ, Sch Med, Dept Pediat Surg, Kurume, Fukuoka 8300011, Japan
关键词
Anorectal manometry; Anal-preserving surgery; Fecoflowmetry; Incontinence; Rectal cancer; LOW ANTERIOR RESECTION; INTERSPHINCTERIC RESECTION; COLOANAL ANASTOMOSIS; FECAL INCONTINENCE; SPHINCTER; CARCINOMA;
D O I
10.9738/INTSURG-D-13-00142.1
中图分类号
R61 [外科手术学];
学科分类号
摘要
The aim of this study was to elucidate whether fecoflowmetry (FFM) could evaluate more detailed evacuative function than anorectal manometry by comparing between FFM or anorectal manometric findings and the clinical questionnaires and the types of surgical procedure in the patients who received anal-preserving surgery. Fifty-three patients who underwent anal-preserving surgery for low rectal cancer were enrolled. The relationships between FFM or the manometric findings and the clinical questionnaires and the types of procedure of anal-preserving surgery were evaluated. There were significant differences between FFM markers and the clinical questionnaire and the types of the surgical procedure, whereas no significant relationship was observed between the manometric findings and the clinical questionnaire and the types of the surgical procedure. FFM might be feasible and useful for the objective assessment of evacuative function and may be superior to manometry for patients undergoing anal-preserving surgery.
引用
收藏
页码:29 / 37
页数:9
相关论文
共 23 条
[1]   Comparison of functional results and quality of life between intersphincteric resection and conventional coloanal anastomosis for low rectal cancer [J].
Bretagnol, F ;
Rullier, E ;
Laurent, C ;
Zerbib, F ;
Gontier, R ;
Saric, J .
DISEASES OF THE COLON & RECTUM, 2004, 47 (06) :832-838
[2]   Analysis of Clinical Factors Associated with Anal Function after Intersphincteric Resection for Very Low Rectal Cancer [J].
Ito, Masaaki ;
Saito, Norio ;
Sugito, Masanori ;
Kobayashi, Akihiro ;
Nishizawa, Yusuke ;
Tsunoda, Yoshiyuki .
DISEASES OF THE COLON & RECTUM, 2009, 52 (01) :64-70
[3]   LEVEL OF THE ANASTOMOSIS DOES NOT INFLUENCE FUNCTIONAL OUTCOME AFTER ANTERIOR RECTAL RESECTION FOR RECTAL-CANCER [J].
JEHLE, EC ;
HAEHNEL, T ;
STARLINGER, MJ ;
BECKER, HD .
AMERICAN JOURNAL OF SURGERY, 1995, 169 (01) :147-153
[4]   Evaluation of anorectal functions of children with anorectal malformations using fecoflowmetry [J].
Kayaba, H ;
Hebiguchi, T ;
Yoshino, H ;
Mizuno, M ;
Yamada, M ;
Chihara, J ;
Kato, T .
JOURNAL OF PEDIATRIC SURGERY, 2002, 37 (04) :623-628
[5]   Postoperative Defecatory Function of an Ileal Pouch-Anal Anastomosis After a Restorative Proctocolectomy for Ulcerative Colitis: Evaluation Using Fecoflowmetry [J].
Kobayashi, Yasuo ;
Iiai, Tsuneo ;
Yagi, Minoru ;
Okamoto, Haruhiko ;
Tani, Tatsuo ;
Hatakeyama, Katsuyoshi .
INTERNATIONAL SURGERY, 2011, 96 (03) :201-206
[6]   Denervation of the neorectum as a potential cause of defecatory disorder following low anterior resection for rectal cancer [J].
Koda, K ;
Saito, N ;
Seike, K ;
Shimizu, K ;
Kosugi, C ;
Miyazaki, M .
DISEASES OF THE COLON & RECTUM, 2005, 48 (02) :210-217
[7]   Does a Defunctioning Stoma Affect Anorectal Function After Low Rectal Resection? Results of a Randomized Multicenter Trial [J].
Lindgren, Rickard ;
Hallbook, Olof ;
Rutegard, Jorgen ;
Sjodahl, Rune ;
Matthiessen, Peter .
DISEASES OF THE COLON & RECTUM, 2011, 54 (06) :747-752
[8]  
MARCIO J, 1993, DIS COLON RECTUM, V36, P77
[9]   A SURVEY OF POSTOPERATIVE FUNCTION AFTER RECTAL ANASTOMOSIS WITH CIRCULAR STAPLING DEVICES [J].
MCDONALD, PJ ;
HEALD, RJ .
BRITISH JOURNAL OF SURGERY, 1983, 70 (12) :727-729
[10]   Characteristic findings on defecography according to reconstruction method and defecatory disorder following sphincter-saving surgery for rectal cancer [J].
Morihiro, Masato ;
Koda, Keiji ;
Seike, Kazuhiro ;
Miyauchi, Hideaki ;
Miyazaki, Masaru .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2008, 23 (09) :883-892