ASSOCIATION BETWEEN RECTOCELE AND PARADOXICAL SPHINCTER RESPONSE

被引:81
作者
JOHANSSON, C [1 ]
NILSSON, BY [1 ]
HOLMSTROM, B [1 ]
DOLK, A [1 ]
MELLGREN, A [1 ]
机构
[1] SODER SJUKHUSET, DEPT CLIN NEUROPHYSIOL, STOCKHOLM, SWEDEN
关键词
RECTAL EMPTYING; RECTOCELE; PARADOXICAL SPHINCTER REACTION; ELECTROMYOGRAPHY;
D O I
10.1007/BF02049410
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Rectocele as well as paradoxical sphincter reaction may lead to rectal emptying difficulties and outlet obstruction. Forty-one patients with emptying disturbances and rectocele were investigated with defecography, anorectal manometry, colon transit time, and electromyography, Twenty-nine patients (71 percent) had concomitant paradoxical sphincter reaction, and 13 of these also had increased colon transit time. The functional results after surgical treatment of rectocele are not always satisfactory, probably because patients often have several causes for their emptying disturbances. It is emphasized that careful preoperative investigations are important before surgical treatment of rectocele in patients with emptying difficulties.
引用
收藏
页码:503 / 509
页数:7
相关论文
共 47 条
[11]  
DUTHIE HL, 1982, CLIN GASTROENTEROL, V11, P621
[12]   FUNCTION OF ANAL SPHINCTERS IN PATIENTS WITH INTUSSUSCEPTION OF RECTUM [J].
FRENCKNER, B ;
IHRE, T .
GUT, 1976, 17 (02) :147-151
[13]  
GOLIGHER JC, 1951, LANCET, V260, P543
[14]  
HALLAN RI, 1988, LANCET, V2, P714
[15]   A NEW METHOD FOR STUDYING GUT TRANSIT TIMES USING RADIOOPAQUE MARKERS [J].
HINTON, JM ;
LENNARDJ.JE ;
YOUNG, AC .
GUT, 1969, 10 (10) :842-&
[16]   INCREASED ANAL RESTING PRESSURE FOLLOWING THE RIPSTEIN OPERATION - A CONTRIBUTION TO CONTINENCE [J].
HOLMSTROM, B ;
BRODEN, G ;
DOLK, A ;
FRENCKNER, B .
DISEASES OF THE COLON & RECTUM, 1986, 29 (08) :485-487
[17]  
IHRE T, 1974, SCAND J GASTROENTERO, V9, P1
[18]   DISTURBANCES IN THE DEFECATION MECHANISM WITH SPECIAL REFERENCE TO INTUSSUSCEPTION OF THE RECTUM (INTERNAL PROCIDENTIA) [J].
JOHANSSON, C ;
IHRE, T ;
AHLBACK, SO .
DISEASES OF THE COLON & RECTUM, 1985, 28 (12) :920-924
[19]   IS PARADOXICAL SPHINCTER REACTION PROVOKED BY NEEDLE ELECTRODE ELECTROMYOGRAPHY [J].
JOHANSSON, C ;
NILSSON, BY ;
HOLMSTROM, B ;
DOLK, A .
DISEASES OF THE COLON & RECTUM, 1991, 34 (12) :1109-1112
[20]   A COMBINED ELECTROMYOGRAPHIC AND CINERADIOLOGIC INVESTIGATION IN PATIENTS WITH DEFECATION DISORDERS [J].
JOHANSSON, C ;
IHRE, T ;
HOLMSTROM, B ;
NORDSTROM, E ;
DOLK, A ;
BRODEN, G .
DISEASES OF THE COLON & RECTUM, 1990, 33 (12) :1009-1013