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Endoluminal Ultrasound: Anatomy, Technique, and Intervention of the Anorectum

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Abdominal Ultrasound for Surgeons

Abstract

Endoscopic ultrasound of the rectum and anus is used for the evaluation of a variety of conditions, most commonly rectal cancer staging and fecal incontinence. This chapter will discuss the indications and technique of endorectal/endoanal ultrasound, in addition to a review of rectal and anal ultrasound anatomy and the interpretation of the images.

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References

  1. Hildebrandt U, Feifel G. Preoperative staging of rectal cancer by intrarectal ultrasound. Dis Colon Rectum. 1985;28(1):42–6.

    Article  CAS  PubMed  Google Scholar 

  2. Benyon J, Roe AM, Foy DMA, Channer JL, Virjee J, Mortensen NJ. Preoperative staging of local invasion in rectal cancer using endoluminal ultrasound. J R Soc Med. 1987;80:23–4.

    Google Scholar 

  3. Edge SB, Byrd DR, Compton CC, Fritz AG, Greene FL, Trotti A. Colon and rectum. In: Edge SB, Byrd DR, Compton CC, Fritz AG, Greene FL, Trotti A, editors. AJCC cancer staging manual. 7th ed. New York: Springer; 2010. p. 143–64.

    Google Scholar 

  4. Brodsky JT, Richard GK, Cohen AM, Minsky BD. Variables correlated with the risk of lymph node metastasis in early rectal cancer. Cancer. 1992;69(2):322–6.

    Article  CAS  PubMed  Google Scholar 

  5. Killingback M. Local excision of carcinoma of the rectum: indications. World J Surg. 1992;16(3):437–46.

    Article  CAS  PubMed  Google Scholar 

  6. Blumberg D, Paty PB, Guillem JG, Picon AI, Minsky BD, Wong WD, et al. All patients with small intramural rectal cancers are at risk for lymph node metastasis. Dis Colon Rectum. 1999;42(7): 881–5.

    Article  CAS  PubMed  Google Scholar 

  7. Sitzler PJ, Seow-Choen F, Ho YH, Leong APK. Lymph node involvement and tumor depth in rectal cancers: an analysis of 805 patients. Dis Colon Rectum. 1997;40(12):1472–6.

    Article  CAS  PubMed  Google Scholar 

  8. Gavioli M, Bagni A, Piccagli I, Fundaro S, Natalini G. Usefulness of endorectal ultrasound after preoperative radiotherapy in rectal cancer: comparison between sonographic and histopathologic changes. Dis Colon Rectum. 2000;43(8):1075–83.

    Article  CAS  PubMed  Google Scholar 

  9. Garcia-Aguilar J, Pollack J, Lee S, Hernandez de Anda E, Mellgren A, Wong WD, et al. Accuracy of endorectal ultrasonography in preoperative staging of rectal tumors. Dis Colon Rectum. 2002;45(1):10–5.

    Article  PubMed  Google Scholar 

  10. Kauer WKH, Prantl L, Dittler HJ, Siewert JR. The value of endosonographic rectal carcinoma staging in routine diagnostics: a 10-year analysis. Surg Endosc. 2004;18:1075–8.

    Article  CAS  PubMed  Google Scholar 

  11. Christianson LM, Bovbjerg VE, McDavitt EC, Hullfish KL. Risk factors for perineal injury during delivery. Am J Obstet Gynecol. 2003;189(1):255–60.

    Article  CAS  PubMed  Google Scholar 

  12. Pla-Martí V, Moro-Valdezate D, Alos-Company R, Solana-Bueno A, Roig-Vila JV. The effect of surgery on quality of life in patients with faecal incontinence of obstetric origin. Colorectal Dis. 2007;9:90–5.

    Article  PubMed  Google Scholar 

  13. Toyonaga T, Tanaka Y, Song JF, Katori R, Sogawa N, Kanayama H, et al. Comparison of accuracy of physical examination and endoanal ultrasonography for preoperative assessment in patients with acute and chronic anal fistula. Tech Coloproctol. 2008;12:217–23.

    Article  CAS  PubMed  Google Scholar 

  14. Katsura Y, Yamada K, Ishizawa T, Yoshinaka H, Shimazu H. Endorectal ultrasonography for the assessment of wall invasion and lymph node metastasis in rectal cancer. Dis Colon Rectum. 1992;35(4):362–8.

    Article  CAS  PubMed  Google Scholar 

  15. Kim JC, Kim HC, Yu CS, Han KR, Kim JR, Lee KH, et al. Efficacy of 3-dimentional endorectal ultrasonography compared with conventional ultrasonography and computed tomography in preoperative rectal cancer staging. Am J Surg. 2006;192:89–97.

    Article  PubMed  Google Scholar 

  16. Kim JC, Cho YK, Kim SY, Park SK, Lee MG. Comparative study of three-dimensional and conventional endorectal ultrasonography used in rectal cancer staging. Surg Endosc. 2001;16:1280–5.

    Article  Google Scholar 

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Correspondence to Joseph L. Frenkel MD or John H. Marks MD, FACS, FASCRS .

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Frenkel, J.L., Marks, J.H. (2014). Endoluminal Ultrasound: Anatomy, Technique, and Intervention of the Anorectum. In: Hagopian, E., Machi, J. (eds) Abdominal Ultrasound for Surgeons. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9599-4_19

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  • DOI: https://doi.org/10.1007/978-1-4614-9599-4_19

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-9598-7

  • Online ISBN: 978-1-4614-9599-4

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