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Anterior intussusception descent during defecation is correlated with the severity of fecal incontinence in patients with rectoanal intussusception

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Abstract

Background

Rectoanal intussusception (RAI) is a common finding on evacuation proctography in patients with defecation disorders. However, it remains unclear whether intussusception morphology affects the severity of fecal incontinence (FI). The aim of this study was to examine the effect of morphology during defecation on the severity of FI in patients with RAI.

Methods

We included 80 patients with FI who were diagnosed as having RAI on evacuation proctography. Various morphological parameters were measured, and the level of RAI was divided by the extent of descent onto (level I) or into (level II) the anal sphincter. FI symptoms were documented using the FI Severity Index (FISI).

Results

Twenty-eight patients had level I and 52 had level II RAI. The mean (range) FISI score was 24.0 (8–47). FISI scores tended to be significantly higher in level II than in level I [26.3 (10–47) vs. 21.8 (8–42); p = 0.05]. The mean anterior intussusception descent was significantly greater in level II than in level I [24.2 (9.2–39.5) vs. 17.7 (7.8–39.4) mm; p < 0.0001]. Regression analysis showed that anterior intussusception descent was predictive of increased FISI scores.

Conclusions

The severity of FI may be affected by anterior intussusception descent in patients with RAI.

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Acknowledgments

The authors would like to thank Dr. Yuko Tsunoda for the statistical analyses.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Kameda Medical Center, 929 Higashi-cho, Kamogawa City, Chiba, 296-8602, Japan

    A. Tsunoda, T. Takahashi, T. Ohta, W. Fujii, Y. Kiyasu & H. Kusanagi

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  1. A. Tsunoda
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  2. T. Takahashi
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  3. T. Ohta
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  4. W. Fujii
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  5. Y. Kiyasu
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  6. H. Kusanagi
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Corresponding author

Correspondence to A. Tsunoda.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study was approved by the Ethical Committee of Kameda Medical Center.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Tsunoda, A., Takahashi, T., Ohta, T. et al. Anterior intussusception descent during defecation is correlated with the severity of fecal incontinence in patients with rectoanal intussusception. Tech Coloproctol 20, 171–176 (2016). https://doi.org/10.1007/s10151-015-1423-1

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  • DOI: https://doi.org/10.1007/s10151-015-1423-1

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