Abstract
Sixty-nine patients with enterocele on defaecography, and 128 patients without enterocele but with other abnormal findings were investigated to identify concomitant colorectal disorders and their relationship with enterocele. Of the 69 patients with enterocele, 38 (55%) had concomitant rectal intususception and 26 (38%) rectal prolapse. Abnormal physiological findings on anorectal manometry and electrophysiology were more common in patients with enterocele. Previous hysterectomy increased the risk of enterocele formation. The study has demonstrated that patients with enterocele should be investigated thoroughly for other lesions before treatment is planned. Further investigation of the role of enterocele in patients with defaecation disorders is required.
Résumé
Soixante-neuf patients présentant des entérocèles à la défécographie et 128 patients sands entérocèle mais avec d'autres anomalies ont été investigués afin d'identifier les troubles fonctionnels colo-rectaux concomittants et leur relation avec l'entérocèle. De 69 patients avec entérocèle, 38 (55%) présentent simultanément une intussusception et 26 (38%) un prolapsus du rectum. Des anomalies physiologiques lors de manométries et d'investigations électrophysiologiques sont plus fréquentes chez des patients porteurs d'une entérocèle. Une hystérectomie préalable augmente le risque de la formation d'une entérocèle. Cette étude démontre que les patients porteurs d'une entérocèle doivent faire l'objet d'investigations minutieuses pour exclure toute autre lésion avant d'envisager un traitement. Des investigations ultérieures devront être envisagées pour démontrer le rôle de l'entérocèle chez des patients souffrant de troubles de l'exonération.
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Mellgren, A., Johansson, C., Dolk, A. et al. Enterocele demonstrated by defaecography is associated with other pelvic floor disorders. Int J Colorect Dis 9, 121–124 (1994). https://doi.org/10.1007/BF00290186
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DOI: https://doi.org/10.1007/BF00290186