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Diagnosis of disturbances of continence and defecation

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Diseases of the Colon & Rectum

Abstract

Defecography was performed in 60 patients with disorders of continence or defecation in whom previous investigative procedures had not revealed any abnormality that could explain the disorder. A correct diagnosis was made in 47 patients (78%). Defecography appears to be a suitable procedure to detect functional disturbances of defecation. Since anterior rectal wall abnormalities such as colitis cystica profunda and solitary rectal ulcer were seen in eight patients, is in suggested that these abnormalities are a result of functional disorders of defecation. Furthermore, the function of the pelvic floor musculature can be assessed by defecography in order to determine the cause of fecal incontinence.

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References

  1. Kuijpers JH. Diagnosis of disturbances of continence and defecation. In: Goldberg S, ed. Principles of colon and rectal surgery. Minneapolis: University of Minnesota, 1983: 161–4.

    Google Scholar 

  2. Kuijpers JHC. Anal manometry, its applications and indications. Neth J Surg 1982; 34:153–8.

    Google Scholar 

  3. Tagart RE. the anal canal and rectum, their varying relationship and its effect on anal continence. Dis Colon Rectum 1966; 9:449–55.

    PubMed  CAS  Google Scholar 

  4. Kelsey Fry I, Griffiths JD, Smart PJG. Some observations on the movement of the pelvic floor and rectum with special reference to rectal prolapse. Br J Surg 1966; 53:784–7.

    Google Scholar 

  5. Parks AG. Anorectal incontinence. Proc R Soc Med 1975; 68:681–90.

    PubMed  CAS  Google Scholar 

  6. Martelli H, Devroede G, Arhan P, Duguay C, Dornic C, Faverdin C. Some parameters of large bowel motility in normal man. Gastroenterology 1978; 75:612–8.

    PubMed  CAS  Google Scholar 

  7. Rutter KP. Electromyographic changes in certain pelvic floor abnormalities. Proc R Soc Med 1974; 67:53–7.

    PubMed  CAS  Google Scholar 

  8. Preston DM, Lennard-Jones JE, Thomas BM. The balloon proctogram. Br J Surg 1984; 71:29–32.

    PubMed  CAS  Google Scholar 

  9. Ihre T, Seligson U. Intussusception of the rectum. Internal procidentia: treatment and results in 90 patients. Dis Colon Rectum 1975; 18:391–6.

    PubMed  CAS  Google Scholar 

  10. Parks AG, Swash M, Urich H. Sphincter denervation in anorectal incontinence and rectal prolapse. Gut 1977; 18:656–65.

    PubMed  CAS  Google Scholar 

  11. Beersiek F, Parks AG, Swash M. Pathogenesis of anorectal incontinence. J Neurol Sci 1979; 42:111–27.

    Article  PubMed  CAS  Google Scholar 

  12. Kuijpers JH, Strijk SP. Radiologische diagnostiek van incontinentie voor faeces en van gestoorde defaecatie. Ned Tijdschr Geneeskd 1983; 127:2268–72.

    Google Scholar 

  13. Herman H, Nabseth DC. Colitis cystica profunda: localised, segmental and diffuse. Arch Surg 1973; 106:337–41.

    PubMed  CAS  Google Scholar 

  14. Martin CJ, Parks TG, Biggart JD. Solitary rectal ulcer syndrome in northern Ireland, 1971–1980. Br J Surg 1981; 68:744–7.

    PubMed  CAS  Google Scholar 

  15. Kuijpers JHC. Fecal continence and the anorectal angle. Neth J Surg 1984; 36:20–3.

    Google Scholar 

Download references

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Kuijpers, H.C., Strijk, S.P. Diagnosis of disturbances of continence and defecation. Dis Colon Rectum 27, 658–662 (1984). https://doi.org/10.1007/BF02553360

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  • DOI: https://doi.org/10.1007/BF02553360

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