Skip to main content
SpringerLink
Log in

Incontinence anale: apport de l’endosonographie

Interest of endosonography in anal incontinence

  • Published:
Acta Endoscopica

Conclusions

L’endosonographie est un examen non invasif, peu coûteux, de réalisation facile et performant pour le diagnostic des ruptures sphinctériennes. En cas d’étiologies multiples à l’incontinence anale, l’endosographie peut démontrer l’existence d’une rupture sphinctérienne externe, qui peut bénéficier d’un traitement efficace.

Conclusions

Endosonography is a non-invasive, cost-effective, easy to realise and efficient procedure for the diagnosis of sphincter disruptions. In case of anal incontinence of multiple origin, endosonography may demonstrate the existence of an external sphincter disruption, that may be efficiently repaired.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. DENIS P., BERCOFF E., BIZIEN M.F., BROCKER P., CHASSAGNE P., LAMOULIATTE H.et al. — Etude de la prévalence de l’incontinence anale chez l’adulte.Gastroentérol. Clin. Biol., 1992,16, 344–350.

    PubMed  CAS  Google Scholar 

  2. HENRY M.M. — Neurophysiological assessment of the pelvic floor.Gut, 1988,29, 1–4.

    Article  PubMed  CAS  Google Scholar 

  3. SCHUSTER M.M. — The riddle of the sphincter.Gastroenterology, 1975,69, 249–262.

    PubMed  CAS  Google Scholar 

  4. READ N.W., BARTOLO D.C., READ M.G. — Differences in anal fonction in patients with incontinence to solids and in patients with incontinence to liquids.Br. J. Surg., 1984,71, 39–42.

    Article  PubMed  CAS  Google Scholar 

  5. SHAFIK A. — A new concept of the anatomy of the anal sphincter mechanism of the physiology of the defecation. The external anal sphincter: a triple-loop system.Invest. Urol., 1985,12, 412–419.

    Google Scholar 

  6. SUN W.M., READ N.W., MINER P.B. — Relation between rectal sensation and anal function in normal subjects and patients with faecal incontinence.Gut, 1990,31, 1056–1061.

    Article  PubMed  CAS  Google Scholar 

  7. MADOFF R.D., WILLIAMS J.G., CAUSHAJ P.F. — Fecal incontinence.N. Eng. J. Med., 1992,326, 1002–1007.

    CAS  Google Scholar 

  8. KEIGHLEY M.R.B., WILLIAMS N.S. — Faecal incontinence. Surgery of the anus, rectum and colon, W.B. Saunders Company Ltd, 1993, 516–608.

  9. VERNAVA A.M., LONGO W.E., DANIEL G.L. — Pudendal neuropathy and the importance of EMG evaluation of faecal incontinence.Dis. Colon Rectum, 1993,36, 23–27.

    Article  PubMed  Google Scholar 

  10. PARKS A.G., SWASH M., URICH H. — Sphincter denervation in anorectal incontinence and rectal prolapse.Gut, 1977,18, 656–665.

    Article  PubMed  CAS  Google Scholar 

  11. LAW P.J., BARTRAM C.I. — Anal endosonography: technique and normal anatomy.Gastrointestinal Radiol., 1989,14, 349–353.

    Article  CAS  Google Scholar 

  12. TJANDRA J.J., MILSON J.W., STOLFI V.M., LAVERY I., OAKLEY J., CHURCH J.et al. — Endoluminal ultrasound defines anatomy of the anal canal and pelvic floor.Dis. Colon Rectum, 1992,35, 465–470.

    Article  PubMed  CAS  Google Scholar 

  13. SULTAN A.H., NICHOLLS R.J., KAMM M.A., HUDSON C.N., BEYNON J., BARTRAM C.I. — Anal endosonography and correlation with in vitro and in vivo anatomy.Br. J. Surg., 1993,80, 508–511.

    Article  PubMed  CAS  Google Scholar 

  14. BARTRAM C.I., SULTAN A.H. — Anal endosonography and fecal incontinence.Gut, 1995,37, 4–6.

    Article  PubMed  CAS  Google Scholar 

  15. CUESTA M.A., MEIJER S., DERKSEN E.J., BOUTKAN H., MEUWISSEN S.G.M. — Anal sphincter imaging in fecal incontinence using endosonography.Dis. Colon Rectum, 1992,35, 59–63.

    Article  PubMed  CAS  Google Scholar 

  16. NIELSEN M.B., HAUGE C., PEDERSEN J.F., CHRISTIANSEN J. — Endosonographic evaluation of patients with anal incontinence: findings and influence on surgical management.A.J.R., 1993,160, 771–775.

    CAS  Google Scholar 

  17. DEEN K. I., KUMAR D., WILLIAMS J. G., OLLIFF J., KEIGHLEY M. R. B. — The prevalence of anal sphincter defects in faecal incontinence: a prospective endosonic study.Gut, 1993,34, 685–688.

    Article  PubMed  CAS  Google Scholar 

  18. SULTAN A. H., KAMM M. A., TALBOT I. C., NICHOLLS R.J., BARTRAM C.I. — Anal endosonography for identifying external sphincter defects confirmed histologically.Br. J. Surg., 1994,81, 463–465.

    Article  PubMed  CAS  Google Scholar 

  19. AUBERT A., MOSNIER H., AMARENCO G., CONTOU J.F., GALLOT D., GUIVARC’H M.et al. — Incontinences anales post-chiurgicales ou traumatiques. Etude prospective de 40 malades explorés par échographie endorectale et électromyographie.Gastroenterol. Clin. Biol., 1995,19, 598–603.

    PubMed  CAS  Google Scholar 

  20. LAW P.J., KAMM M.A., BARTRAM C.I. — Anal endosonography in the investigation of faecal incontinence.Br. J. Surg., 1991,78, 312–314.

    Article  PubMed  CAS  Google Scholar 

  21. BEYNON J., FOY D.M.A., TEMPLE L.N., CHANNER J.L., VIRJEE J., MORTENSEN N. MC C. — The endosonic appearances of normal colon and rectum.Dis. Colon Rectum, 1986,29, 810–813.

    Article  PubMed  CAS  Google Scholar 

  22. HILDEBRANDT U., FEIFEL G., SCHWARTZ S.H.A., SCHERR O. — Endorectal ultrasound: instrumentation and clinical aspects.Int. J. Colorect. Dis., 1986,1, 203–207.

    Article  CAS  Google Scholar 

  23. NIELSEN M.B., PEDERSEN J.F., HAUGE C., RASMUSSEN O., CHRISTIANSEN J. — Endosonography of the anal sphincter: findings in heathly volunteers.A.J.R., 1991,157, 1199–1202.

    CAS  Google Scholar 

  24. BURNETT S.J.D., BARTRAM C.I. — Endosonographic variations in the normal internal anal sphincter.Int. J. Colorectal Dis., 1991;6, 2–4.

    Article  PubMed  CAS  Google Scholar 

  25. SPEAKMAN C.T.M., BURNETT S.J.D., KAMM M.A., BARTRAM C.I. — Sphincter injury after anal dilation demonstrated by anal endosonography.Br. J. Surg., 1991,37, 1429–1430.

    Article  Google Scholar 

  26. SULTAN A.H., KAMM M.A., NICHOLLS R.J., BARTRAM C.I. — Prospective study of the extent of lateral anal sphincterotomy division during lateral sphincterotomy.Dis. Colon Rectum, 1994,37, 1031–1033.

    Article  PubMed  CAS  Google Scholar 

  27. NIELSEN M.B., HAUGE C., RASMUSSEN O., PEDERSEN J.F., CHRISTIANSEN J. — Anal endosonographic findings in the follow up of primarily sutured sphincteric ruptures.Br. J. Surg., 1992,79, 104–106.

    Article  PubMed  CAS  Google Scholar 

  28. LAW P.J., KAMM M.A., BARTRAM C.I. — A comparison between electromyography and anal endosonography in mapping external anal sphincter defects.Dis. Colon Rectum, 1990,33, 370–373.

    Article  PubMed  CAS  Google Scholar 

  29. BURNETT S.J.D., SPEAKMAN C.T.M., KAMM M.A., BARTRAM C.I. — Confirmation of endosonographic detection of external anal sphincter by simultaneous electromyographic mapping.Br. J. Surg., 1991,78, 448–450.

    Article  PubMed  CAS  Google Scholar 

  30. FELT-BERSMA R.J.F., CUESTA M.A., KOOREVAAR M., STRIJERS R.L.M., MEUWISSEN S.G.M., DERCKSEN E.J.,et al. — Anal endosonography: relationship with anal manometry and neurophysiologic tests.Dis. Colon Rectum, 1992,35, 944–949.

    Article  PubMed  CAS  Google Scholar 

  31. TJANDRA J.J., MILSON J.W., SCHROEDER T., FAZIO V.W. — Endoluminal ultrasound is preferable to electromyography in mapping anal sphincteric defects.Dis. Colon Rectum, 1993, 36,689–692.

    Article  PubMed  CAS  Google Scholar 

  32. GANTKE B., SCHAFER A., ENCK P., LUBKE H.J. — Sonographic, manometric and myographic evaluation of the anal sphincters morphology and function.Dis. Colon Rectum, 1993,36, 1037–1041.

    Article  PubMed  CAS  Google Scholar 

  33. MC HUGH S.M., DIAMOND N.F. — Effect of age, gender and parity on anal canal pressures.Dig. Dis. Sc., 1987,37, 726–736.

    Article  Google Scholar 

  34. FELT-BERSMA R.J.F., KLINKENBERG-KNOI E.C., MEUWISSEN S.G.M. — Anorectal function investigations in incontinent and continent patients.Dis. Colon Rectum, 1990,33, 479–486.

    Article  PubMed  CAS  Google Scholar 

  35. SCHAFER A., ENCK P., FURST G., KAHN T., FRIELING T., LUBKE H.J. — Anatomy of the anal sphincters.Dis. Colon Rectum, 1994,37, 777–781.

    Article  PubMed  CAS  Google Scholar 

  36. DESOUZA N.M., KMIOT W.A., PUNI R., HALL A.S., BURL M., BARTRAM C.I., BYDDER G.M. — High resolution magnetic resonance imaging of the anal sphincter using an internal coil.Gut, 1995,37, 284–287.

    Article  PubMed  CAS  Google Scholar 

  37. DESOUZA N.M., HALL A.S., PUNI R., GILDERDALE D.J., YOUNG I.R., KMIOT W.A. — High resolution magnetic resonance imaging of the anal sphincter using a dedicated endoanal coil.Dis. Colon rectum, 1996,39, 926–934.

    Article  PubMed  CAS  Google Scholar 

  38. SULTAN A.H., KAMM M.A., TALBOT A.C., NICHOLLS J.R., BARTRAM C.I. — Anal sphincter disruption during vaginal delivery.N. Engl. J. Med., 1993,329, 1905–1911.

    Article  PubMed  CAS  Google Scholar 

  39. ENGEL A.F., KAMM M.A., SULTAN A.H., BARTRAM C.I., NICHOLLS R.J. — Anterior anal sphincter repair in patients with obstetric trauma.Br. J. Surg., 1994,81, 1231–1234.

    Article  PubMed  CAS  Google Scholar 

  40. NIELSEN MB, DAMMEGAARD L, PEDERSEN JF. — Endosonographic assessment of the anal sphincter after surgical reconstruction.Dis. Colon Rectum, 1994,37, 434–438.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service d’Endoscopie Digestive, CMC FOCH, Suresnes, France

    H. Mosnier & A. Aubert

  2. Service de chirurgie digestive, Hôpital des Diaconesses, 18, rue du Sergent-Bauchat, 75571, Paris, France

    H. Mosnier & A. Aubert

Authors
  1. H. Mosnier
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Aubert
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Mosnier, H., Aubert, A. Incontinence anale: apport de l’endosonographie. Acta Endosc 26, 325–330 (1996). https://doi.org/10.1007/BF02968845

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02968845

Mots-clés

Key-words

Search

Navigation