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Echoendoscopie anale

Anal endosonography

  • Minisondes
  • Périnéologie
  • Published:
Acta Endoscopica

Résumé

L'échoendoscopie anale est devenue le gold standard dans le bilan d'une incontinence fécale, et fait également partie du bilan d'une série d'autres pathologies anorectales, en complément des examens cliniques et électrophysiologiques. Les minisondes de haute fréquence et les consoles électroniques ont apporté une amélioration de la qualité des images et une plus grande facilité d'interprétation. Les progrès de l'imagerie en 3 dimensions amélioreront encore l'interprétation des images.

L'échoendoscopie anale, technique simple et rapide, fournissant des images à haute résolution de l'appareil sphinctérien, fait maintenant partie intégrale des investigations proposées dans les pathologies anorectales. Elle trouve son indication principale dans le bilan de l'incontinence fécale, en recherchant un défect sphinctérien éventuellement réparable, mais s'avère également utile à la prise en charge des suppurations anopérinéales, des douleurs anales et des tumeurs.

Summary

Anal endosconography has become the gold standard examination in the investigation of faecal incontinence, and is now an established imaging modality for many coloproctological conditions, complementary to clinical examination and anorectal physiology. Higher frequency endoprobes and improved electronics scanners have improved image quality, making the examination easier to interpret. Advances in 3D imaging may further aid interpretation, which in keeping with all ultrasonography remains the most difficult part of the examination.

Anal endosonography is a rapid and simple examination yielding high resolution images of the anal sphincter complex, which has become an integral part of the investigation of anorectal disorders. Its main indication is in faecal incontinence to determine patient suitability for sphincter repair but it is also valuable in perianal sepsis, and pain and malignancy.

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Authors and Affiliations

  1. Department of Intestinal Imaging, St Mark's Hospital, Watford Road, Harrow, HA1 3UJ, Middlesex, (UK)

    C. I. Bartram (Professor) & G. N. Buchanan

Authors
  1. C. I. Bartram
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  2. G. N. Buchanan
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Bartram, C.I., Buchanan, G.N. Echoendoscopie anale. Acta Endosc 32, 107–115 (2002). https://doi.org/10.1007/BF03018036

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  • DOI: https://doi.org/10.1007/BF03018036

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