Postoperative anal canal length predicts outcome in patients having sphincter repair for fecal incontinence

1999 ◽  
Vol 42 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Graham R. Hool ◽  
Michael L. Lieber ◽  
James M. Church
Keyword(s):  
Fecal Incontinence ◽  
Anal Canal ◽  
Sphincter Repair ◽  
Anal Canal Length

Ten-Year Outcome After Anal Sphincter Repair for Fecal Incontinence

2009 ◽  
Vol 52 (6) ◽  
pp. 1089-1094 ◽  
Author(s):  
Massarat Zutshi ◽  
Tracy Hull ◽  
Jane Bast ◽  
Amy Halverson ◽  
Jeanie Na
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Sphincter Repair ◽  
Anal Sphincter Repair

scholarly journals EFFECTS OF LOW-FREQUENCY ELECTROSTIMULATION IN THE ANAL CANAL IN PATIENTS WITH FECAL INCONTINENCE

2005 ◽  
Vol 66 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Takayoshi UTSUNOMIYA ◽  
Okihiko SHIBATA ◽  
Shinichi KIKUTA ◽  
Yoshihiro HORICHI
Keyword(s):  
Fecal Incontinence ◽  
Anal Canal ◽  
Low Frequency

The Role of Endoluminal Imaging in Clinical Outcome of Overlapping Anterior Anal Sphincter Repair in Patients with Fecal Incontinence

2007 ◽  
Vol 189 (2) ◽  
pp. W70-W77 ◽  
Author(s):  
Annette C. Dobben ◽  
Maaike P. Terra ◽  
Marije Deutekom ◽  
J. Frederik M. Slors ◽  
Lucas W. M. Janssen ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Clinical Outcome ◽  
Anal Sphincter ◽  
Sphincter Repair ◽  
Anal Sphincter Repair

Fecal incontinence with normal anal canal pressures: where is the pitfall?

1999 ◽  
Vol 94 (6) ◽  
pp. 1556-1563 ◽  
Author(s):  
Laurent Siproudhis ◽  
Eric Bellissant ◽  
Mael Pagenault ◽  
Michel-Henry Mendler ◽  
Herve Allain ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anal Canal

Long-Term Results of Anterior Anal Sphincter Repair for Fecal Incontinence due to Obstetric Injury / with Invited Commentaries

2000 ◽  
Vol 17 (4) ◽  
pp. 390-394 ◽  
Author(s):  
J. Rothbarth ◽  
W.A. Bemelman ◽  
W.J.H.J. Meijerink ◽  
M.E. Buyze-Westerweel ◽  
J.G. van Dijk ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Sphincter Repair ◽  
Long Term Results ◽  
Obstetric Injury ◽  
Anal Sphincter Repair

Treatment fecal incontinence in children with bulking agents «DAM+»

2014 ◽  
Vol 5 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Igor Alekseyevich Komissarov ◽  
Viktoriya Aleksandrovna Glushkova ◽  
Nadezhda Georgiyevna Kolesnikova
Keyword(s):  
Fecal Incontinence ◽  
Anal Canal ◽  
Anal Manometry ◽  
Internal Sphincter ◽  
Bulking Agents ◽  
Significance Level ◽  
Neurogenic Fecal Incontinence ◽  
Before And After ◽  
Resting Pressure ◽  
Average Quantity

One of the reason of organic and neurogenic fecal incontinence in children is low resting pressure in the anal canal. In functional aspect, one of the main roles plays internal sphincter of the anal canal that provides 50-85 % of basal resting pressure and close of the anal canal. Purposes. The purpose of this article is to study the possibilities of using bulking agent «DAM+» to increase resting pressure in the anal canal in children with fecal incontinence, and evaluate the results of this treatment. Metods. The study has been performed in the Department of Pediatric Surgery in our university since 2007 for 2013. In total, 35 patients, aged 2-18 with organic or neurogenic fecal incontinence were underwent 57 procedure of introduction polyacrylamid gel «DAM+». Patients with overflow fecal incontinence were excluded. Before treatment and after, all patients were assessed clinical examination and anal manometry. Anal manometry was perfomed оn multifunctional apparatus «Menfis 2000». Results. The average quantity of resting pressure in the anal canal before operation is formed 20.98 ± 5.17 сm. (H2O), after operation 32.62 ± 6.63 сm. (H2O), in long-term period 28.07 ± 6.65 сm. (H2O) Conclusion. The clinical efficiency of procedure correlates with values of resting pressure in the anal canal before and after treatment. Implantation of «DAM+» into submucosal layer provides increasing of basal resting tone in the anal canal. Imitation of work of the internal anal sphincter and expansive vascular anal cushions on the other part, prevents patulous anus and provides a hermetic seal, that responds for close anal walls. Statistical data was shown, that the average quantity of resting pressure in the anal canal before operation and after operation has performed at the 5 % significance level. P-values < 0.05 was considered statistically significant.

scholarly journals Anorectal function and quality of life after chemoradiotherapy in patients with anal canal carcinoma

2017 ◽  
Vol 5 (2) ◽  
pp. 33-38
Author(s):  
Francesca De Felice ◽  
Daniela Musio ◽  
Gloria Bernardi ◽  
Lavinia Grapulin ◽  
Alessio Impagnatiello ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Fecal Incontinence ◽  
Anal Canal ◽  
Anorectal Manometry ◽  
Anorectal Function ◽  
Anal Canal Cancer ◽  
European Organization ◽  
Patient Reported ◽  
Sphincter Complex

Background: A retrospective study was conducted to evaluate sphincter function and quality of life (QoL) in patients treated with radiotherapy and concurrent chemotherapy (CRT) for anal canal cancer. Materials and Methods: From 1998 to 2010, patients with anal canal cancer treated with CRT were eligible. Radiation dose was 59.4 Gy (1.8 Gy/ fraction) and the chemotherapy regimen was 5-fluorouracil and mitomycin C. Anorectal function was investigated by anorectal manometry and transrectal ultrasound. QoL was assessed with the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C29 questionnaire. Correlations between diagnostic parameters and patient-reported outcomes were evaluated. Results: Eighteen patients were enrolled. Overall, 4 patients had stage I disease, 8 stage II and 6 stage III. Anorectal manometry parameters were significantly lower compared to healthy scores. Patients-reported continence was significantly higher than fecal incontinence manometry scores. Ultrasound sphincter complex defects were recorded in 17 patients. Globally, a positive correlation was described between resting pressure of manometric exam and sexual functioning items and sphincter complex and patient-reported flatulence, respectively. Conclusions: Definitive CRT represents the standard of care for anal canal cancer. Patients experienced low rates of fecal incontinence compared with results of diagnostic exams. Further studies are needed to better define toxicity and QoL after definitive CRT in anal canal cancer.

Sign in / Sign up

Export Citation Format

Share Document