Endosonographic findings in patients with fecal incontinence

 
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Annals of Gastroenterology
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Endosonographic findings in patients with fecal incontinence (EN)

., A.P. Stamatiadis

SUMMARY Between 1995-2001 79 patients with fecal incontinence (FI) were examined with endorectal ultrasound in our laboratory. There were 56 patients with a definite history of anatomic risk factors (congenital diseases, anorectal operation, difficult delivery, sexual abuse or other trauma). 11 patients had evidence of internal or external rectal prolapse. Endoanal ultrasound revealed sphincter defects in 50 patients (44 internal anal sphincter (IAS) defects and 38 external anal sphincter (EAS) defects). Sphincter defects were found in 47/56 patients with a history of anorectal trauma and in 3/23 patients without a history of trauma. In 14 patients, no risk factor was identified. The etiology of FI was diagnosed as non-traumatic after endoanal ultrasound examination in 34 patients (6 patients with endosonographic evidence of sphincter trauma). The results of endorectal ultrasound had a significant impact in the subsequent management of FI (sphincter repair, muscle transposition, biofeedback training or prolapse repair). Key words: Fecal incontinence, Anal sphincter, Anorectal operation, Diabetes, Pudendal neuropathy, Endoanal ultrasound, Vector manometry, Congenital, Prolapse, Biofeedback, Sphincter repair, Muscle transposition. (EN)

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion

Ελληνική Γαστροεντερολογική Εταιρία (EL)
Hellenic Society of Gastroenterology (EN)

2007-03-19


Hellenic Society of Gastroenterology (EN)

1792-7463
1108-7471
Annals of Gastroenterology; Volume 15, No 2 (2002) (EN)



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