The American journal of gastroenterology · 2018
Anatomical and Functional Features of the Internal Rectal Prolapse With Outlet Obstruction Determined With 3D Endorectal Ultrasonography and High-Resolution Anorectal Manometry: An Observational Case-Control Study.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Brusciano Luigi, Tolone Salvatore, Limongelli Paolo, Del Genio Gianmattia, Messina Federico, Martellucci Jacopo, Lanza Volpe Mariachiara, Longo Antonio, Docimo Ludovico
Аннотация
OBJECTIVES: To investigate correlation between rectal wall thickness (RWT) and anorectal pressures, in obstructed defecation syndrome (ODS) patients caused by internal rectal prolapse.
METHODS: ODS patients and healthy volunteers (HVs) underwent 3D endorectal ultrasound (3D-EUS) and high-resolution anorectal manometry (HRAM); RWT, total rectal wall volume (TRWV), pushing endorectal pressure (PEP), recto-anal gradient were determined RESULTS: We enrolled 35 ODS patients and 25 HVs. Patients showed markedly decreased TRWV, PEP, and recto-anal gradient. Linear correlation was found between markedly reduced TRWV and markedly hypotonic PEP.
CONCLUSIONS: HRAM and 3D-EUS could be performed in ODS assessment, to better understand rectal function.
METHODS: ODS patients and healthy volunteers (HVs) underwent 3D endorectal ultrasound (3D-EUS) and high-resolution anorectal manometry (HRAM); RWT, total rectal wall volume (TRWV), pushing endorectal pressure (PEP), recto-anal gradient were determined RESULTS: We enrolled 35 ODS patients and 25 HVs. Patients showed markedly decreased TRWV, PEP, and recto-anal gradient. Linear correlation was found between markedly reduced TRWV and markedly hypotonic PEP.
CONCLUSIONS: HRAM and 3D-EUS could be performed in ODS assessment, to better understand rectal function.