Integrity of the Anal Sphincters After Pouch-Anal Anastomosis: Evaluation With Three-Dimensional Endoanal Ultrasonography
PURPOSE: METHODS: RESULTS:Fifteen patients with a colonic pouch and 13 patients with an ileal pouch were examined. Six months after the procedure, three-dimensional endoanal ultrasonography showed significant alterations of the internal anal sphincter in eight patients with a colonic pouch-anal anas...
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| Veröffentlicht in: | Diseases of the colon & rectum 2005-09, Vol.48 (9), p.1728-1735 |
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| creator | Gosselink, Martijn P West, Rachel L Kuipers, Ernst J Hansen, Bettina E Schouten, Rudolph W |
| description | PURPOSE:
METHODS:
RESULTS:Fifteen patients with a colonic pouch and 13 patients with an ileal pouch were examined. Six months after the procedure, three-dimensional endoanal ultrasonography showed significant alterations of the internal anal sphincter in eight patients with a colonic pouch-anal anastomosis (53 percent) and in eight patients with an ileal pouch-anal anastomosis (62 percent). These alterations were characterized by asymmetry or thinning. No defects were seen in the colonic pouch group, but, in two patients with an ileal pouch, a small defect in the internal anal sphincter was found. A decrease in internal anal sphincter volume was seen only in patients with a colonic pouch-anal anastomosis (P = 0.009). In both groups the length of the internal anal sphincter and the length, thickness, and volume of the external anal sphincter remained the same. After the procedure a reduction of maximum anal resting pressure was found in both groups (colonic pouchP < 0.001, ileal pouchP = 0.001). Maximum anal squeeze pressure was reduced in only patients with an ileal pouch-anal anastomosis (P = 0.006). The observed alterations of the internal anal sphincter and the manometric findings showed no correlation with the postoperative Fecal Incontinence Severity Index scores.
CONCLUSION: |
| doi_str_mv | 10.1007/s10350-005-0113-x |
| format | Article |
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METHODS:
RESULTS:Fifteen patients with a colonic pouch and 13 patients with an ileal pouch were examined. Six months after the procedure, three-dimensional endoanal ultrasonography showed significant alterations of the internal anal sphincter in eight patients with a colonic pouch-anal anastomosis (53 percent) and in eight patients with an ileal pouch-anal anastomosis (62 percent). These alterations were characterized by asymmetry or thinning. No defects were seen in the colonic pouch group, but, in two patients with an ileal pouch, a small defect in the internal anal sphincter was found. A decrease in internal anal sphincter volume was seen only in patients with a colonic pouch-anal anastomosis (P = 0.009). In both groups the length of the internal anal sphincter and the length, thickness, and volume of the external anal sphincter remained the same. After the procedure a reduction of maximum anal resting pressure was found in both groups (colonic pouchP < 0.001, ileal pouchP = 0.001). Maximum anal squeeze pressure was reduced in only patients with an ileal pouch-anal anastomosis (P = 0.006). The observed alterations of the internal anal sphincter and the manometric findings showed no correlation with the postoperative Fecal Incontinence Severity Index scores.
CONCLUSION:</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/s10350-005-0113-x</identifier><identifier>PMID: 15981069</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: The ASCRS</publisher><subject>Adenomatous Polyposis Coli - surgery ; Adult ; Aged ; Anal Canal - diagnostic imaging ; Anastomosis, Surgical - methods ; Biological and medical sciences ; Colitis, Ulcerative - surgery ; Colonic Pouches ; Endosonography ; Fecal Incontinence - diagnostic imaging ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Imaging, Three-Dimensional ; Male ; Manometry ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; Proctocolectomy, Restorative ; Prospective Studies ; Statistics, Nonparametric ; Stomach, duodenum, intestine, rectum, anus ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Suture Techniques</subject><ispartof>Diseases of the colon & rectum, 2005-09, Vol.48 (9), p.1728-1735</ispartof><rights>The ASCRS 2005</rights><rights>2005 INIST-CNRS</rights><rights>The American Society of Colon and Rectal Surgeons 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4017-7ccdd4ca8e25861feb81a24405ef246fb8ade1fa34298a5192ab5b417919b6913</citedby><cites>FETCH-LOGICAL-c4017-7ccdd4ca8e25861feb81a24405ef246fb8ade1fa34298a5192ab5b417919b6913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17112261$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15981069$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gosselink, Martijn P</creatorcontrib><creatorcontrib>West, Rachel L</creatorcontrib><creatorcontrib>Kuipers, Ernst J</creatorcontrib><creatorcontrib>Hansen, Bettina E</creatorcontrib><creatorcontrib>Schouten, Rudolph W</creatorcontrib><title>Integrity of the Anal Sphincters After Pouch-Anal Anastomosis: Evaluation With Three-Dimensional Endoanal Ultrasonography</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><description>PURPOSE:
METHODS:
RESULTS:Fifteen patients with a colonic pouch and 13 patients with an ileal pouch were examined. Six months after the procedure, three-dimensional endoanal ultrasonography showed significant alterations of the internal anal sphincter in eight patients with a colonic pouch-anal anastomosis (53 percent) and in eight patients with an ileal pouch-anal anastomosis (62 percent). These alterations were characterized by asymmetry or thinning. No defects were seen in the colonic pouch group, but, in two patients with an ileal pouch, a small defect in the internal anal sphincter was found. A decrease in internal anal sphincter volume was seen only in patients with a colonic pouch-anal anastomosis (P = 0.009). In both groups the length of the internal anal sphincter and the length, thickness, and volume of the external anal sphincter remained the same. After the procedure a reduction of maximum anal resting pressure was found in both groups (colonic pouchP < 0.001, ileal pouchP = 0.001). Maximum anal squeeze pressure was reduced in only patients with an ileal pouch-anal anastomosis (P = 0.006). The observed alterations of the internal anal sphincter and the manometric findings showed no correlation with the postoperative Fecal Incontinence Severity Index scores.
CONCLUSION:</description><subject>Adenomatous Polyposis Coli - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Anal Canal - diagnostic imaging</subject><subject>Anastomosis, Surgical - methods</subject><subject>Biological and medical sciences</subject><subject>Colitis, Ulcerative - surgery</subject><subject>Colonic Pouches</subject><subject>Endosonography</subject><subject>Fecal Incontinence - diagnostic imaging</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Male</subject><subject>Manometry</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Proctocolectomy, Restorative</subject><subject>Prospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Suture Techniques</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkk1v1DAQhi0EotvCD-CCIiS4BWb8kTjcVmULlSqBRCuOluM4TYo33toO7f57HHalSlw89viZecd6TcgbhI8IUH-KCExACSBKQGTl4zOyQsFyhgn5nKwAkJashuqEnMZ4l49AoX5JTlA0EqFqVmR_OSV7G8a0L3xfpMEW60m74uduGCeTbIjFus-h-OFnM5T_7vISk9_6OMbPxeaPdrNOo5-KX2MaiushWFt-Gbd2ijmZ8c3Ueb1sblwKOvrJ3wa9G_avyIteu2hfH-MZubnYXJ9_K6--f708X1-VhgPWZW1M13GjpaVCVtjbVqKmnIOwPeVV30rdWew147SRWmBDdStajnWDTVs1yM7Ih0PfXfD3s41JbcdorHN6sn6OqpJCVFw0GXz3H3jn55Anj4pi1pOMLRAeIBN8jMH2ahfGrQ57haAWU9TBFJVNUYsp6jHXvD02ntut7Z4qji5k4P0R0NFo1wc9mTE-cTUipdXyFH7gHrxbvPnt5gcb1GC1S0NWBGBcsJJmbS6hWX5Gnoj9Be8zpQ4</recordid><startdate>200509</startdate><enddate>200509</enddate><creator>Gosselink, Martijn P</creator><creator>West, Rachel L</creator><creator>Kuipers, Ernst J</creator><creator>Hansen, Bettina E</creator><creator>Schouten, Rudolph W</creator><general>The ASCRS</general><general>Springer</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200509</creationdate><title>Integrity of the Anal Sphincters After Pouch-Anal Anastomosis: Evaluation With Three-Dimensional Endoanal Ultrasonography</title><author>Gosselink, Martijn P ; West, Rachel L ; Kuipers, Ernst J ; Hansen, Bettina E ; Schouten, Rudolph W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4017-7ccdd4ca8e25861feb81a24405ef246fb8ade1fa34298a5192ab5b417919b6913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adenomatous Polyposis Coli - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Anal Canal - diagnostic imaging</topic><topic>Anastomosis, Surgical - methods</topic><topic>Biological and medical sciences</topic><topic>Colitis, Ulcerative - surgery</topic><topic>Colonic Pouches</topic><topic>Endosonography</topic><topic>Fecal Incontinence - diagnostic imaging</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Male</topic><topic>Manometry</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Proctocolectomy, Restorative</topic><topic>Prospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Suture Techniques</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gosselink, Martijn P</creatorcontrib><creatorcontrib>West, Rachel L</creatorcontrib><creatorcontrib>Kuipers, Ernst J</creatorcontrib><creatorcontrib>Hansen, Bettina E</creatorcontrib><creatorcontrib>Schouten, Rudolph W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gosselink, Martijn P</au><au>West, Rachel L</au><au>Kuipers, Ernst J</au><au>Hansen, Bettina E</au><au>Schouten, Rudolph W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Integrity of the Anal Sphincters After Pouch-Anal Anastomosis: Evaluation With Three-Dimensional Endoanal Ultrasonography</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>2005-09</date><risdate>2005</risdate><volume>48</volume><issue>9</issue><spage>1728</spage><epage>1735</epage><pages>1728-1735</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>PURPOSE:
METHODS:
RESULTS:Fifteen patients with a colonic pouch and 13 patients with an ileal pouch were examined. Six months after the procedure, three-dimensional endoanal ultrasonography showed significant alterations of the internal anal sphincter in eight patients with a colonic pouch-anal anastomosis (53 percent) and in eight patients with an ileal pouch-anal anastomosis (62 percent). These alterations were characterized by asymmetry or thinning. No defects were seen in the colonic pouch group, but, in two patients with an ileal pouch, a small defect in the internal anal sphincter was found. A decrease in internal anal sphincter volume was seen only in patients with a colonic pouch-anal anastomosis (P = 0.009). In both groups the length of the internal anal sphincter and the length, thickness, and volume of the external anal sphincter remained the same. After the procedure a reduction of maximum anal resting pressure was found in both groups (colonic pouchP < 0.001, ileal pouchP = 0.001). Maximum anal squeeze pressure was reduced in only patients with an ileal pouch-anal anastomosis (P = 0.006). The observed alterations of the internal anal sphincter and the manometric findings showed no correlation with the postoperative Fecal Incontinence Severity Index scores.
CONCLUSION:</abstract><cop>Secaucus, NJ</cop><pub>The ASCRS</pub><pmid>15981069</pmid><doi>10.1007/s10350-005-0113-x</doi><tpages>8</tpages></addata></record> |
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| ispartof | Diseases of the colon & rectum, 2005-09, Vol.48 (9), p.1728-1735 |
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| subjects | Adenomatous Polyposis Coli - surgery Adult Aged Anal Canal - diagnostic imaging Anastomosis, Surgical - methods Biological and medical sciences Colitis, Ulcerative - surgery Colonic Pouches Endosonography Fecal Incontinence - diagnostic imaging Female Gastroenterology. Liver. Pancreas. Abdomen Humans Imaging, Three-Dimensional Male Manometry Medical sciences Middle Aged Other diseases. Semiology Proctocolectomy, Restorative Prospective Studies Statistics, Nonparametric Stomach, duodenum, intestine, rectum, anus Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Suture Techniques |
| title | Integrity of the Anal Sphincters After Pouch-Anal Anastomosis: Evaluation With Three-Dimensional Endoanal Ultrasonography |
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