Effects of ovarian failure on submucosal collagen and blood vessels of the anal canal in postmenopausal women

Background Estrogen and progesterone receptors are expressed in the anal canal. Fecal control deteriorates after menopause. This phenomenon is related to decreased circulating levels of estrogen and progesterone due to ovarian failure at menopause. Aim of work To study the effects of estrogen and pr...

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Veröffentlicht in:International journal of colorectal disease 2010-04, Vol.25 (4), p.477-483
Hauptverfasser: Elbanna, Hosam Ghazy, Abbas, Amr Medhat, Zalata, Khaled, Farid, Mohamed, Ghanum, Wageh, Youssef, Mohamed, Thabet, Waleed Mohamed, El Awady, Saleh, El-Sattar, Mohamed H. Abd
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container_issue 4
container_start_page 477
container_title International journal of colorectal disease
container_volume 25
creator Elbanna, Hosam Ghazy
Abbas, Amr Medhat
Zalata, Khaled
Farid, Mohamed
Ghanum, Wageh
Youssef, Mohamed
Thabet, Waleed Mohamed
El Awady, Saleh
El-Sattar, Mohamed H. Abd
description Background Estrogen and progesterone receptors are expressed in the anal canal. Fecal control deteriorates after menopause. This phenomenon is related to decreased circulating levels of estrogen and progesterone due to ovarian failure at menopause. Aim of work To study the effects of estrogen and progesterone on inflammatory cells, submucosal collagen fibers, and vascular plexus of the anal canal of postmenopausal women. Subjects and methods Experiments were performed on samples of anorectal tissue obtained from 40 women, 19 menstruating (group I), and 21 postmenopausal women (group II). Investigations included immunohistochemistry of estrogen and progesterone receptors and CD34. Results In negative estrogen receptors (ER) and progesterone receptors (PR), inflammatory cells, submucosal blood vessels, collagen type I were nonsignificantly changed in postmenopausal women relative to menstruating women (P > 0.05) whereas, in positive ER and PR, inflammatory cells and collagen I were significantly increased and submucosal blood vessels were significantly decreased in postmenopausal women relative to menstruating women (P 
doi_str_mv 10.1007/s00384-009-0820-1
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Abd</creator><creatorcontrib>Elbanna, Hosam Ghazy ; Abbas, Amr Medhat ; Zalata, Khaled ; Farid, Mohamed ; Ghanum, Wageh ; Youssef, Mohamed ; Thabet, Waleed Mohamed ; El Awady, Saleh ; El-Sattar, Mohamed H. Abd</creatorcontrib><description>Background Estrogen and progesterone receptors are expressed in the anal canal. Fecal control deteriorates after menopause. This phenomenon is related to decreased circulating levels of estrogen and progesterone due to ovarian failure at menopause. Aim of work To study the effects of estrogen and progesterone on inflammatory cells, submucosal collagen fibers, and vascular plexus of the anal canal of postmenopausal women. Subjects and methods Experiments were performed on samples of anorectal tissue obtained from 40 women, 19 menstruating (group I), and 21 postmenopausal women (group II). Investigations included immunohistochemistry of estrogen and progesterone receptors and CD34. Results In negative estrogen receptors (ER) and progesterone receptors (PR), inflammatory cells, submucosal blood vessels, collagen type I were nonsignificantly changed in postmenopausal women relative to menstruating women (P &gt; 0.05) whereas, in positive ER and PR, inflammatory cells and collagen I were significantly increased and submucosal blood vessels were significantly decreased in postmenopausal women relative to menstruating women (P &lt; 0.05). Conclusion Estrogen and progesterone, in menstruating women, produce beneficial effects by decreasing incidence of inflammation and increasing anal canal submucosal blood vessels number and collagen types I, thus both hormones have a positive effect on anal compliance and pressure.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/s00384-009-0820-1</identifier><identifier>PMID: 19902226</identifier><identifier>CODEN: IJCDE6</identifier><language>eng</language><publisher>Berlin/Heidelberg: Berlin/Heidelberg : Springer-Verlag</publisher><subject>Anal Canal - blood supply ; Anal Canal - metabolism ; Anal Canal - ultrastructure ; Analysis ; Biological and medical sciences ; Blood Vessels ; Collagen ; Collagen Type I - analysis ; Estrogen ; Estrogens ; Female ; Gastroenterology ; Gastroenterology. Liver. Pancreas. Abdomen ; Hepatology ; Humans ; Immunohistochemistry ; Inflammation ; Internal Medicine ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Menopause ; Original Article ; Ovary - physiopathology ; Postmenopausal women ; Postmenopause - physiology ; Proctology ; Progesterone ; Receptors, Estrogen - analysis ; Receptors, Progesterone - analysis ; Surgery</subject><ispartof>International journal of colorectal disease, 2010-04, Vol.25 (4), p.477-483</ispartof><rights>Springer-Verlag 2009</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2010 Springer</rights><rights>Springer-Verlag 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-212f90c7ee8a602318c7f6e691f43bc1381c51b75bd5650709576bcec0d3bc9d3</citedby><cites>FETCH-LOGICAL-c491t-212f90c7ee8a602318c7f6e691f43bc1381c51b75bd5650709576bcec0d3bc9d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00384-009-0820-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00384-009-0820-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22515877$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19902226$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elbanna, Hosam Ghazy</creatorcontrib><creatorcontrib>Abbas, Amr Medhat</creatorcontrib><creatorcontrib>Zalata, Khaled</creatorcontrib><creatorcontrib>Farid, Mohamed</creatorcontrib><creatorcontrib>Ghanum, Wageh</creatorcontrib><creatorcontrib>Youssef, Mohamed</creatorcontrib><creatorcontrib>Thabet, Waleed Mohamed</creatorcontrib><creatorcontrib>El Awady, Saleh</creatorcontrib><creatorcontrib>El-Sattar, Mohamed H. Abd</creatorcontrib><title>Effects of ovarian failure on submucosal collagen and blood vessels of the anal canal in postmenopausal women</title><title>International journal of colorectal disease</title><addtitle>Int J Colorectal Dis</addtitle><addtitle>Int J Colorectal Dis</addtitle><description>Background Estrogen and progesterone receptors are expressed in the anal canal. Fecal control deteriorates after menopause. This phenomenon is related to decreased circulating levels of estrogen and progesterone due to ovarian failure at menopause. Aim of work To study the effects of estrogen and progesterone on inflammatory cells, submucosal collagen fibers, and vascular plexus of the anal canal of postmenopausal women. Subjects and methods Experiments were performed on samples of anorectal tissue obtained from 40 women, 19 menstruating (group I), and 21 postmenopausal women (group II). Investigations included immunohistochemistry of estrogen and progesterone receptors and CD34. Results In negative estrogen receptors (ER) and progesterone receptors (PR), inflammatory cells, submucosal blood vessels, collagen type I were nonsignificantly changed in postmenopausal women relative to menstruating women (P &gt; 0.05) whereas, in positive ER and PR, inflammatory cells and collagen I were significantly increased and submucosal blood vessels were significantly decreased in postmenopausal women relative to menstruating women (P &lt; 0.05). Conclusion Estrogen and progesterone, in menstruating women, produce beneficial effects by decreasing incidence of inflammation and increasing anal canal submucosal blood vessels number and collagen types I, thus both hormones have a positive effect on anal compliance and pressure.</description><subject>Anal Canal - blood supply</subject><subject>Anal Canal - metabolism</subject><subject>Anal Canal - ultrastructure</subject><subject>Analysis</subject><subject>Biological and medical sciences</subject><subject>Blood Vessels</subject><subject>Collagen</subject><subject>Collagen Type I - analysis</subject><subject>Estrogen</subject><subject>Estrogens</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastroenterology. Liver. Pancreas. 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Abdomen</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Inflammation</topic><topic>Internal Medicine</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Menopause</topic><topic>Original Article</topic><topic>Ovary - physiopathology</topic><topic>Postmenopausal women</topic><topic>Postmenopause - physiology</topic><topic>Proctology</topic><topic>Progesterone</topic><topic>Receptors, Estrogen - analysis</topic><topic>Receptors, Progesterone - analysis</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elbanna, Hosam Ghazy</creatorcontrib><creatorcontrib>Abbas, Amr Medhat</creatorcontrib><creatorcontrib>Zalata, Khaled</creatorcontrib><creatorcontrib>Farid, Mohamed</creatorcontrib><creatorcontrib>Ghanum, Wageh</creatorcontrib><creatorcontrib>Youssef, Mohamed</creatorcontrib><creatorcontrib>Thabet, Waleed Mohamed</creatorcontrib><creatorcontrib>El Awady, Saleh</creatorcontrib><creatorcontrib>El-Sattar, Mohamed H. 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Abd</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of ovarian failure on submucosal collagen and blood vessels of the anal canal in postmenopausal women</atitle><jtitle>International journal of colorectal disease</jtitle><stitle>Int J Colorectal Dis</stitle><addtitle>Int J Colorectal Dis</addtitle><date>2010-04-01</date><risdate>2010</risdate><volume>25</volume><issue>4</issue><spage>477</spage><epage>483</epage><pages>477-483</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><coden>IJCDE6</coden><abstract>Background Estrogen and progesterone receptors are expressed in the anal canal. Fecal control deteriorates after menopause. This phenomenon is related to decreased circulating levels of estrogen and progesterone due to ovarian failure at menopause. Aim of work To study the effects of estrogen and progesterone on inflammatory cells, submucosal collagen fibers, and vascular plexus of the anal canal of postmenopausal women. Subjects and methods Experiments were performed on samples of anorectal tissue obtained from 40 women, 19 menstruating (group I), and 21 postmenopausal women (group II). Investigations included immunohistochemistry of estrogen and progesterone receptors and CD34. Results In negative estrogen receptors (ER) and progesterone receptors (PR), inflammatory cells, submucosal blood vessels, collagen type I were nonsignificantly changed in postmenopausal women relative to menstruating women (P &gt; 0.05) whereas, in positive ER and PR, inflammatory cells and collagen I were significantly increased and submucosal blood vessels were significantly decreased in postmenopausal women relative to menstruating women (P &lt; 0.05). Conclusion Estrogen and progesterone, in menstruating women, produce beneficial effects by decreasing incidence of inflammation and increasing anal canal submucosal blood vessels number and collagen types I, thus both hormones have a positive effect on anal compliance and pressure.</abstract><cop>Berlin/Heidelberg</cop><pub>Berlin/Heidelberg : Springer-Verlag</pub><pmid>19902226</pmid><doi>10.1007/s00384-009-0820-1</doi><tpages>7</tpages></addata></record>
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identifier ISSN: 0179-1958
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subjects Anal Canal - blood supply
Anal Canal - metabolism
Anal Canal - ultrastructure
Analysis
Biological and medical sciences
Blood Vessels
Collagen
Collagen Type I - analysis
Estrogen
Estrogens
Female
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Hepatology
Humans
Immunohistochemistry
Inflammation
Internal Medicine
Medical sciences
Medicine
Medicine & Public Health
Menopause
Original Article
Ovary - physiopathology
Postmenopausal women
Postmenopause - physiology
Proctology
Progesterone
Receptors, Estrogen - analysis
Receptors, Progesterone - analysis
Surgery
title Effects of ovarian failure on submucosal collagen and blood vessels of the anal canal in postmenopausal women
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