Anatomic specificity in the diagnosis and treatment of internal rectal prolapse
Distal bowel evacuation was studied by cinedefecography in 85 women with obstinate constipation, tenesmus, and incomplete evacuation in whom a diagnosis of internal rectal intussusception was clinically suspect. Sixty-five patients showed radiographic evidence of intussusception--mostly of the dista...
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Veröffentlicht in: | Diseases of the colon & rectum 1985-11, Vol.28 (11), p.816-826 |
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creator | BERMAN, I. R MANNING, D. H DUDLEY-WRIGHT, K |
description | Distal bowel evacuation was studied by cinedefecography in 85 women with obstinate constipation, tenesmus, and incomplete evacuation in whom a diagnosis of internal rectal intussusception was clinically suspect. Sixty-five patients showed radiographic evidence of intussusception--mostly of the distal rectum, without rectosacral separation. Patients with distal intussusception who did not respond to nonoperative measures were treated by Delorme's transrectal excision with excellent results. Internal rectal intussusception is a real and demonstrable entity which may be symptomatically disabling and whose documentation may be integral to effective and anatomically specific treatment. The syndromes of perineal descent, solitary rectal ulcer, levator syndrome and so-called recurrent hemorrhoids may be diagnostic intermediaries in the evolution of internal rectal intussusception. |
doi_str_mv | 10.1007/BF02555485 |
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The syndromes of perineal descent, solitary rectal ulcer, levator syndrome and so-called recurrent hemorrhoids may be diagnostic intermediaries in the evolution of internal rectal intussusception.</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/BF02555485</identifier><identifier>PMID: 4053893</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: Springer</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Colon, Sigmoid - diagnostic imaging ; Constipation - etiology ; Defecation ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Intussusception - diagnostic imaging ; Intussusception - physiopathology ; Intussusception - surgery ; Male ; Medical sciences ; Methods ; Middle Aged ; Other diseases. Semiology ; Radiography ; Rectal Prolapse - diagnostic imaging ; Rectal Prolapse - physiopathology ; Rectal Prolapse - surgery ; Rectum - diagnostic imaging ; Sacrum - diagnostic imaging ; Stomach. Duodenum. Small intestine. Colon. Rectum. 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R</creatorcontrib><creatorcontrib>MANNING, D. H</creatorcontrib><creatorcontrib>DUDLEY-WRIGHT, K</creatorcontrib><title>Anatomic specificity in the diagnosis and treatment of internal rectal prolapse</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><description>Distal bowel evacuation was studied by cinedefecography in 85 women with obstinate constipation, tenesmus, and incomplete evacuation in whom a diagnosis of internal rectal intussusception was clinically suspect. Sixty-five patients showed radiographic evidence of intussusception--mostly of the distal rectum, without rectosacral separation. Patients with distal intussusception who did not respond to nonoperative measures were treated by Delorme's transrectal excision with excellent results. Internal rectal intussusception is a real and demonstrable entity which may be symptomatically disabling and whose documentation may be integral to effective and anatomically specific treatment. The syndromes of perineal descent, solitary rectal ulcer, levator syndrome and so-called recurrent hemorrhoids may be diagnostic intermediaries in the evolution of internal rectal intussusception.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Colon, Sigmoid - diagnostic imaging</subject><subject>Constipation - etiology</subject><subject>Defecation</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Intussusception - diagnostic imaging</subject><subject>Intussusception - physiopathology</subject><subject>Intussusception - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Other diseases. Semiology</subject><subject>Radiography</subject><subject>Rectal Prolapse - diagnostic imaging</subject><subject>Rectal Prolapse - physiopathology</subject><subject>Rectal Prolapse - surgery</subject><subject>Rectum - diagnostic imaging</subject><subject>Sacrum - diagnostic imaging</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LAzEURYMotVY37oUsxIUw-pJMZjLLWqwKhW50PWQyLxqZL5N00X_vSIe6ujzu4T44hFwzeGAA-ePTGriUMlXyhMyZFJCAkOqUzAEYT0QO2Tm5COF7PIFDPiOzFKRQhZiT7bLTsW-doWFA46wzLu6p62j8Qlo7_dn1wQWqu5pGjzq22EXa25GI6DvdUI8mjjH4vtFDwEtyZnUT8GrKBflYP7-vXpPN9uVttdwkRjAWE1NI5AqZ0BXHoq4qnmVYa5OJSilrkWnDmDIcuODSypRbyxQTPAOoa5tpsSB3h93x8c8OQyxbFww2je6w34Uyz1Ke5pKN4P0BNL4PwaMtB-9a7fclg_LPXvlvb4RvptVd1WJ9RCddY3879ToY3VivO-PCEVMSCpYy8QvGBnbD</recordid><startdate>198511</startdate><enddate>198511</enddate><creator>BERMAN, I. R</creator><creator>MANNING, D. H</creator><creator>DUDLEY-WRIGHT, K</creator><general>Springer</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>7X8</scope></search><sort><creationdate>198511</creationdate><title>Anatomic specificity in the diagnosis and treatment of internal rectal prolapse</title><author>BERMAN, I. R ; MANNING, D. H ; DUDLEY-WRIGHT, K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-c95e28e13ab2e9dbb266edac63b88ffe1ac118c202325f542ff18132600ddf6a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Colon, Sigmoid - diagnostic imaging</topic><topic>Constipation - etiology</topic><topic>Defecation</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Intussusception - diagnostic imaging</topic><topic>Intussusception - physiopathology</topic><topic>Intussusception - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Other diseases. Semiology</topic><topic>Radiography</topic><topic>Rectal Prolapse - diagnostic imaging</topic><topic>Rectal Prolapse - physiopathology</topic><topic>Rectal Prolapse - surgery</topic><topic>Rectum - diagnostic imaging</topic><topic>Sacrum - diagnostic imaging</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BERMAN, I. R</creatorcontrib><creatorcontrib>MANNING, D. H</creatorcontrib><creatorcontrib>DUDLEY-WRIGHT, K</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>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BERMAN, I. R</au><au>MANNING, D. H</au><au>DUDLEY-WRIGHT, K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomic specificity in the diagnosis and treatment of internal rectal prolapse</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>1985-11</date><risdate>1985</risdate><volume>28</volume><issue>11</issue><spage>816</spage><epage>826</epage><pages>816-826</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>Distal bowel evacuation was studied by cinedefecography in 85 women with obstinate constipation, tenesmus, and incomplete evacuation in whom a diagnosis of internal rectal intussusception was clinically suspect. Sixty-five patients showed radiographic evidence of intussusception--mostly of the distal rectum, without rectosacral separation. Patients with distal intussusception who did not respond to nonoperative measures were treated by Delorme's transrectal excision with excellent results. Internal rectal intussusception is a real and demonstrable entity which may be symptomatically disabling and whose documentation may be integral to effective and anatomically specific treatment. The syndromes of perineal descent, solitary rectal ulcer, levator syndrome and so-called recurrent hemorrhoids may be diagnostic intermediaries in the evolution of internal rectal intussusception.</abstract><cop>Secaucus, NJ</cop><pub>Springer</pub><pmid>4053893</pmid><doi>10.1007/BF02555485</doi><tpages>11</tpages></addata></record> |
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subjects | Adult Aged Biological and medical sciences Colon, Sigmoid - diagnostic imaging Constipation - etiology Defecation Female Gastroenterology. Liver. Pancreas. Abdomen Humans Intussusception - diagnostic imaging Intussusception - physiopathology Intussusception - surgery Male Medical sciences Methods Middle Aged Other diseases. Semiology Radiography Rectal Prolapse - diagnostic imaging Rectal Prolapse - physiopathology Rectal Prolapse - surgery Rectum - diagnostic imaging Sacrum - diagnostic imaging Stomach. Duodenum. Small intestine. Colon. Rectum. Anus |
title | Anatomic specificity in the diagnosis and treatment of internal rectal prolapse |
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