Anal continence following surgery for imperforate anus
Measurements of force in the anal canal, electrical activity of the smooth muscle of the internal sphincter, and the response to rectal distension, as well as subjective assessment of continence, have been made on a series of children operated upon for imperforate anus between 1955 and 1965. The mos...
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| Veröffentlicht in: | Journal of pediatric surgery 1973-08, Vol.8 (4), p.497-503 |
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| container_title | Journal of pediatric surgery |
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| creator | Taylor, I. Duthie, H.L. Zachary, R.B. |
| description | Measurements of force in the anal canal, electrical activity of the smooth muscle of the internal sphincter, and the response to rectal distension, as well as subjective assessment of continence, have been made on a series of children operated upon for imperforate anus between 1955 and 1965.
The most useful objective measurement appeared to be the reflex response in the anal canal on rectal distension. When a normal response occurred, good or moderate continence was observed. Poor continence was associated with a rise in anal canal force.
The force in the anal canal on voluntary squeezing proved to be less informative in assessing continence than did the presence of a palpable puborectalis. |
| doi_str_mv | 10.1016/0022-3468(73)90212-1 |
| format | Article |
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The most useful objective measurement appeared to be the reflex response in the anal canal on rectal distension. When a normal response occurred, good or moderate continence was observed. Poor continence was associated with a rise in anal canal force.
The force in the anal canal on voluntary squeezing proved to be less informative in assessing continence than did the presence of a palpable puborectalis.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/0022-3468(73)90212-1</identifier><identifier>PMID: 4756941</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Age Factors ; Anal Canal - physiopathology ; Anus, Imperforate - surgery ; Dilatation ; Electrophysiology ; Fecal Incontinence - etiology ; Fecal Incontinence - physiopathology ; Female ; Follow-Up Studies ; Humans ; Infant, Newborn ; Male ; Methods ; Muscle, Smooth - physiopathology ; Postoperative Complications ; Pressure ; Rectal Prolapse - etiology ; Rectum - physiopathology ; Reflex ; Respiration ; Time Factors</subject><ispartof>Journal of pediatric surgery, 1973-08, Vol.8 (4), p.497-503</ispartof><rights>1973</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-31829bd73e32a50a92fb7a464a3873d2c766d2c3537e86dfc2515a292392bd703</citedby><cites>FETCH-LOGICAL-c357t-31829bd73e32a50a92fb7a464a3873d2c766d2c3537e86dfc2515a292392bd703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0022-3468(73)90212-1$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4756941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Taylor, I.</creatorcontrib><creatorcontrib>Duthie, H.L.</creatorcontrib><creatorcontrib>Zachary, R.B.</creatorcontrib><title>Anal continence following surgery for imperforate anus</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Measurements of force in the anal canal, electrical activity of the smooth muscle of the internal sphincter, and the response to rectal distension, as well as subjective assessment of continence, have been made on a series of children operated upon for imperforate anus between 1955 and 1965.
The most useful objective measurement appeared to be the reflex response in the anal canal on rectal distension. When a normal response occurred, good or moderate continence was observed. Poor continence was associated with a rise in anal canal force.
The force in the anal canal on voluntary squeezing proved to be less informative in assessing continence than did the presence of a palpable puborectalis.</description><subject>Age Factors</subject><subject>Anal Canal - physiopathology</subject><subject>Anus, Imperforate - surgery</subject><subject>Dilatation</subject><subject>Electrophysiology</subject><subject>Fecal Incontinence - etiology</subject><subject>Fecal Incontinence - physiopathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Methods</subject><subject>Muscle, Smooth - physiopathology</subject><subject>Postoperative Complications</subject><subject>Pressure</subject><subject>Rectal Prolapse - etiology</subject><subject>Rectum - physiopathology</subject><subject>Reflex</subject><subject>Respiration</subject><subject>Time Factors</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1973</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PwzAMhiMEGmPwD0DqCcGhkMRN0l6QpokvaRIXOEdZ6k5B_RhJC9q_J2XTjlxsy35fW34IuWT0jlEm7ynlPIVM5jcKbgvKGU_ZEZkyASwVFNQxmR4kp-QshE9KY5uyCZlkSsgiY1Mi562pE9u1vWuxtZhUXV13P65dJ2Hwa_Tb2PGJazboY2F6TEw7hHNyUpk64MU-z8jH0-P74iVdvj2_LubL1IJQfQos58WqVIDAjaCm4NVKmUxmBnIFJbdKyhhBgMJclpXlggnDCw4FjzYKM3K927vx3deAodeNCxbr2rTYDUHnnOZFDnkUZjuh9V0IHiu98a4xfqsZ1SMuPbLQIwutQP_h0izarvb7h1WD5cG05xPnD7s5xie_HXodrBs5lc6j7XXZuf8P_AKxm3fz</recordid><startdate>197308</startdate><enddate>197308</enddate><creator>Taylor, I.</creator><creator>Duthie, H.L.</creator><creator>Zachary, R.B.</creator><general>Elsevier Inc</general><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>197308</creationdate><title>Anal continence following surgery for imperforate anus</title><author>Taylor, I. ; Duthie, H.L. ; Zachary, R.B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-31829bd73e32a50a92fb7a464a3873d2c766d2c3537e86dfc2515a292392bd703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1973</creationdate><topic>Age Factors</topic><topic>Anal Canal - physiopathology</topic><topic>Anus, Imperforate - surgery</topic><topic>Dilatation</topic><topic>Electrophysiology</topic><topic>Fecal Incontinence - etiology</topic><topic>Fecal Incontinence - physiopathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Methods</topic><topic>Muscle, Smooth - physiopathology</topic><topic>Postoperative Complications</topic><topic>Pressure</topic><topic>Rectal Prolapse - etiology</topic><topic>Rectum - physiopathology</topic><topic>Reflex</topic><topic>Respiration</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Taylor, I.</creatorcontrib><creatorcontrib>Duthie, H.L.</creatorcontrib><creatorcontrib>Zachary, R.B.</creatorcontrib><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>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Taylor, I.</au><au>Duthie, H.L.</au><au>Zachary, R.B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anal continence following surgery for imperforate anus</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1973-08</date><risdate>1973</risdate><volume>8</volume><issue>4</issue><spage>497</spage><epage>503</epage><pages>497-503</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Measurements of force in the anal canal, electrical activity of the smooth muscle of the internal sphincter, and the response to rectal distension, as well as subjective assessment of continence, have been made on a series of children operated upon for imperforate anus between 1955 and 1965.
The most useful objective measurement appeared to be the reflex response in the anal canal on rectal distension. When a normal response occurred, good or moderate continence was observed. Poor continence was associated with a rise in anal canal force.
The force in the anal canal on voluntary squeezing proved to be less informative in assessing continence than did the presence of a palpable puborectalis.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>4756941</pmid><doi>10.1016/0022-3468(73)90212-1</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of pediatric surgery, 1973-08, Vol.8 (4), p.497-503 |
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| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Age Factors Anal Canal - physiopathology Anus, Imperforate - surgery Dilatation Electrophysiology Fecal Incontinence - etiology Fecal Incontinence - physiopathology Female Follow-Up Studies Humans Infant, Newborn Male Methods Muscle, Smooth - physiopathology Postoperative Complications Pressure Rectal Prolapse - etiology Rectum - physiopathology Reflex Respiration Time Factors |
| title | Anal continence following surgery for imperforate anus |
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