Author/Editor | Jamar, Breda; Šurlan, Katarina | |
Title | Defecography: a report on 35 cases | |
Translated title | Defekografija: poročilo o 35 primerih | |
Type | članek | |
Source | Radiol Oncol | |
Vol. and No. | Letnik 34, št. 2 | |
Publication year | 2000 | |
Volume | str. 85-91 | |
Language | eng | |
Abstract | Purpose. To evaluate indications in the patients referred for defecography to our Institute between October 1996 and December 1999. Patients and methods. In this period, 35 patients (31 women and 4 men, their mean age being 56,5 and 34,5 years, respectively) with defecation disorders disorders of 1 months to 17 years of duration were referred to us for defecography - 26 from proctology specialists and 9 from internal medical out-patient departments. After the rectum was filled with thick barium paste, spot shots from lateral position were made in different phases of defecation, with the patient sitting on a specially designed commode. Results. Rectocele was found in 21 cases, in 9 cases in association with rectorectal intussusception, in 3 with rectoanal intussusception and in 2 with herniation of rectal wall into ishiorectal fossa. Prolapse was found in 2 cases, and 4 rectorectal intussusception, 1 rectoanal intussusception and 3 fistulas were diagnosed. The findings were normal in only one case, while in 3 cases defectography showed functional abnormalities. In female patients, symptoms started after gynaecological operation in 11 cases and 6 cases after delivery. Eight women had to press perineum with their hand to faciliate defecation. Conclusions. Defecography proved useful in clarifying the pathology underlying patient's difficulties. | |
Summary | Namen raziskave je bil oceniti indikacije pri bolnikih, poslanih na preiskavo na Institut za radiologijo Kliničnega centra v Ljubljani od oktobra 1996 do decembra 1999. Bolniki in metode. Na Inštitut je bilo v navedenem času napotenih na defetologijo 35 bolnikov (31 žensk in 4 moški, s povprečno starostjo 56,5 oz. 34,5 let) s težavami pri defekaciji, ki so trajale od 1 meseca do 17 let. Z raznimi napotnimi diagnozami je iz proktoloških ambulant prišlo 26 bolnikov, 9 pa iz gastroenteroloških ambulant. Defekografija je funkcijska rentgenska preiskava: bolniku napolnimo rektum z gosto barijevo pasto, ga posedemo na posebno oblikovano komodo in v stranski projekciji delamo ciljane posnetke rektoanalnega predela v raznih fazah defekacije. Rezultati. Rektokelo smo našli v 21 primerih, 9 v povezavi z rektorektalno intususcepscijo, 3 z rekroanalno intususcepcijo in 2 s herniacijo v ishiorektalno foso. Našli smo še prolaps (2 primera), rektorektalno intususcepcijo (4), rektoanalno intususcepcijo (1) in 3 fistule. Funkcionalne motnje smo dokazali v 3 primerih in le en izvid preiskave je bil ocenjen kot normalen. Pri 11 ženskah so se motnje defekacije začele po ginekološki operaciji, pri 6 po porodu. Osem žensk si je za začetek ali olajšanje defekacije moralo pomagati z roko. Zaključki. Defekografija je preprosta rentgenska preiskava, s katero je v večini primerov mogoče pokazati patološkoanatomski ali funkcijski vzrok težav z defekacijo. | |
Descriptors | DEFECATION RECTAL DISEASES PATIENT SELECTION CONSTIPATION FISSURE IN ANO INTUSSUSCEPTION |