Author/Editor		Sudol-Szopinska, Iwona; Ciesielski, Adam; Bielecki, Krzystof; Baczuk, Lech; Jakubowski, Wieslaw; Tarnowski, Wieslaw
Title		Endosonographic and manometric assessment of the anal sphincters in patients operated on for Crohn's disease of the colon
Translated title		Endosonografska in manometriena ocena analnega sfinktra pri bolnikih operiranih zaradi Crohnove bolezni širokega črevesa
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 36, št. 3
Publication year		2002
Volume		str. 219-23
Language		eng
Abstract		Background. The aim of this study was to compare endosonography and manometry of the anal sphincters in patients operated on for Crohn's Disease (CD) of the colon. Patients and methods. Ten patients aged between 21-67 years operated on for CD between 1988 and 1999 were examined with anal endosonography (AES) and anorectal manometry. Results. AES visualized abnormal image of the internal anal sphincter (IAS) in 8 patients (80%). Defects of the external anal sphincter (EAS) and puborectalis muscle (PR) were shown in 7 patients (70%). Correlation between endosonographic and manometric assessment of the IAS was found in 9 patients (90%). Correlation for the EAS and PR was found in 7 cases (70%). Conclusions. AES and manometry allow assessing the morphology as well as functioning of the anal sphincters and in most of the patients operated on for CD of the colon show high correlation in the above assessment. Both methods may be very helpful in choosing an optimal surgical procedure in patients with CD.
Summary		Izhodišča. Študija primerja endosonografsko in manometrieno preiskavo analnega sfinkterja pri bolnikih, ki so bili operiranih zaradi Crohnove bolezni širokega črevesa. Bolniki in metode. Deset bolnikov starih med 21 in 67 let, ki so bili operirani zaradi CD med 1988 in 1999, smo pregredali z rektalno endosonografijo in anorektalno manometrijo. Rezultati. Rektalna endosonografija je prikazala nenormalno sliko notranjega analnega sfinktra pri 8 bolnikih (80%); okvare zunanjega analnega sfinktra puborektalne mišice pa pri 7 bolnikih (70%). Korelacijo med endosonografsko in manometrieno oceno notranjega analnega sfinktra smo našli pri 9 bolnikih (90%); korelacijo med oceno zunanjega analnega sfinktra in puborektalno mišico pa pri 7 bolnikih (70%). Zaključki. Rektalna endosonografijo in manometrija omogoeata oceno morfologije in funkcije analnih sfinktrov ter pri večini bolnikov, ki so bili operiranih zaradi Crohnove bolezni širokega črevesa, kažeta visoko korelacijo med ocenami. Obe metodi bi bili lahko zelo koristni pri izbiri optimalnega kirurškega postopka pri bolnikih s Crohnovo boleznijo.
Descriptors		CROHN DISEASE ENDOSONOGRAPHY MANOMETRY ANUS