Author/Editor		Sudol-Szopinska, Iwona; Ciesielski, Adam; Bielecki, Krysztof; Baczuk, Lech; Jakubowski, Wieslaw; Tarnowski, Wieslaw
Title		Endosonographic and manometric assessment of the anal sphincters after ileal pouch-anal anastomosis
Translated title		Ocena analnega sfinktra z endoluminalnim ultrazvokom in manometrijo pri bolnikih z anastomozo ilealnega žepa
Type		članek
Source		Radiol Oncol
Vol. and No.		Letnik 37, št. 1
Publication year		2003
Volume		str. 17-22
Language		eng
Abstract		Background. The aim of this study was to compare endosonography and manometry of the anal sphincters in patients after ileal pouch-anal anastomosis (IPAA). Patients and methods. Ten patients aged between 23 and 50 years with IPAA perforrned for ulcerative colitis were examined with anal endosonography (AES) and manometry. Results. AES visualised abnormal image of the internal anal sphincter (IAS) in 9 patients (90%). Defects of the external anal sphincter (EAS) and puborectalis muscle (PR) were shown in 4 patients (40%). In 5 patients (50%) correlation between endosonographic and manometric assessment for the all analysed muscles: IAS, EAS and PR was found. In 4 cases (40%) both methods correlated with the evaluation of the EAS only and in 2 patient (10%) no correlation was found. Correlation between both methods for the IAS was found in half of the patients (50%) while in the evaluation of the EAS and PR dynamic activity, it was found in 9 cases (90%). Conclusious. Anal endosonography and manometry allow us to assess fhe morphology as well as the function of the anal sphincters in patients with IPAA. The methods mentioned above show high correlation in the assessment of the EAS function (9 cases; 90%) whereas in the case of IAS, manometry frequently (5 patients; 50%) does not confirm endosonografically detected defects.
Summary		Izhodišča. Namen študije je bil primerjati endoluminalno ultrazvočno preiskavo analnega sfinktra in manometrijo pri bolnikih z anastomozo ilealnega žepa (IPAA). Bolniki in metode. Deset bolnikov starih med 23 in 50 let, ki so bili operirani zaradi ulceroznega kolitisa, smo pregledali z endoluminalnim analnim ultrazvokom in manometrijo. Rezultati. Endoluminalna analna ultrazvočna preiskava je prikazala nenormalno sliko notranjega analnega sfinktra pri 9 bolnikih (90%); defekte zunanjega analnega sfinktra in puborektalne mišice pa pri 4 bolnikih (40%). Korelacijo med endoluminalno ultrazvočno in manometrično oceno vseh ocenjevanih mišic smo našli pri 5 bolnikih (50%); obe metodi sta pri oceni zunanjega analnega sfinktra korelirali pri 4 bolnikih (40%), korelacije pa nismo našli le pri enem bolniku. Obe metodi sta korelirali pri polovici bolnikov (50%) pri oceni notranjega analnega sfinktra, korelacijo obeh metod pri oceni zunanjega analnega sfinktra in puborektalne dinamične aktivnosti pa smo našli pri 9 bolnikih (90%). Zaključki. Endoluminalna analna ultrazvočna preiskava in manometrija omogočata oceno morfologije in funkcije analnih sfinktrov pri večini bolnikov z IPAA. Metodi kažeta visoko korelacijo med ocenami funkcije zunanjega analnega sfinktra (9 bolnikov; 90%), medtem, ko pri notranjem analnem sfinktru manometrija pogosto (5 bolnikov; 50%) ne potrdi ultrazvočno ugotovljene hibe.
Descriptors		COLITIS, ULCERATIVE ANUS MANOMETRY ANASTOMOSIS, SURGICAL