Rectoanal intussusception is very common in patients with fecal incontinence
Objectives: Fecal incontinence (FI) is a multifactorial disorder, the etiology of which is not fully understood. Recent data have shown the significance of rectoanal intussusception (RAI) in the evaluation of FI. The present study aimed to determine the incidence of RAI in patients with FI. Methods:...
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| Format: | Article |
| Language: | English |
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The Japan Society of Coloproctology
2018-10-01
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| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/2/4/2_2017-048/_pdf/-char/en |
| _version_ | 1811215779169828864 |
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| author | Yuma Yagi Akira Tsunoda Tomoko Takahashi Hiroshi Kusanagi |
| author_facet | Yuma Yagi Akira Tsunoda Tomoko Takahashi Hiroshi Kusanagi |
| author_sort | Yuma Yagi |
| collection | DOAJ |
| description | Objectives: Fecal incontinence (FI) is a multifactorial disorder, the etiology of which is not fully understood. Recent data have shown the significance of rectoanal intussusception (RAI) in the evaluation of FI. The present study aimed to determine the incidence of RAI in patients with FI. Methods: Between June 2010 and February 2016, 74 patients, who were evaluated using evacuation proctography, anorectal manometry, ultrasound, and incontinence scores, were included in this study. RAI was diagnosed when the apex of the rectal intussusception (RI) impinged on the internal anal orifice or was intra-anal, based on the images taken during maximal straining defecation at evacuation proctography. The characteristics of RAI patients were further analyzed. Results: There were 59 women (80%) and 15 men, with a median age of 74 (52-93) years. Sixty patients (81%) had RI, and 56 (76%) showed RAI. The incidence of RAI among the 32 patients with FI alone and the 42 patients with FI and symptoms of obstructed defecation (OD) was 72% (23/32) and 79% (33/42), respectively. The incidence of RAI was not significantly different between the patients with normal manometry (maximum resting pressure [MRP] 55 cmH2O and maximum squeeze pressure [MSP] 150 cmH2O, n=26) and those with subnormal manometry (MRP <55 cmH2O and/or MSP <150 cmH2O, n=48). Conclusion: RAI is common in patients with FI. Evacuation proctography should be taken into account as a part of the regular study of FI patients. |
| first_indexed | 2024-04-12T06:28:17Z |
| format | Article |
| id | doaj.art-8114fc2107154451a4da22904665da73 |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-04-12T06:28:17Z |
| publishDate | 2018-10-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-8114fc2107154451a4da22904665da732022-12-22T03:44:05ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532018-10-012416216710.23922/jarc.2017-0482017-048Rectoanal intussusception is very common in patients with fecal incontinenceYuma Yagi0Akira Tsunoda1Tomoko Takahashi2Hiroshi Kusanagi3Department of Gastroenterological Surgery, Kameda Medical CenterDepartment of Gastroenterological Surgery, Kameda Medical CenterDepartment of Gastroenterological Surgery, Kameda Medical CenterDepartment of Gastroenterological Surgery, Kameda Medical CenterObjectives: Fecal incontinence (FI) is a multifactorial disorder, the etiology of which is not fully understood. Recent data have shown the significance of rectoanal intussusception (RAI) in the evaluation of FI. The present study aimed to determine the incidence of RAI in patients with FI. Methods: Between June 2010 and February 2016, 74 patients, who were evaluated using evacuation proctography, anorectal manometry, ultrasound, and incontinence scores, were included in this study. RAI was diagnosed when the apex of the rectal intussusception (RI) impinged on the internal anal orifice or was intra-anal, based on the images taken during maximal straining defecation at evacuation proctography. The characteristics of RAI patients were further analyzed. Results: There were 59 women (80%) and 15 men, with a median age of 74 (52-93) years. Sixty patients (81%) had RI, and 56 (76%) showed RAI. The incidence of RAI among the 32 patients with FI alone and the 42 patients with FI and symptoms of obstructed defecation (OD) was 72% (23/32) and 79% (33/42), respectively. The incidence of RAI was not significantly different between the patients with normal manometry (maximum resting pressure [MRP] 55 cmH2O and maximum squeeze pressure [MSP] 150 cmH2O, n=26) and those with subnormal manometry (MRP <55 cmH2O and/or MSP <150 cmH2O, n=48). Conclusion: RAI is common in patients with FI. Evacuation proctography should be taken into account as a part of the regular study of FI patients.https://www.jstage.jst.go.jp/article/jarc/2/4/2_2017-048/_pdf/-char/enevacuation proctographyfecal incontinencelaparoscopic ventral rectopexyrectoanal inhibitory reflexrectoanal intussusception |
| spellingShingle | Yuma Yagi Akira Tsunoda Tomoko Takahashi Hiroshi Kusanagi Rectoanal intussusception is very common in patients with fecal incontinence Journal of the Anus, Rectum and Colon evacuation proctography fecal incontinence laparoscopic ventral rectopexy rectoanal inhibitory reflex rectoanal intussusception |
| title | Rectoanal intussusception is very common in patients with fecal incontinence |
| title_full | Rectoanal intussusception is very common in patients with fecal incontinence |
| title_fullStr | Rectoanal intussusception is very common in patients with fecal incontinence |
| title_full_unstemmed | Rectoanal intussusception is very common in patients with fecal incontinence |
| title_short | Rectoanal intussusception is very common in patients with fecal incontinence |
| title_sort | rectoanal intussusception is very common in patients with fecal incontinence |
| topic | evacuation proctography fecal incontinence laparoscopic ventral rectopexy rectoanal inhibitory reflex rectoanal intussusception |
| url | https://www.jstage.jst.go.jp/article/jarc/2/4/2_2017-048/_pdf/-char/en |
| work_keys_str_mv | AT yumayagi rectoanalintussusceptionisverycommoninpatientswithfecalincontinence AT akiratsunoda rectoanalintussusceptionisverycommoninpatientswithfecalincontinence AT tomokotakahashi rectoanalintussusceptionisverycommoninpatientswithfecalincontinence AT hiroshikusanagi rectoanalintussusceptionisverycommoninpatientswithfecalincontinence |