Abstract：
INTRODUCTION:Colorectal transport in idiopathic fecal incontinence has scarcely been studied, and it remains to be investigated in patients with fecal incontinence and anal sphincter lesion. The aim of the present study was to compare colorectal transport during defecation in patients with idiopathic fecal incontinence and patients with fecal incontinence due to anal sphincter lesions with transport in healthy volunteers. METHOD:Five women with idiopathic fecal incontinence (median age 72 years, range: 58-78 years) and five women with an obstetric sphincter lesion (median age 42 years, range: 28-63 years), four of whom had had previous anal sphincter repair, were compared with nine healthy female volunteers (median age 53 years, range 32-57 years). Colorectal scintigraphy was performed to assess colorectal emptying at defecation as well as segmental antegrade and retrograde transport during defecation. Segmental colorectal transit times were determined using radio-opaque markers. RESULTS:Median colorectal emptying time at defecation was significantly lower in the sphincter lesion group compared with the healthy volunteers (P = 0.009). At defecation, median antegrade transport time from the ascending colon was significantly lower in the sphincter lesion group than in the healthy group (P = 0.02). The median segmental transit time from the rectosigmoid colon was higher in the group with a sphincter lesion than in the healthy group (P = 0.05). There were no statistically significant differences between the group with idiopathic fecal incontinence and the healthy volunteers. CONCLUSION:Patients with fecal incontinence due to sphincter lesions, but not those with idiopathic fecal incontinence, have reduced transport from the cecum/ascending colon and from the rectosigmoid colon at defecation.
journal_name
Tech Coloproctoljournal_title
Techniques in coloproctologyauthors
Michelsen HB,Christensen P,Buntzen S,Laurberg S,Krogh Kdoi
10.1007/s10151-010-0652-6subject
Has Abstractpub_date
2011-03-01 00:00:00pages
23-9issue
1eissn
1123-6337issn
1128-045Xjournal_volume
15pub_type
杂志文章abstract：:Prolapse is a common complication in patients with a transverse loop colostomy. In most cases, the prolapse can be managed conservatively awaiting time for closure eventually. However, loop stoma may also be intentionally permanent or the patient may be too fragile to have the colostomy closed and in these cases a lap...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-004-0051-y
更新日期：2004-03-01 00:00:00
abstract：:This technical note presents a variation of the stapled mucosal prolapsectomy for haemorrhoidal prolapse using the Lone Star Retractor. Our experience highlights the simplicity and usefulness of the technique which is based on the complete eversion of the prolapse carried out by the Lone Star Retractor, without using ...
journal_title：Techniques in coloproctology
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abstract：BACKGROUND:The proposed difficulty scoring system (DSS) may aid in preoperative planning for laparoscopic total mesorectal excision (L-TME) for rectal cancer. METHODS:Fifty-three patients [28 males; 59.0 (31.0-88.0) years of age] treated for rectal cancer at our institution from 2/2011-5/2018 were identified. "Difficu...
journal_title：Techniques in coloproctology
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
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journal_title：Techniques in coloproctology
pub_type： 杂志文章,多中心研究
doi：10.1007/s10151-012-0897-3
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abstract：:After radical resection of rectal carcinoma, the circumferential resection margin (CRM) on the non-peritonealized surface of the resected specimen is of critical importance. Histopathological examination of resected specimens must include careful assessment of the CRM. There is a need to distinguish between CRM-positi...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
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journal_title：Techniques in coloproctology
pub_type： 杂志文章,随机对照试验
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更新日期：2010-11-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0675-7
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02269-8
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abstract：BACKGROUND:The medial approach in laparoscopic splenic flexure mobilization is based on the entrance to the lesser sac just above the ventral edge of the pancreas (VEOP). The artery of Moskowitz runs through the base of the mesocolon, just above the VEOP. The aim of this study was to assess the incidence of the artery ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-017-1663-3
更新日期：2017-07-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-017-1631-y
更新日期：2017-05-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-003-0019-3
更新日期：2003-07-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02329-z
更新日期：2020-08-27 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-012-0882-x
更新日期：2013-02-01 00:00:00
abstract：:Obstructed defecation is one subtype of constipation, and may be due to functional or mechanical causes. Here, we report an unusual cause, never described before, of obstructed defecation due to a large uterine myoma that reverted to normal bowel habits after surgery. The importance of an accurate evaluation of the ca...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-009-0510-6
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abstract：PURPOSE:This study was performed to determine impact of open and hand-assisted colorectal resection on surgical site infection (SSI) rates. METHODS:National Surgical Quality Improvement Project data from 2006 to 2008 were supplemented with an institutional review board-approved chart review. Primary endpoint was SSI r...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-013-1066-z
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-009-0515-1
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-012-0917-3
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journal_title：Techniques in coloproctology
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-006-0306-x
更新日期：2006-12-01 00:00:00
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journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-014-1243-8
更新日期：2015-03-01 00:00:00
abstract：:We report the case of a pelvic and lower abdomen crushing trauma in 37-year-old male patient. The patient had an open lumbar wound, laceration of the psoas muscle, pelvic fracture, a ruptured urogenital diaphragm, and extensive urogenital lacerations. An emergency laparotomy was performed with debridment, urethral rec...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-011-0680-x
更新日期：2011-12-01 00:00:00
abstract：:Transanal endoscopic microsurgery (TEM) was introduced in 1983 as a minimally invasive technique allowing the resection of adenomas and early rectal carcinomas unsuitable for local or colonoscopic excision which would otherwise require major surgery. After 25 years, there is still much debate about the procedure. This...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,评审
doi：10.1007/s10151-009-0466-6
更新日期：2009-06-01 00:00:00
abstract：BACKGROUND:Conflicting views regarding the use of ileorectal anastomosis (IRA) in ulcerative colitis (UC) exist and this controversy prompted us to review our experience, especially against the background of the current tendency to choose the ileal pouch-anal procedure (IPAA). METHODS:Thirty-two consecutive patients w...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-006-0286-x
更新日期：2006-10-01 00:00:00
abstract：BACKGROUND:Oncologic outcomes after complete mesocolic excision (CME) in colon cancer are under investigation. The aim of our study was to compare CME and conventional colectomy (CC) in terms of pathological and oncological outcomes for right colon cancer and to evaluate the impact of lymph node metastasis around the v...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-020-02378-4
更新日期：2021-01-05 00:00:00
abstract：:The currently used technology for transanal excision of rectal neoplasms is diathermy. However, control of bleeding is sometimes difficult. The Harmonic Scalpel provides a "dry" surgical field which facilitates the procedure and allows complete resection of the neoplasm with greater accuracy. ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-008-0427-5
更新日期：2008-09-01 00:00:00
abstract：BACKGROUND:The use of biological materials for the repair of complex abdominal wall defects has increased over the years; however, the role of these materials in routine practice remains unclear. The aim of the study was to evaluate clinical outcomes following the use of Permacol™ porcine collagen surgical implant in c...
journal_title：Techniques in coloproctology
pub_type： 杂志文章,多中心研究
doi：10.1007/s10151-015-1307-4
更新日期：2015-07-01 00:00:00
abstract：BACKGROUND:Representatives from the Italian centers experienced in sacral neuromodulation (SNM) for the treatment of bowel dysfunction met in order to define the current clinical practice in Italy and to produce a consensus statement regarding indications for this therapy and patient management. METHODS:Fifty Italian ...
journal_title：Techniques in coloproctology
pub_type： 杂志文章
doi：10.1007/s10151-013-1002-2
更新日期：2014-01-01 00:00:00
