Research ArticleOpen AccessGoogle Scholar indexed
Significance of defecography and the role of rectocele in constipated patients
Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
- 1 Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
- 2 Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
- 3 Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
- 4 Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
- 5 Bak?rk?y Dr. Sadi Konuk Training and Research Hospital General Surgery Department, ?stanbul, Turkey
Open Journal of Gastroenterology·Volume 02 (2012)·Pages 40–44·Published 21 May 2012·DOI10.4236/ojgas.2012.22009
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Abstract
Backround: Chronic constipation is a common, chronic and frequent problem of the general population. The aim of this study is to assess the efficacy of defecography in diagnosing the etiology of constipation and the relation between constipation and rectocele. Material-method: We have investigated 250 patients who have been admitted to our general surgery out-patient clinic with complaint of constipation using Rome III criteria and diagnostic defecography. Results: Out of 250 patients who were evaluated with defecography only 24 had normal findings. 136 patients were found to have rectocele. Conclusion: We propose that rectocele is an important etiology of constipation, and defecography should be considered early in the diagnosis of rectocele.
KeywordsDefecographyRectoceleChronic Constipation
- Rao, S.S. (2008) Dyssynergic defecationand biofeedback therapy. Gastroenterology Clinics of North America, 37, 569-586. doi:10.1016/j.gtc.2008.06.011
- ?ztürk, R. and Rao, S.S. (2007) Defecation disorders: An important subgroup of functional constipation, its pathophysiology, evaluation and treatment with biofeedback. The Turkish Journal of Gastroenterology, 18, 139-149.
- Wallden, L. (1953) Roentgen examination of the deep rectogenital pouch. Acta Radiologica, 39, 105-116. doi:10.3109/00016925309136693
- Brodén, B. and Snellman, B. (1968) Procidentia of the rectum studied with cineradiography: A contribution to the discussion of causative mechanism. Diseases of the Colon & Rectum, 11, 330-347. doi:10.1007/BF02616986
- Mahieu, P.H., Pringot, J. and Bodart, P. (1984) Defecography: 1. Description of a new procedure and results in normal patients. Gastrointestinal radiology, 9, 247-251. doi:10.1007/BF01887845
- Mahieu, P.H., Pringot, J. and Bodart, P. (1984) Defecography: 2. Contribution to the diagnosis of defecation disorders. Gastrointestinal radiology, 9, 253-261. doi:10.1007/BF01887846
- Ganeshan, A., Anderson, E.M., Upponi, S., et al. (2008) Imaging of obstructeddefecation. Clinical Radiology, 63, 18-26. doi:10.1016/j.crad.2007.05.015
- Roos, J.E., Weishaupt, D., Wildermuth, S., et al. (2002) Experience of 4 years with open MR defecography: Pictorial review of anorectal anatomy and diseases. Radiographics, 22, 817-832.
- Mezwa, D.G., Feczko, P.J. and Bosanko, C. (1993) Radiologic evaluation of constipation and anorectal disorders. Radiologic Clinics of North America, 31, 1375- 1393.
- Shorvon, P.J., McHugh, S., Diamant, N.E., et al. (1989) Defecography in normal volunteers: Results and implications. Gut, 30, 1737-1749. doi:10.1136/gut.30.12.1737
- Matikainen, M. (1994) Does defecography help in diagnosis and clinical decision-making in defecation disorders? Abdom Imaging, 19, 355-358.
- Morley, J.E., (2007) Constipation and ?rritable bowel syndrome in the elderly. Clinics in Geriatric Medicine, 23, 823-632. doi:10.1016/j.cger.2007.06.008
- Toglia, M.R. (2009) Pathophysiology of anal incontinence, constipation, and defecatory dysfunction. Obstetrics & Gynecology Clinics of North America, 36, 659- 671. doi:10.1016/j.ogc.2009.08.004
- Pare, P., Ferrazzi, S., Thompson, W.G., et al. (2001) An epidemiological survey of constipationin Canada: Definitions, rates, demographics, and predictors of health care seeking. The American Journal of Gastroenterology, 96, 3130-3137. doi:10.1111/j.1572-0241.2001.05259.x