dc.contributor.author | Hutchinson, R. | en_US |
dc.contributor.author | Mostafa, A.B. | en_US |
dc.contributor.author | Grant, E.A. | en_US |
dc.contributor.author | Smith, N.B. | en_US |
dc.contributor.author | Deen, K.I. | en_US |
dc.contributor.author | Harding, L.K. | en_US |
dc.contributor.author | Kumar, D. | en_US |
dc.date.accessioned | 2014-10-29T09:10:54Z | |
dc.date.available | 2014-10-29T09:10:54Z | |
dc.date.issued | 1993 | en_US |
dc.identifier.citation | Disease of the Colon and Rectum. 1993; 36(12): pp.1132-38 | en_US |
dc.identifier.issn | 0012-3706 (Print) | en_US |
dc.identifier.issn | 1530-0358 (Electronic) | en_US |
dc.identifier.uri | http://repository.kln.ac.lk/handle/123456789/1186 | |
dc.description | Indexed in MEDLINE | |
dc.description.abstract | PURPOSE: Conventional assessment of anorectal function with defecating videoproctography is semiquantitative and the high radiation exposure precludes prolonged or repeated testing. The aim of this study was to develop a dynamic scintigraphic method of assessing anorectal function. METHODS: Fourteen patients with fecal incontinence, 18 patients with chronic constipation, and 8 control subjects were assessed by scintigraphicdefecography. This involves introduction of a technetium-99m-radiolabeled artificial stool into the rectum of the subject and acquisition of gamma camera images during evacuation. RESULTS: Mean evacuation rate was 2.8 percent/second in incontinent patients and 0.9 percent/second in constipated patients (P < 0.001). The mean anorectal angles were 136 degrees and 133 degrees, respectively. There were 18 cases of pelvic floor descent and 6 rectoceles. Scintigraphicdefecography provides quantitative information on rectal evacuation. Anorectal angle and pelvic floor movement can be examined. The radiation dose to pelvic organs is significantly less than with videoproctography. CONCLUSION: We believe that scintigraphic defecography is the investigation of choice for objective and dynamic assessment of anorectal function | |
dc.publisher | Lippincott Williams and Wilkins | en_US |
dc.subject | Fecal Incontinence | |
dc.subject | Fecal Incontinence-radionuclide imaging | |
dc.subject | Fecal Incontinence-physiopathology | |
dc.subject | Anus Diseases-physiopathology | |
dc.subject | Anus Diseases-radionuclide imaging | |
dc.subject | Chronic Disease | |
dc.subject | Constipation | |
dc.subject | Gastrointestinal Motility | |
dc.subject | Rectal Diseases-physiopathology | |
dc.subject | Rectal Diseases-radionuclide imaging | |
dc.title | Scintigraphic defecography: quantitative and dynamic assessment of anorectal function | en_US |
dc.type | Article | en_US |
dc.identifier.department | Surgery | en_US |
dc.creator.corporateauthor | American Proctologic Society | en_US |
dc.creator.corporateauthor | American Society of Colon and Rectal Surgeons | en_US |
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