Please use this identifier to cite or link to this item: http://repository.kln.ac.lk/handle/123456789/1188
Title: The Prevalence of anal sphincter defects in faecal incontinence: a prospective endosonic study
Authors: Deen, K.I.
Kumar, D.
Williams, J.G.
Olliff, J.
Keighley, M.R.
Keywords: Fecal Incontinence
Fecal Incontinence-physiopathology
Fecal Incontinence-ultrasonography
Anal Canal-physiopathology
Anal Canal-ultrasonography
Colitis, Ulcerative-physiopathology
Episiotomy-adverse effects
Obstetric Labor Complications
Prevalence
Prospective Studies
Comparative Study
Issue Date: 1993
Publisher: British Medical Assosiation
Citation: Gut. 1993; 34(5): pp.685-688
Abstract: Forty six patients (median age 61 years; 42 women) with faecal incontinence and 16 age and sex matched controls undergoing a restorative proctocolectomy were assessed by clinical examination, anorectal physiology, and anal endosonography. Forty patients (87%) with faecal incontinence had a sphincter defect demonstrated on anal endosonography (31 external and 21 internal anal sphincter defects). The commonest cause of faecal incontinence was obstetric trauma. This occurred in 35 women, 30 of whom exhibited a morphological defect in the anorectal sphincter complex. In 22 of these patients with a history of a perineal tear or episiotomy, 21 (95%) had a sphincter defect. Sphincter defects were commonly located at the level of the midanal canal.
Description: Indexed in MEDLINE
URI: http://repository.kln.ac.lk/handle/123456789/1188
ISSN: 0017-5749 (Print)
1468-3288 (Electronic)
Appears in Collections:Journal/Magazine Articles

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