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Abstract

Because the anorectum can be easily examined digitally and endoscopically, it has long been believed that radiology has nothing to offer in its exploration. This opinion has been mostly maintained by the use of a single-contrast barium enema technique, known for its lack of sensitivity in the detection of many lesions. The advances in the technique of barium enema (double-contrast), the fast development of new imaging methods (ultrasonography, computerized tomography, nuclear magnetic resonance), and a better understanding of the physiology and physiopathology of the anorectum have contributed to making radiological investigations essential before any therapeutic procedure.

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References

  1. Balfe DM, Peterson RR, Lee JKT (1983) Normal abdominal anatomy. In: Lee JKT, Sagel SS, Stanley RJ. Computed body tomography. Raven, New York, pp 154–411

    Google Scholar 

  2. Bartram CI, Mahieu PHC (1985) Radiology of the pelvic floor. In: Henry MM, Swash M. Coloproctology and the pelvic floor. Pathophysiology and management. Butterworth, London, pp 151–186

    Google Scholar 

  3. Berman IR, Manning DH, Dudley-Wright K (1985) Anatomic specificity in the diagnosis and treatment of internal rectal prolapse. Dis Colon Rectum 28:816–826

    Article  CAS  PubMed  Google Scholar 

  4. Brekkan A, Kjartansson O, Tulinius H et al (1983) Diagnostic sensitivity of X-ray examination of the large bowel in colorectal cancer. Gastrointest Radiol 8:363–365

    Article  CAS  PubMed  Google Scholar 

  5. Butch RJ, Stark DD, Wittenberg J et al (1986) Staging rectal cancer by MR and CT. AJR Am J Roentgenol 146:1155–1160

    Article  CAS  PubMed  Google Scholar 

  6. Chan CH, Diner WC, Fontenot E, Davidson BD (1985) Randomized single-blind clinical trial of a rapid colonic lavage solution (Golytely) vs. standard preparation for barium enema and colonoscopy. Gastrointest Radiol 10:378–382

    Article  CAS  PubMed  Google Scholar 

  7. Cohan RH, Silverman PM, Thompson WM (1985) Computed tomography of epithelial neoplasms of the anal canal. AJR Am J Roentgenol 145:569–573

    Article  CAS  PubMed  Google Scholar 

  8. Dragsted J, Gammelgaard J (1983) Endoluminal sonic scanning in the evaluation of rectal cancer: a preliminary report of 13 cases. Gastrointest Radiol 8:367–369

    Article  CAS  PubMed  Google Scholar 

  9. Eisenberg RL (1983) Gastrointestinal radiology. A pattern approach. Lippincott, Philadelphia, pp 779–791

    Google Scholar 

  10. Fataar S, Bassiony H, Hamed MS et al (1984) Radiographic spectrum of rectocolonic calcification from schistosomiasis. AJR Am J Roentgenol 141:933–936

    Article  Google Scholar 

  11. Fork F, Lindstrom C, Ekelund G (1983) Double contrast examination in carcinoma of the colon and rectum. Acta Radiol Diagn 24(3): 177–188

    CAS  Google Scholar 

  12. Fox H, Legmann P, Levesque M (1985) Complications colorectales des explorations radiologiques. Ann Gastroenterol Hepatol (Paris) 21: 377–381

    CAS  Google Scholar 

  13. Freeny PC, Marks WM, Ryan JA et al (1986) Colorectal carcinoma evaluation with CT: preoperative staging and detection of postoperative recurrence. Radiology 158:347–353

    CAS  PubMed  Google Scholar 

  14. Fry R, Kodner I (1985) Anorectal disorders. Clin Symp 37(6):1–32

    Google Scholar 

  15. Grabbe E, Lierse W, Winkler R (1983) The perirectal fascia: morphology and use in staging of rectal carcinoma. Radiology 149:241–246

    CAS  PubMed  Google Scholar 

  16. Gudinchet F, Schnyder P, Genton N et al (1991) CT and MR imaging of congenital anorectal anomalies. Perspect Colon Rectal Surg 4:151–160

    Google Scholar 

  17. Hallman JR, Howland WJ, Wolf BH (1986) Retrospective review of the sensitivity of barium enema examination in a community hospital setting. Ohio State Med J 82:126–130

    CAS  PubMed  Google Scholar 

  18. Hellstrom M, Brolin J (1987) Dietary fibers in the preparation of the bowel for diagnostic barium enema. Gastrointest Radiol 12:76–78

    Article  CAS  PubMed  Google Scholar 

  19. Hoffman MJ, Kodner IJ, Fry RD.(1984) Internal intussusception of the rectum. Diagnosis and surgical management. Dis Colon Rectum 27(7):435–441

    Article  CAS  PubMed  Google Scholar 

  20. Hollmann JP, Goebel N (1985) Computertomographie (CT) und Sonographie (US) in der Rezidivdiagnostik kolorektaler Tumoren. ROFO 143(6):665–671

    Article  CAS  PubMed  Google Scholar 

  21. Johansson C, Ihre T, Ahlbäck SO (1985) Disturbances in the defecation mechanism with special reference to intussusception of the rectum (internal procidentia). Dis Colon Rectum 28:920–924

    Article  CAS  PubMed  Google Scholar 

  22. Kelvin F (1982) Radiologic approach to the detection of colorectal neoplasia. Radiol Clin North Am 20(4):743–759

    CAS  PubMed  Google Scholar 

  23. Kelvin FM, Korobkin M, Heaston DK et al (1983) The pelvis after surgery for rectal carcinoma: serial CT observations with emphasis on nonneoplastic features. AJR Am J Roentgenol 141:959–964

    Article  CAS  PubMed  Google Scholar 

  24. Kelvin FM (1987) Imaging the colon: refresher course. RSNA, Chicago.

    Google Scholar 

  25. Kindynis PH (1986) Etude TDM de l’évolution tumorale et non tumorale de la loge d’amputation rectale après amputation abdomino-périnéale. Thesis (no. 7047), University of Geneva

    Google Scholar 

  26. Konishi F, Muto T, Takahashi H et al. (1985) Transrectal ultrasonography for the assessment of invasion of rectal carcinoma. Dis Colon Rectum 28:889–894

    Article  CAS  PubMed  Google Scholar 

  27. Kuijpers HC, Strijk SP (1984) Diagnosis of disturbances of continence and defecation. Dis Colon Rectum 27(10):658–662

    Article  CAS  PubMed  Google Scholar 

  28. Laufer J (1979) Double contrast gastrointestinal radiology with endoscopic correlation. Saunders, Philadelphia, pp 690–713

    Google Scholar 

  29. Laufer J (1983) Double contrast examination of the gastrointestinal tract in alimentary tract radiology, 3rd edn: vol 1. Mosby, St Louis, pp 148–191

    Google Scholar 

  30. Levine MS, Piccolello ML, Sollenberger LC et al (1986) Solitary rectal ulcer syndrome: a radiologic diagnosis. Gastrointest Radiol 11:187–193

    Article  CAS  PubMed  Google Scholar 

  31. Lieberman DA (1984) Common anorectal disorders. Ann Intern Med 101:837–846

    Article  CAS  PubMed  Google Scholar 

  32. Mahieu P, Pringot J, Bodart P (1984) Defecography. 1. Description of a new procedure and results in normal patients. Gastrointest Radiol 9:247–251

    Article  CAS  PubMed  Google Scholar 

  33. Mahieu P, Pringot J, Bodart P (1984) Defecography. 2. Contribution to the diagnosis of defecation disorders. Gastrointest Radiol 9:253–261

    Article  CAS  PubMed  Google Scholar 

  34. Marti MC, Mirescu D (1982) Utilité du défécogramme en proctologic. Ann Gastroenterol Hepatol (Paris) 18:379–384

    Google Scholar 

  35. McCarthy SM, Barnes D, Deveney K et al. (1985) Detection of recurrent rectosigmoid carcinoma: prospective evaluation of CT and clinical factors. AJR Am J Roentgenol 144:577–579

    Article  CAS  PubMed  Google Scholar 

  36. Moss AA (1982) Computed tomography in the staging of gastrointestinal carcinoma. Radiol Clin North Am 20(4):761–780

    CAS  PubMed  Google Scholar 

  37. Myhr GE, Myrwold HE, Nilsen G et al (1994) Perianal fistulas: use of MR imaging for diagnosis. Radiology 191:545–554

    CAS  PubMed  Google Scholar 

  38. Ott DJ, Gelfand DW, Ramquist NA (1980) Causes of error in gastrointestinal radiology. Gastrointest Radiol 5:99–105

    Article  CAS  PubMed  Google Scholar 

  39. Rifkin MD, Marks GJ (1985) Transrectal US as an adjunct in the diagnosis of rectal and extrarectal tumors. Radiology 157:499–502

    CAS  PubMed  Google Scholar 

  40. Rifkin MD, Wechsler RJ, Marks G (1987) Comparison of CT and endorectal US in staging rectal cancer. Radiology 165 [Suppl]:174

    Google Scholar 

  41. Sadry F, Mirescu D, Marti M-C (1986) L’exploration radiolo-gique des troubles de la défécation. In: Bessler W et al (eds) Neue Aspekte radiologischer Diagnostik und Therapie. Jahrbuch 1986. Huber, Bern, pp 8–91

    Google Scholar 

  42. Spinosa GP, Givel JC, Chapuis G (1988) Valeur de l’ultra-sonographie endorectale pour la chirurgien. Helv Chir Acta 55:235–238

    Google Scholar 

  43. Stark DD, Bradley WG (1988) Magnetic resonance imaging. Mosby, St Louis, pp 1130–1133

    Google Scholar 

  44. Stocker J, Hussain SM, Kempen van D et al (1996) Endoanal coil in MR imaging of anal fistulas. AJR Am J Roentgenol 166:360–362

    Article  Google Scholar 

  45. Thoeni RF, Moss AA Schnyder P et al (1981) Detection and staging of primary rectal and rectosigmoid cancer by computed tomography. Radiology 141:135–138

    CAS  PubMed  Google Scholar 

  46. Thoeni RF, Petras A (1982) Detection of rectal and rectosigmoid lesions by double-contrast barium enema examination and sigmoidoscopy. Accuracy of technique and efficacy of standard overhead views. Radiology 142:59–62

    CAS  PubMed  Google Scholar 

  47. Thompson WM, Halvorsen RA, Foster WL et al. (1986) Preoperative and postoperative CT staging of rectosigmoid carcinoma. AJR Am J Roentgenol 146: 703–710

    Article  CAS  PubMed  Google Scholar 

  48. Zannbauer W, Haertel M, Fuchs WA (1981) Computed tomography in carcinoma of the rectum. Gastrointest Radiol 6:79–84

    Article  Google Scholar 

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© 1998 Springer-Verlag Berlin Heidelberg

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Mirescu, D., Sadry, F. (1998). Radiological Investigations. In: Marti, MC., Givel, JC. (eds) Surgical Management of Anorectal and Colonic Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-10169-8_7

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  • DOI: https://doi.org/10.1007/978-3-662-10169-8_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-10171-1

  • Online ISBN: 978-3-662-10169-8

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