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Reconstructive Surgery of the Rectum, Anus and Perineum pp 13–20Cite as

Defecography

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Abstract

Conventional (radiographic) defecography has an established role as the benchmark test in the assessment of the postoperative anatomy after the construction of an ileo-anal pouch, a colo-anal anastomosis, or novel endoanal stapled resections such as the stapled transanal rectal resection procedure (and its variants). In addition to depicting the most common postoperative complications such as dehiscence and sinus tract formation, defecography shows the potential causes of poor postoperative functional outcomes including strictures, neorectal enlargement with delayed emptying and contrast retention, asymmetric wall out-pocketing, and abnormal lengthening of a rectal segment distal to the anastomotic site. This chapter outlines the radiological perspective and interpretation of these complex patients in whom postoperative functional outcome is compromised and provides management algorithms for an approach to reoperative surgery.

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Author information

Authors and Affiliations

  1. SICCR Imaging Section, Diagnostic Imaging Center “N. Aliotta” Villa Silvia Clinic, Via Marche 24, Senigallia (AN), 60019, Italy

    Vittorio Luigi Piloni M.D.

  2. Department of Surgery and Orthopaedics, General Surgery Unit, Carlo Poma, Mantua, Italy

    Corrado R. Asteria M.D.

  3. Department of Radiology, Carlo Poma, Mantua, Italy

    Sergio Bellarosa M.D.

Authors
  1. Vittorio Luigi Piloni M.D.
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  2. Corrado R. Asteria M.D.
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  3. Sergio Bellarosa M.D.
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Corresponding author

Correspondence to Vittorio Luigi Piloni M.D. .

Editor information

Editors and Affiliations

  1. Tamworth Rural Referral Hospital, Dean Street, Tamworth, 2340, New South Wales, Australia

    Andrew P. Zbar

  2. Delware Street 420, Minneapolis, 55455, Minnesota, USA

    Robert D. Madoff

  3. , Dept. Colorectal Surgery, Cleveland Clinic, Florida, Cleveland Clinic Blvd. 2950, Weston, 33331, Florida, USA

    Steven Wexner

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© 2013 Springer-Verlag London

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Piloni, V.L., Asteria, C.R., Bellarosa, S. (2013). Defecography. In: Zbar, A., Madoff, R., Wexner, S. (eds) Reconstructive Surgery of the Rectum, Anus and Perineum. Springer, London. https://doi.org/10.1007/978-1-84882-413-3_2

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  • DOI: https://doi.org/10.1007/978-1-84882-413-3_2

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-412-6

  • Online ISBN: 978-1-84882-413-3

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