Summary
To clarify the cause of constipation which follows surgery for the supralevator type of disorder associated with the imperforate anus, rectal compliance, percentage maximum static anorectal pressure, and reflex profile were measured by anorectal manometry in 108 normal controls and 42 patients. Patients with constipation had a low percentage anorectal pressure (50%), high rectal compliance, associated with megarectum, and defecation of the staining type with constipation due to a reaction in anorectal motility.
Zusammenfassung
Um die Ursache der Obstipation nach Operation einer supralevatorischen Analatresie aufzudecken, wurden Messungen der rektalen Compliance, des maximalen statischen anorektalen Druckes (in %) und des Reflexprofiles bei 42 Patienten und 108 gesunden Kontrollen durchgeführt. Patienten mit Obstipation hatten einen niedrigen anorektalen Druck (50%) und eine hohe rektale Compliance, die mit einem Megarektum und Obstipation mit Überlaufenkopresis aufgrund der veränderten anorektalen Motilität verbunden waren.
Résumé
Afin de connaître l’étiologie d’une constipation après opération pour atrésie anale supralévatoire, on a procédé à des mesures de la compliance rectale, de la pression maximale statique anorectale (en %) et de la présence de réflexes dans le cas de 42 patients et de 108 témoins sains. Chez les patients présentant une constipation, la pression anorectale était basse (50%) et la compliance rectale élevée, cette dernière étant liée à un megarectum et à une constipation avec Spotting dus à la modification de la motilité anorectale.
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© 1989 Springer-Verlag Berlin Heidelberg
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Ishihara, M., Morita, K. (1989). Continence and Reflex Pressure Profile After Surgery to Correct the Imperforate Anus. In: Yokoyama, J., Angerpointner, T.A. (eds) Constipation and Fecal Incontinence and Motility Disturbances of the Gut. Progress in Pediatric Surgery, vol 24. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74493-8_10
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DOI: https://doi.org/10.1007/978-3-642-74493-8_10
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