Zusammenfassung
Eine endoskopische Diagnostik (Proktoskopie, Rektoskopie) ist bei allen proktologischen Patienten durchzuführen, bei denen der Verdacht auf eine organische oder funktionelle Erkrankung des Rektums oder des Analkanals besteht. Somit kann sich die Indikation zur Endoskopie aus der Anamnese des Patienten ergeben (z. B. Blutung, Schmerzen, Entleerungsstörung, etc.) oder aus Auffälligkeiten der vorangegangenen digital-rektalen Untersuchung (z. B. Palpation eines Tumors). Die anale oder rektale Endosonografie ist Bestandteil der erweiterterten proktologischen Diagnostik. Hauptindikationen stellen neben dem Staging (Rektumkarzinom) die Abszess- und Fisteldiagnostik sowie der Ausschluss bzw. Nachweis eines Sphinkterdefekts bei der Abklärung einer Stuhlinkontinenz dar.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Al-Sukhni E, Milot L, Fruitman M, Beyene J, Victor JC et al (2012) Diagnostic accuracy of MRI for assessment of T category, lymph node metastases, and circumferential resection margin involvement in patients with rectal cancer: a systematic review and meta-analysis. Ann Surg Oncol 19:2212–2223
Bat L, Melzer E, Koler M, Dreznick Z, Shemesh E (1993) Complications of rubber band ligation of symptomatic internal hemorrhoids. Dis Colon Rectum 36:287–90
Befeler D (1967) Proctoscopic perforation of the large bowel. Dis Colon Rectum 10:376–378
Beynon J, Foy DM, Temple LN, Channer JL, Virjee J, Mortensen NJ (1986) The endosonic appearances of normal colon and rectum. Dis Colon Rectum 29:810–813
Burdan F, Sudol-Szopinska I, Staroslawska E, Kolodziejczak M, Klepacz R et al (2015) Magnetic resonance imaging and endorectal ultrasound for diagnosis of rectal lesions. Eur J Med Res Jan 14;20:4 [Epub ahead of print]
Burnett SJ, Bartram CI (1991) Endosonographicvariations in the normal internalanal sphincter. Int J Colorectal Dis 6:2–4
Erckenbrecht JF, Rühl A (1993) Endoscopy and histological findings. In: Buchmann P, Brühlmann W (Hrsg) Investigation of anorectal functional disorders. 1.Aufl. Springer-Verlag Berlin Heidelberg, New York
Giovannini M, Ardizzone S (2006) Anorectal ultrasound for neoplastic and inflammatory lesions. Best Pract Res Clin Gastroenterol 20:113–135
Goertz RS, Fein M, Sailer M (2008) Impact of biopsy on the accuracy of endorectal ultrasound staging of rectal tumors. Dis Colon Rectum 51:1125–1129
Gold DG, Halligan S, Kmiot W, Bartram CI (1999) Anal endosonography: inter- and intra-observer agreement. Br J Surg 86:371–375
Jackman RJ (1959) The importance and technic of proctoscopy. Dis Colon Rectum 2:139–148
Kim JC, Kim HC, Yu CS, Han KR, Kim JR et al (2006) Efficacy of 3-dimensional endorectal ultrasonography compared with conventional ultrasonography and computed tomography in preoperative rectal cancer staging. Am J Surg 192:89–97
Kim MJ (2015) Transrectal ultrasonography of anorectal diseases: advantages and disadvantages. Ultrasonography 24:19–31
Krajewski KM, Kane RA (2008) Ultrasound staging of rectal cancer. Semin Ultrasound CT MR 29:427–432
Nelson RL, Abcarian H, Prasad ML (1982) Iatrogenic perforation of the colon and rectum. Dis Colon Rectum 25:305–308
Puli SR, Bechtold ML, Reddy JB, Choudhary A, Antillon MR, Brugge WR (2009a) How good is endoscopic ultrasound in differentiating various T stages of rectal cancer? Meta-analysis and systematic review. Ann Surg Oncol 16:254–465
Puli SR, Reddy JB, Bechtold ML, Choudhary A, Antillon MR, Brugge WR (2009b) Accuracy of endoscopic ultrasound to diagnose nodal invasion by rectal cancers: a meta-analysis and systematic review. Ann Surg Oncol 16:1255–1265
Samalavicius NE, Kazanavicius D, Lunevicius R, Poskus T, Valantinas J et al (2013) Incidence, risk, management, and outcomes of iatrogenic full-thickness large bowel injury associated with 56,882 colonoscopies in 14 Lithuanian hospitals. Surg Endosc 27: 1628–1635
Samdani T, Garcia-Aguilar J (2014) Imaging in rectal cancer: magnetic resonance imaging versus endorectal ultrasonography. Surg Oncol Clin N Am 23:59–77
Saranovic D, Barisic G, Krivokapic Z, Masulovic D, Djuric-Stefanovic A (2007) Endoanal ultrasound evaluation of anorectal diseases and disorders: technique, indications, results and limitations. Eur J Radiol 61:480–489
Stein E (2013) Proktologie. Lehrbuch und Atlas. 4. Aufl. 2013, Springer Berlin Heidelberg, New York
Stoker J, Halligan S, Bartram CI (2001) Pelvic floor imaging. Radiology 218:621–641
Winkler R (2012) Endoskopie. In: Lange J, Mölle B, Girona J (Hrsg) Chirurgische Proktologie. 2 Aufl., Springer Berlin Heidelberg, New York
Zhao RS, Wang H, Zhou ZY, Zhou Q, Mulholland MW (2014) Restaging of locally advanced rectal cancer with magnetic resonance imaging and endoluminal ultrasound after preoperative chemoradiotherapy: a systemic review and meta-analysis. Dis Colon Rectum 57:388–395
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Reibetanz, J., Isbert, C. (2016). Proktologische Diagnostik: Proktoskopie, Rektoskopie und Endosonografie. In: Schwandner, O. (eds) Proktologische Diagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47262-0_2
Download citation
DOI: https://doi.org/10.1007/978-3-662-47262-0_2
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-47261-3
Online ISBN: 978-3-662-47262-0
eBook Packages: Medicine (German Language)