Abstract
Defecography has been established as one of the primary examinations for patients with defecation disorder because of easy accessibility and cost-effectiveness. This examination enables, in real time, the morphologic as well as functional evaluation of the rectum and anal canal in a physiologic manner by injection of a thick barium paste into the rectum and its subsequent evacuation. Major indications of defecography include chronic intractable constipation, incomplete evacuation, incontinence, unexplainable rectal bleeding or mucous discharge, and suspected rectal prolapse. Technique and interpretation of this examination are outlined in this review.
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References
Brodén B, Snellman B. Procidentia of the rectum studied with cineradiography. A contribution to the discussion of causative mechanism. Dis Colon Rectum. 1968;11:330–47.
Mahieu PH, Pringot J, Bodart P. Defecography: 1. Description of a new procedure and results in normal patients. Gastrointest Radiol. 1984;9:247–51.
Mahieu PH, Pringot J, Bodart P. Defecography: 2. Contribution to the diagnosis of defection disorders. Gastrointest Radiol. 1984;9:253–61.
Ganeshan A, Anderson EM, Upponi S, Planner AC, Slater A, Moore N, et al. Imaging of obstructed defecation. Clin Radiol. 2008;63:18–26.
Roos JE, Weishaupt D, Wildermuth S, Willmann JK, Marincek B, Hilfiker PR. Experience of 4 years with open MR defecography: pictorial review of anorectal anatomy and disease. Radiographics. 2002;22:817–32.
Mezwa DG, Feczko PJ, Bosanko C. Radiologic evaluation of constipation and anorectal disorders. Radiol Clin North Am. 1993;31:1375–93.
Choi JS, Wexner SD, Nam YS, Mavrantonis C, Salum MR, Yamaguchi T, et al. Intraobserver and interobserver measurements of the anorectal angle and perineal descent in defecography. Dis Colon Rectum. 2000;43:1121–6.
Debruyne C, Penninck F, Lestar B, Kerremans R. Observer variation in the radiological measurement of the anorectal angle. Int J Colorectal Dis. 1990;5:94–7.
Shorvon PJ, McHugh S, Diamant NE, Somers S, Stevenson GW. Defecography in normal volunteers: results and implications. Gut. 1989;30:1737–49.
Pieri L, Perri G,Napoli V, Falaschi F, Iacconi P. Digital videoradiography applied to the study of the recto-anal region during defecography. Radiol Med. 1991;81:90–6. Italian.
Karasick S, Karasick D, Karasick SR. Functional disorders of the anus and rectum: findings on defecography. Am J Roentgenol. 1993;160:777–82.
Martelli H, Devroede G, Arhan P, Duguay C. Mechanisms of idiopathic constipation: outlet obstruction. Gastroenterology. 1978;75(4):623–31.
Halligan S, Bartram CI, Park HJ, Kamm MA. Proctographic features of anismus. Radiology. 1995;197:679–82.
Halligan S, Malouf A, Bartram CI, Marshall M, Hollings N, Kamm MA. Predictive value of impaired evacuation at proctography in diagnosing anismus. Am J Roentgenol. 2001;177:633–6.
Maglinte DT, Bartram C. Dynamic imaging of posteriorcompartmentpelvic floordysfunction by evacuation proctography: techniques, indications, results and limitations. Eur J Radiol. 2007;61:454–61.
Kuijpers HC, Schreve RH, ten Cate Hoedemakers H. Diagnosis of functional disorders of defecation causing the solitary rectal ulcer syndrome. Dis Colon Rectum. 1986;219:126–9.
Ekberg O, Nylander G, Fork FT. Defecography. Radiology. 1985;155:45–8.
Yang XM, Partanen K, Farin P, Soimakallio S. Defecography. Acta Radiol. 1995;36:460–8.
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Kim, A.Y. (2016). Defecography: Technique, Interpretation and Clinical Application. In: Ghoshal, U. (eds) Evaluation of Gastrointestinal Motility and its Disorders. Springer, New Delhi. https://doi.org/10.1007/978-81-322-0822-8_5
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DOI: https://doi.org/10.1007/978-81-322-0822-8_5
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