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Defecography: Technique, Interpretation and Clinical Application

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Evaluation of Gastrointestinal Motility and its Disorders
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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

  1. 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.

    Article  PubMed  Google Scholar 

  2. Mahieu PH, Pringot J, Bodart P. Defecography: 1. Description of a new procedure and results in normal patients. Gastrointest Radiol. 1984;9:247–51.

    Article  CAS  PubMed  Google Scholar 

  3. Mahieu PH, Pringot J, Bodart P. Defecography: 2. Contribution to the diagnosis of defection disorders. Gastrointest Radiol. 1984;9:253–61.

    Article  CAS  PubMed  Google Scholar 

  4. Ganeshan A, Anderson EM, Upponi S, Planner AC, Slater A, Moore N, et al. Imaging of obstructed defecation. Clin Radiol. 2008;63:18–26.

    Article  CAS  PubMed  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  6. Mezwa DG, Feczko PJ, Bosanko C. Radiologic evaluation of constipation and anorectal disorders. Radiol Clin North Am. 1993;31:1375–93.

    CAS  PubMed  Google Scholar 

  7. 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.

    Article  CAS  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  Google Scholar 

  9. Shorvon PJ, McHugh S, Diamant NE, Somers S, Stevenson GW. Defecography in normal volunteers: results and implications. Gut. 1989;30:1737–49.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. 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.

    Google Scholar 

  11. Karasick S, Karasick D, Karasick SR. Functional disorders of the anus and rectum: findings on defecography. Am J Roentgenol. 1993;160:777–82.

    Article  CAS  Google Scholar 

  12. Martelli H, Devroede G, Arhan P, Duguay C. Mechanisms of idiopathic constipation: outlet obstruction. Gastroenterology. 1978;75(4):623–31.

    CAS  PubMed  Google Scholar 

  13. Halligan S, Bartram CI, Park HJ, Kamm MA. Proctographic features of anismus. Radiology. 1995;197:679–82.

    Article  CAS  PubMed  Google Scholar 

  14. 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.

    Article  CAS  Google Scholar 

  15. Maglinte DT, Bartram C. Dynamic imaging of posteriorcompartmentpelvic floordysfunction by evacuation proctography: techniques, indications, results and limitations. Eur J Radiol. 2007;61:454–61.

    Article  PubMed  Google Scholar 

  16. 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.

    Article  Google Scholar 

  17. Ekberg O, Nylander G, Fork FT. Defecography. Radiology. 1985;155:45–8.

    Article  CAS  PubMed  Google Scholar 

  18. Yang XM, Partanen K, Farin P, Soimakallio S. Defecography. Acta Radiol. 1995;36:460–8.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Ah Young Kim .

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© 2016 Springer India

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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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  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-0821-1

  • Online ISBN: 978-81-322-0822-8

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