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Title:Defecography: a report on 35 cases
Authors:ID Jamar, Breda (Author)
ID Šurlan Popović, Katarina (Author)
Files:.pdf PDF - Presentation file, download (816,28 KB)
MD5: 192DF4BA9B4436B53983327DE7075203
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo OI - Institute of Oncology
Abstract:Purpose. To evaluate indications in the patients referred for defecography to our Institute between October 1996 and December 1999. Patients and methods. Inthis period, 35 patients (31 women and 4 men, their mean age being 56,5 and34,5 years, respectively) with defecation disorders disorders of 1 months to 17 years of duration were referred to us for defecography - 26 from proctology specialists and 9 from internal medical out-patient departments. After the rectum was filled with thick barium paste, spot shots from lateral position were made in different phases of defecation, with the patient sittingon a specially designed commode. Results. Rectocele was found in 21 cases, in 9 cases in association with rectorectal intussusception, in 3 with rectoanal intussusception and in 2 with herniation of rectal wall into ishiorectal fossa. Prolapse was found in 2 cases, and 4 rectorectal intussusception, 1 rectoanal intussusception and 3 fistulas were diagnosed. The findings were normal in only one case, while in 3 cases defectography showed functional abnormalities. In female patients, symptoms started after gynaecological operation in 11 cases and 6 cases after delivery. Eight women had to press perineum with their hand to faciliate defecation. Conclusions. Defecography proved useful in clarifying the pathology underlying patient's difficulties.
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2000
Publisher:Slovenian Medical Association - Slovenian Association of Radiology, Nuclear Medicine Society, Slovenian Society far Radiotherapy and Oncology, and Slovenian Cancer Society
Year of publishing:2000
Number of pages:str. 85-91
Numbering:Letn. 34, št. 2
Source:Ljubljana
PID:20.500.12556/DiRROS-17943 New window
UDC:616
ISSN on article:1318-2099
COBISS.SI-ID:11709145 New window
Copyright:by Authors
Note:BSDOCID53018;
Publication date in DiRROS:23.01.2024
Views:173
Downloads:40
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Title:[Defekografija: poročilo o 35 primerih]
Abstract:Namen raziskave je bil oceniti indikacije pri bolnikih, poslanih na preiskavo na Institut za radiologijo Kliničnega centra v Ljubljani od oktobra 1996 do decembra 1999. Bolniki in metode. Na Inštitut je bilo v navedenem času napotenih na defetologijo 35 bolnikov (31 žensk in 4 moški, s povprečno starostjo 56,5 oz. 34,5 let) s težavami pri defekaciji, ki so trajale od 1 meseca do 17 let. Z raznimi napotnimi diagnozami je iz proktoloških ambulant prišlo 26 bolnikov, 9 pa iz gastroenteroloških ambulant. Defekografija je funkcijska rentgenska preiskava: bolniku napolnimo rektum z gosto barijevo pasto, ga posedemo na posebno oblikovano komodo in v stranski projekciji delamo ciljane posnetke rektoanalnega predela v raznih fazah defekacije. Rezultati. Rektokelo smo našli v 21 primerih, 9 v povezavi z rektorektalno intususcepscijo, 3 z rekroanalno intususcepcijo in 2 s herniacijo v ishiorektalno foso. Našli smo še prolaps (2 primera), rektorektalno intususcepcijo (4), rektoanalno intususcepcijo (1) in 3 fistule. Funkcionalne motnje smo dokazali v 3 primerih in le en izvid preiskave je bil ocenjen kot normalen. Pri 11 ženskah so se motnje defekacije začele po ginekološki operaciji, pri 6 po porodu. Osem žensk si je za začetek ali olajšanje defekacije moralo pomagati z roko. Zaključki. Defekografija je preprosta rentgenska preiskava, s katero je v večini primerov mogoče pokazati patološkoanatomski ali funkcijski vzrok težav z defekacijo.


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