RESUMEN
The objective of this piece of work was to assess the most frequent causes of fecal incontinence in our environment. 204 patients undergoing fecal incontinence of various types of severity were evaluated and later referred to [quot ]motilidad digestiva[quot ] department of Gastroenterology floor of Hospital de Clínicas José de San Martín, in an eight year span of time, 58 male (28.43
) and 146 female (71.56
) of an average age of 56 years. Every patient underwent a serious anamnesis, a proctologic examination, anoscopy, a rectosigmoid study, an anorectal manometry, and, a preventive electromyography was performed to those patients with a possible neurologic damage. The most frequent cause of incontinence was idiopathic 37.7
, followed by post surgery (19.6
) and rectal prolapse (13.7
), post menopause (11.2
), post delivery (9.8
), Neurogenic Incontinence (4.9
) and Traumatic Incontinence (2.9
). Doctors performance may prevent some of the causes of incontinence.
RESUMEN
The aim of this study was to assess the importance of defecatography in the diagnosis of lower chronic constipation (4) or rectal type (12), principally in those patients on whom other diagnostic methods had not produced supportive data. Over a 64 month period, 65 patients who had consulted because of chronic constipation, were studied; they were suffering from low bowel symptoms like difficulty in the evacuation of the rectum. The average age was 48 and mostly female. All of them were asked to prepare the same mixture for the defecatory study, using the same type of contrast material and study technique. In most of the cases correlated functional elements were found, while very few cases resulting from just organic causes were found, and only one without functional or organic reason was found. Our results were as follows. 1) Insufficient laxity of the pubo-rectal beam related to forward or backward rectocele or lowering of the increased pelvic floor, a fact that was found in 19 patients (29.23
). 2) Inadequate laxity of the pubo rectal beam in 12 patients (18.46
). 3) Paradoxical contraction of the pubo rectal beam related to forward rectocele or lowering of the increased pelvic floor, in 11 patients (16.92
). 4) Lowering of the increased pelvic floor, related to forward or backward rectocele in 8 patients (12.30
). 5) Paradoxical contraction of the pubo rectal beam in 7 patients (10.76
). 6) Forward or backward rectocele in 3 patients (4.61
). 7) Lowering of the increased pelvic floor in 2 patients (3.07
). 8) Rectal intususception in 1 patient (1.53
). 9) Average study in 1 patient (1.53
). Therefore, the defecatography is a very useful method of study to appraise constipation with anorectoperineal symptoms, as it allows us to diagnose organic and functional problems in the area (6). Likewise, the importance of pre and post surgical tests, both therapeutic and reconstructive must be underlined.
RESUMEN
The aim of this study was to assess the importance of defecatography in the diagnosis of lower chronic constipation (4) or rectal type (12), principally in those patients on whom other diagnostic methods had not produced supportive data. Over a 64 month period, 65 patients who had consulted because of chronic constipation, were studied; they were suffering from low bowel symptoms like difficulty in the evacuation of the rectum. The average age was 48 and mostly female. All of them were asked to prepare the same mixture for the defecatory study, using the same type of contrast material and study technique. In most of the cases correlated functional elements were found, while very few cases resulting from just organic causes were found, and only one without functional or organic reason was found. Our results were as follows. 1) Insufficient laxity of the pubo-rectal beam related to forward or backward rectocele or lowering of the increased pelvic floor, a fact that was found in 19 patients (29.23 percent). 2) Inadequate laxity of the pubo rectal beam in 12 patients (18.46 percent ). 3) Paradoxical contraction of the pubo rectal beam related to forward rectocele or lowering of the increased pelvic floor, in 11 patients (16.92 percent). 4) Lowering of the increased pelvic floor, related to forward or backward rectocele in 8 patients (12.30 percent). 5) Paradoxical contraction of the pubo rectal beam in 7 patients (10.76 percent ). 6) Forward or backward rectocele in 3 patients (4.61 percent). 7) Lowering of the increased pelvic floor in 2 patients (3.07 percent ). 8) Rectal intususception in 1 patient (1.53 percent). 9) Average study in 1 patient (1.53 percent ). Therefore, the defecatography is a very useful method of study to appraise constipation with anorectoperineal symptoms, as it allows us to diagnose organic and functional problems in the area (6). Likewise, the importance of pre and post surgical tests, both therapeutic and reconstructive must be underlined. (Au)
Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Estreñimiento/diagnóstico por imagen , Defecografía , Enfermedades del Recto/diagnóstico por imagen , Estreñimiento/etiología , Defecografía/normas , Enfermedades del Recto/etiología , Recto/fisiopatología , Recto/diagnóstico por imagen , Diafragma Pélvico , Tránsito GastrointestinalRESUMEN
At the Digestive Motility Department on gastroenterology floor of the [quot ]Hospital de Clinicas Jose de San Martin[quot ], 165 patients were evaluated due to chronic constipation, underlying the most frequent causes in our environment. The use of the present diagnostic methods is suggested following a suitable clinical orientation. The most frequent causes of constipation after this test were: chronic idiopathic constipation in 112 cases (67.87
) and with megarectum, megasigma and megacolon 32 cases (19.09
), rectocele in 9 cases (5.45
), rectal prolapse in 5 cases (3.03
), enf. De Hirschprung 5 cases (3.03
) and anal estenosis 2 cases (1.21
).
RESUMEN
At the Digestive Motility Department on gastroenterology floor of the Hospital de Clinicas Jose de San Martin, 165 patients were evaluated due to chronic constipation, underlying the most frequent causes in our environment. The use of the present diagnostic methods is suggested following a suitable clinical orientation. The most frequent causes of constipation after this test were: chronic idiopathic constipation in 112 cases (67.87 per cent) and with megarectum, megasigma and megacolon 32 cases (19.09 per cent), rectocele in 9 cases (5.45 per cent), rectal prolapse in 5 cases (3.03 per cent), enf. De Hirschprung 5 cases (3.03 per cent) and anal estenosis 2 cases (1.21 per cent). (AU)