Barium trapping in rectoceles: are we trapped by the wrong definition?

Abdominal Imaging
T GreenbergD D Maglinte

Abstract

Barium trapping within a rectocele is a criterion used by surgeons to select which patients with rectoceles should undergo operative repair. This proctographic study compared the presence and depth of barium trapping within a rectocele on postevacuation radiography with those seen on posttoilet radiography after further evacuation in the privacy of the bathroom. Eighty-two consecutive patients with evidence of barium trapping on postevacuation radiographs of a fluoroscopic dynamic cystoproctographic examination were reviewed retrospectively. The size of the rectoceles and the depth of barium trapping on the postevacuation and subsequent posttoilet radiographs were measured. The posttoilet radiographs showed resolution of the barium trapping in 47 (57%) of the 82 patients. Resolution of the trapping was directly related to rectocele size. The mean differences in the depth of barium trapping between the postevacuation and posttoilet radiographs were significant for all sizes of rectocele. Barium trapping in rectoceles changes with the degree of rectal evacuation. More complete evacuation was shown on the posttoilet radiograph than on the postevacuation radiograph. Consequently, the posttoilet radiograph may be more appropriate fo...Continue Reading

Citations

Feb 19, 2005·Abdominal Imaging·C I Bartram
Oct 12, 2013·Abdominal Imaging·Ana Catarina A Silva, Dean D T Maglinte
Mar 28, 2003·Radiologic Clinics of North America·Clive Bartram
Jun 20, 2003·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A D'Hoore, F Penninckx
Dec 25, 2010·Radiology·Dean D T MaglinteJohn C Lappas
Nov 3, 2011·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H P Dietz, M Beer-Gabel
Nov 26, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A J HainsworthA B Williams
Oct 23, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Alison J HainsworthAndrew B Williams

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