PMID: 9189778Jan 1, 1997Paper

Defaecography in patients with irritable bowel syndrome and healthy volunteers

International Journal of Colorectal Disease
R A AwadA Toriz

Abstract

In patients with IBS, many symptoms have their origin in the recto-anal segment, with motility changes in the rectum and in the internal anal sphincter, and alterations in rectal sensitivity. However, up to now, it is not known if these clinical and physiological changes are equated with morphological changes in the recto-anal segment. Sixteen consecutive patients with IBS (mean age 22, range 18-33 years; 13 females) and 10 healthy volunteers (mean age 34.5, range 19-50 yr.; 6 males) were evaluated prospectively with defaecography. 1) Anorectal angle: No significant differences were observed in the anorectal angle during rest (91.6 +/- 3.5 degrees vs 92.6 +/- 2.5 degrees) and during defaecation (92 +/- 5.5 degrees vs 98.7 +/- 2.6 degrees) between patients with IBS and healthy volunteers. However, patients with IBS were unable to widen the angle during defaecation, remaining the same at rest (91.6 +/- 3.5 degrees) as during defaecation (92 +/- 5.5 degrees). IBS patients with constipation (n = 2) compared to those with normal frequency defaecation (n = 13) showed no significant differences at rest (95 +/- 6 vs 89.8 +/- 4.1 degrees) and during defaecation (100 +/- vs 88.9 +/- 6.4 degrees). Healthy volunteers widened the angle by m...Continue Reading

Associated Clinical Trials

Citations

Apr 23, 2010·International Journal of Colorectal Disease·Agata Mulak, Leszek Paradowski
Mar 28, 2003·Radiologic Clinics of North America·Clive Bartram
Sep 21, 2002·Lancet·Nicholas J Talley, Robin Spiller
Jun 21, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R A AwadN Ríos
May 12, 2010·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·G ProttA Malcolm
Feb 6, 1999·The American Journal of Gastroenterology·G C HarewoodJ H Pemberton

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