ArticleTechniques in coloproctology2016
Anterior intussusception descent during defecation is correlated with the severity of fecal incontinence in patients with rectoanal intussusception.
Article in Techniques in coloproctology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 9 citations in OpenAlex.
- Article
- Laparoscopic ventral rectopexy in patients with fecal incontinence associated with rectoanal intussusception: prospective evaluation of clinical, physiological and morphological changes.Techniques in coloproctology · 2018Article
- Rectoanal intussusception is very common in patients with fecal incontinence.Journal of the anus, rectum and colon · 2018Article
- Proctographic findings and symptoms in patients with anterior rectoanal intussusception.Journal of the anus, rectum and colon · 2017Article
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Authors and funding
6 authors at 1 institution in 1 country.
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Abstract
backgroundRectoanal intussusception (RAI) is a common finding on evacuation proctography in patients with defecation disorders. However, it remains unclear whether intussusception morphology affects the severity of fecal incontinence (FI). The aim of this study was to examine the effect of morphology during defecation on the severity of FI in patients with RAI.
methodsWe included 80 patients with FI who were diagnosed as having RAI on evacuation proctography. Various morphological parameters were measured, and the level of RAI was divided by the extent of descent onto (level I) or into (level II) the anal sphincter. FI symptoms were documented using the FI Severity Index (FISI).
resultsTwenty-eight patients had level I and 52 had level II RAI. The mean (range) FISI score was 24.0 (8-47). FISI scores tended to be significantly higher in level II than in level I [26.3 (10-47) vs. 21.8 (8-42); p = 0.05]. The mean anterior intussusception descent was significantly greater in level II than in level I [24.2 (9.2-39.5) vs. 17.7 (7.8-39.4) mm; p < 0.0001]. Regression analysis showed that anterior intussusception descent was predictive of increased FISI scores.
conclusionsThe severity of FI may be affected by anterior intussusception descent in patients with RAI.
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