Abstract
A technique of evacuation proctography using a simple barium and air mixture is described. The study can be easily combined with a barium enema examination. A series of 35 patients with intractable constipation have been studied and compared with 7 controls. Most of the abnormalities seen using more elaborate methods of defaecography were identified. Variants of rectal intussusception were found in 16 patients. Other diagnoses included rectocele, mucosal and full rectal prolapse, accentuation of puborectalis impression and solitary rectal ulcer. The technique should prove useful in the management of patients with disorders of defaecation.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BROWN B. S. DEFECOGRAPHY OR ANORECTAL STUDIES IN CHILDREN INCLUDING CINEFLUOROGRAPHIC OBSERVATIONS. J Can Assoc Radiol. 1965 Mar;16:66–76. [PubMed] [Google Scholar]
- Bartolo D. C., Read N. W., Jarratt J. A., Read M. G., Donnelly T. C., Johnson A. G. Differences in anal sphincter function and clinical presentation in patients with pelvic floor descent. Gastroenterology. 1983 Jul;85(1):68–75. [PubMed] [Google Scholar]
- Brodén B., Snellman B. Procidentia of the rectum studied with cineradiography. A contribution to the discussion of causative mechanism. Dis Colon Rectum. 1968 Sep-Oct;11(5):330–347. doi: 10.1007/BF02616986. [DOI] [PubMed] [Google Scholar]
- Hinton J. M., Lennard-Jones J. E., Young A. C. A ne method for studying gut transit times using radioopaque markers. Gut. 1969 Oct;10(10):842–847. doi: 10.1136/gut.10.10.842. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ihre T., Seligson U. Intussusception of the rectum-internal procidentia: treatment and results in 90 patients. Dis Colon Rectum. 1975 Jul-Aug;18(5):391–396. doi: 10.1007/BF02587429. [DOI] [PubMed] [Google Scholar]
- Lennard-Jones J. E. Functional gastrointestinal disorders. N Engl J Med. 1983 Feb 24;308(8):431–435. doi: 10.1056/NEJM198302243080805. [DOI] [PubMed] [Google Scholar]
- Mahieu P., Pringot J., Bodart P. Defecography: I. Description of a new procedure and results in normal patients. Gastrointest Radiol. 1984;9(3):247–251. doi: 10.1007/BF01887845. [DOI] [PubMed] [Google Scholar]
- Mahieu P., Pringot J., Bodart P. Defecography: II. Contribution to the diagnosis of defecation disorders. Gastrointest Radiol. 1984;9(3):253–261. doi: 10.1007/BF01887846. [DOI] [PubMed] [Google Scholar]
- Parks A. G., Porter N. H., Hardcastle J. The syndrome of the descending perineum. Proc R Soc Med. 1966 Jun;59(6):477–482. doi: 10.1177/003591576605900601. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Phillips S. F., Edwards D. A. Some aspects of anal continence and defaecation. Gut. 1965 Aug;6(4):396–406. doi: 10.1136/gut.6.4.396. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Preston D. M., Hawley P. R., Lennard-Jones J. E., Todd I. P. Results of colectomy for severe idiopathic constipation in women (Arbuthnot Lane's disease). Br J Surg. 1984 Jul;71(7):547–552. doi: 10.1002/bjs.1800710726. [DOI] [PubMed] [Google Scholar]
- Preston D. M., Lennard-Jones J. E., Thomas B. M. The balloon proctogram. Br J Surg. 1984 Jan;71(1):29–32. doi: 10.1002/bjs.1800710109. [DOI] [PubMed] [Google Scholar]
- RITCHIE J. A., ARDRAN G. M., TRUELOVE S. C. Motor activity of the sigmoid colon of humans. A combined study by intraluminal pressure recording and cineradiography. Gastroenterology. 1962 Dec;43:642–668. [PubMed] [Google Scholar]
- Rutter K. R. Electromyographic changes in certain pelvic floor abnormalities. Proc R Soc Med. 1974 Jan;67(1):53–56. [PMC free article] [PubMed] [Google Scholar]