Anal inspection and digital rectal examination compared to anorectal physiology tests and endoanal ultrasonography in evaluating fecal incontinence.

Translated title of the contribution: Anal inspection and digital rectal examination compared to anorectal physiology tests and endoanal ultrasonography in evaluating fecal incontinence.

A.C. Dobben, M.P. Terra, M. Deutekom, M.F. Gerhards, A.B. Bijnen, R.J. Felt-Bersma, L.W.M. Janssen, P.M. Bossuyt, J. Stoker

    Research output: Contribution to journalArticleAcademicpeer-review

    Abstract

    BACKGROUND: Anal inspection and digital rectal examination are routinely performed in fecal incontinent patients but it is not clear to what extent they contribute to the diagnostic work-up. We examined if and how findings of anal inspection and rectal examination are associated with anorectal function tests and endoanal ultrasonography. METHODS: A cohort of fecal incontinent patients (n=312, 90% females; mean age 59) prospectively underwent anal inspection and rectal examination. Findings were compared with results of anorectal function tests and endoanal ultrasonography. RESULTS: Absent, decreased and normal resting and squeeze pressures at rectal examination correlated to some extent with mean (+/-SD) manometric findings: mean resting pressure 41.3 (+/-20), 43.8 (+/-20) and 61.6 (+/-23) Hg (p
    Translated title of the contributionAnal inspection and digital rectal examination compared to anorectal physiology tests and endoanal ultrasonography in evaluating fecal incontinence.
    Original languageUndefined/Unknown
    Pages (from-to)783-790
    Number of pages8
    JournalInternational Journal of Colorectal Disease
    Volume22
    Issue number7
    Publication statusPublished - 2007

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