Document Detail

Anorectal diagnostics for proctological diseases.
MedLine Citation:
PMID:  23149766     Owner:  NLM     Status:  Publisher    
The majority of proctological diseases can be defined by a structured evaluation of the symptoms and a physical examination. Magnetic resonance imaging (MRI) and anal endosonography can detect complex anal fistulas with a high accuracy but MRI should be preferred because of its objective visualization. Functional anorectal disorders are multifactorial and show morphological and functional irregularities in different compartments of the pelvic floor which is why MR defecography is now one of the most important methods in diagnostic algorithms. Interpreting the results of anal endosonography, anal manometry and neurophysiological testing is highly demanding because of large interindividual variability. Scores are used for objective measurement of symptom severity and quality of life. In clinical practice, well validated scores evaluated in large patient groups with predetermined circumstances are needed. Bringing together morphological results with scores based on subjective perception is required to optimize diagnostics and therapy evaluation in proctology.
T Jackisch; H Witzigmann; S Stelzner
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-14
Journal Detail:
Title:  Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen     Volume:  -     ISSN:  1433-0385     ISO Abbreviation:  Chirurg     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  16140410R     Medline TA:  Chirurg     Country:  -    
Other Details:
Languages:  GER     Pagination:  -     Citation Subset:  -    
Klinik für Allgemein- und Viszeralchirurgie, Krankenhaus Dresden-Friedrichstadt, Friedrichstr. 41, 01067, Dresden, Deutschland,
Vernacular Title:
Anorektale Diagnostik bei proktologischen Erkrankungen.
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