Document Detail


Endoanorectal ultrasonography.
MedLine Citation:
PMID:  21606791     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Endoanorectal ultrasonography (EARUS) may be used for diagnosing various anorectal disorders. EARUS is easy to perform, has a short learning curve, and causes less discomfort than routine digital examination. Anal sphincters can be clearly visualized, and one can easily distinguish between the internal (hypoechoic) and external (hyperechoic) anal sphincters. Other pelvic floor structures, like the puborectalis muscle, can also be visualized. The use of contrast agents can increase the accuracy of EARUS in the assessment of perianal fistulae. In addition, EARUS is an excellent alternative to expensive magnetic resonance imaging. Besides its use in incontinence and perianal sepsis, the presence of slight or massive submucosal invasion in early rectal cancer may be imaged in greater detail. With 3-dimensional EARUS, it is possible to diagnose the anorectal diseases, in multiplane, with high spatial resolution, adding important information about the therapeutic decision. The normal sonographic anatomy of the anorectum, sonographic findings of anorectal diseases, and indications and limitations of endosonography with complementary techniques such as transvaginal and transperineal ultrasound are reviewed in this article.
Authors:
Ismail Mihmanli; Fatih Kantarci; Vikram S Dogra
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ultrasound quarterly     Volume:  27     ISSN:  1536-0253     ISO Abbreviation:  Ultrasound Q     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8809459     Medline TA:  Ultrasound Q     Country:  United States    
Other Details:
Languages:  eng     Pagination:  87-104     Citation Subset:  IM    
Affiliation:
*Department of Radiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey; and †Department of Imaging Sciences, University of Rochester School of Medicine and Dentistry, Rochester, NY.
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