| A prospective manometric study of the effect of anal fistula surgery on anorectal function. | |
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MedLine Citation:
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PMID: 4013605 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In 31 adults consecutively undergoing surgery for anal fistula (opening of fistulous tract), anorectal manometry was performed before and 7 months after the operation. The resting pressure was significantly reduced in the distal 3 cm of the anal canal postoperatively. Voluntary sphincter contraction was less markedly affected. Maximal squeeze pressure and maximal contractile power were significantly reduced, however, especially in women and after division of the external sphincter muscle. The pressures were significantly lower in women than in men, particularly after operation, and defective anal control was associated with reduced squeeze pressure. It is therefore suggested that in selected cases, primarily women, anal pressure should be measured preoperatively and division of the external sphincter muscle avoided if the pressure is low. Constant rectoanal inhibitory reflex was elicited by a significantly smaller distending volume and lower rectal pressure postoperatively than preoperatively which, like the reduced resting pressure, indicated impaired function of the internal sphincter muscle. |
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Authors:
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P Sainio; A Husa |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Acta chirurgica Scandinavica Volume: 151 ISSN: 0001-5482 ISO Abbreviation: Acta Chir Scand Publication Date: 1985 |
Date Detail:
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Created Date: 1985-07-31 Completed Date: 1985-07-31 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7906530 Medline TA: Acta Chir Scand Country: SWEDEN |
Other Details:
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Languages: eng Pagination: 279-88 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anal Canal / physiopathology* Female Follow-Up Studies Gastrointestinal Motility* Humans Male Manometry Middle Aged Postoperative Complications / physiopathology Pressure Prospective Studies Rectal Fistula / surgery* Rectum / physiopathology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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