5 research outputs found
Manometric analysis of the influence of rectal content on anal pressures in chronically constipated patients
OBJECTIVE: The aim of our study was to analyze whether the presence of content in the rectum influences the anorectal manometry examination results in chronically constipated patients. METHODS: We evaluated 38 chronically constipated patients, 36 women and 2 men, with an average age of 53.55 years of age, all with a score above 10 on the Agachan Constipation Scoring System. All the patients underwent rectal preparation and then had the anorectal manometry examination without rectal content and after 5 min had it with a rectal balloon inflated with 200 ml of air in the rectum. STATISTICAL ANALYSIS: The statistical parametric paired-t test was applied in order to verify the difference in response between the groups after an intervention, adopting a significant level of 5% (p < 0.05). RESULTS: The anal pressure was analyzed from the standard anal manometry examination and we found a statistically significant influence on the manometric results for the patients' average resting pressures, absolute average contractions, average contractions, evacuations, and sustained contractions in the functional anal canals. CONCLUSION: The presence of rectal content influences the manometric values of average resting pressure, average absolute contraction, average contraction, evacuation, and average sustained contractions in the functional anal canal in the group of chronically constipated patients
Sigmoidoanal intussusception with exteriorization of sigmoid adenocarcinoma
The intestinal intussusception is a rare disease in adults, and is mostly caused by malignant neoplasm. Symptoms are usually nonspecific and chronic, and in most cases suggesting intestinal obstruction. Treatment consists of removing the malignant tumor. This article reports the case of a patient with hematochezia and apparent mass in the anus who underwent anterior rectosigmoidectomy and had the diagnosis of adenocarcinoma of the sigmoid confirmed
Delorme's technique as an option for the treatment of the rectal prolapse recurrence: case Report
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Previous issue date: 2010O prolapso retal Ă© uma protrusĂŁo de todas as camadas do reto no sentido anal caracterizando um aspecto clĂnico de um tumor anal, inicialmente ele resulta de um esforço intenso com uma redução espontĂąnea e posteriormente ele resulta de um esforço menor com dificuldade na redução. A incidĂȘncia Ă© maior em mulheres. O diagnĂłstico Ă© essencialmente clĂnico e o tratamento Ă© cirĂșrgico. Relato de caso: NM, 65 anos, diabĂ©tico e hipertenso, submetido a sacropromontofixação associada a tĂ©cnica de Moscowicz com recidiva apĂłs um mĂȘs, entĂŁo a tĂ©cnica de Delorme foi utilizada com sucesso. DiscussĂŁo: os procedimentos abdominais sĂŁo indicados para pacientes com menor risco cirĂșrgico devido a grande complexidade e menor taxa de recidiva. Dentre os procedimentos perineais, a tĂ©cnica de Delorme possui uma aplicação simples, contudo com uma alta taxa de recidiva. A tĂ©cnica de Delorme possui uma menor taxa de mortalidade e foi a melhor conduta para este paciente.The rectal prolapse is a protusion of all the layers of the rectum through the anus, characterizing a clinical picture of anal tumor, initially it results of great efforts with spontaneous reduction and subsequently it results of small efforts with difficult reduction. The incidence is bigger in women. The diagnosis is essentially clinical and the treatment is surgical. Case Report: NM, 65 years, diabetic and hypertensive, subjected to sacropromontoryfixation associated to Moscowicz's technique with recurrence after one month, so the technique of Delorme was used successfully. Discussion: the abdominal procedures are indicated for patients with less surgical risk due to its bigger complexity and smaller tax of recurrence. Among the perineal proceedings perineais, the technique of Delorme has simpler execution, however with a bigger rate of recurrence. The technique of Delorme has a smaller rate of mortality and it was the best conduct for this patient.[CĂ©sar, Maria Auxiliadora Prolungatti; Vasconcellos, Bruna Moratore; Soares, Carla Beatriz Carneiro da Cunha; Campos, Carolina Calafiori de; Salera, Camila; Bortman, Daniela; Sansoni, Gabriel Contreira; Leite, JĂșlia Mota; Gomes, Luciana Vendramel TenĂłrio; Silva, Nina Rosa Konichi da; Muniz, Rafaela Cristina Coelho; Coradini, Renata Martins] Universidade de TaubatĂ©, Brazi