[Videoproctography in the study of rectal intussusception. The authors' own experience].
Videoproctography has proved to be a useful diagnostic technique to investigate anorectal disorders; it can provide morphological and functional information which no other diagnostic method yields. From a series of 898 videoproctographs, the findings of 117 patients with rectal intussusception were retrospectively reviewed. The most common symptoms were an incomplete emptying feeling (93% of cases), obstructed defecation (78%), and a feeling of upright rectal weighting (71%). Of the three known types of rectal intussusception, the most common type was distal intussusception (44%), followed by the rectoanal type (38%) and finally by the proximal type (19%). The three types of intussusception were frequently (42%) associated with other disorders of rectal ampulla and especially with rectocele (15%), mucosal prolapse (8%), and descending perineum syndrome (12%); they had different clinical correlations and proctographic patterns and could be recognized in different defecation phases. In our personal experience, proctography with videorecording was a useful diagnostic tool in the dynamic assessment of this morphofunctional disorder which represents one of its major indications.
Grassi
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II Cattedra di Radiologia, Università Federico II, Napoli.
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D000328:Adult; D000368:Aged; D001466:Barium Sulfate; D003672:Defecation; D004733:Enema; D005260:Female; D006801:Humans; D007443:Intussusception / Q000145:classification / Q000000981:diagnostic imaging* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012002:Rectal Diseases / Q000145:classification / Q000000981:diagnostic imaging* / Q000453:epidemiology; D012005:Rectal Prolapse / Q000000981:diagnostic imaging / Q000453:epidemiology; D012007:Rectum / Q000000981:diagnostic imaging*; D012189:Retrospective Studies; D014743:Videotape Recording
D001466:Barium Sulfate
La videoproctografia nello studio dell'intussuscezione rettale. Esperienza personale.