title: Fecoflowmetric analysis of anorectal motor function in postoperative anal-preserving surgery patients with low rectal cancer comparison with the wexner score and anorectal manometry.
abstract: The aim of this study was to elucidate whether fecoflowmetry (FFM) could evaluate more detailed evacuative function than anorectal manometry by comparing between FFM or anorectal manometric findings and the clinical questionnaires and the types of surgical procedure in the patients who received anal-preserving surgery. Fifty-three patients who underwent anal-preserving surgery for low rectal cancer were enrolled. The relationships between FFM or the manometric findings and the clinical questionnaires and the types of procedure of anal-preserving surgery were evaluated. There were significant differences between FFM markers and the clinical questionnaire and the types of the surgical procedure, whereas no significant relationship was observed between the manometric findings and the clinical questionnaire and the types of the surgical procedure. FFM might be feasible and useful for the objective assessment of evacuative function and may be superior to manometry for patients undergoing anal-preserving surgery.
authors.affiliation: 1 Department of Surgery, Kurume University School of Medicine, Fukuoka, Japan.
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Ryu
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Akagi
authors.forename: Minoru
authors.initials: M
authors.lastname: Yagi
authors.forename: Teruo
authors.initials: T
authors.lastname: Sasatomi
authors.forename: Tetsushi
authors.initials: T
authors.lastname: Kinugasa
authors.forename: Keizo
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Yousuke
authors.initials: Y
authors.lastname: Oka
authors.forename: Suguru
authors.initials: S
authors.lastname: Fukahori
authors.forename: Ichitaro
authors.initials: I
authors.lastname: Shiratsuchi
authors.forename: Takefumi
authors.initials: T
authors.lastname: Yoshida
authors.forename: Yukito
authors.initials: Y
authors.lastname: Gotanda
authors.forename: Natsuki
authors.initials: N
authors.lastname: Tanaka
authors.forename: Takafumi
authors.initials: T
authors.lastname: Ohchi
authors.forename: Kansakar
authors.initials: K
authors.lastname: Romeo
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shirouzu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001003:Anal Canal / Q000503:physiopathology* / Q000601:surgery; D003672:Defecation / Q000502:physiology*; D005242:Fecal Incontinence / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000503:physiopathology; D011184:Postoperative Period; D012004:Rectal Neoplasms / Q000503:physiopathology / Q000601:surgery*; D012007:Rectum / Q000503:physiopathology* / Q000601:surgery; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Anal-preserving surgery; Anorectal manometry; Fecoflowmetry; Incontinence; Rectal cancer