Anal endosonography: a survey of equipment, technique and diagnostic criteria adopted in nine Italian centers

Corso, H. M. Dal; D’Elia, A; Nardi, Paola De; Cavallari, F.; Favetta, U.; D’Urso, A. Pulvirenti; Ratto, Carlo; Santoro, G. A.; Tricomi, N.; Piloni, V.

doi:10.1007/s10151-007-0321-6

Cited by 15 publications

(8 citation statements)

References 49 publications

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“…The majority of current systems provide 2D & 3D Imaging which give a 360° axial view of the anal canal and of the rectal wall . Endoanal ultrasound can be performed with the patient placed in the dorsal lithotomy, left lateral or prone position.…”

Section: Section 5: Imagingmentioning

confidence: 99%

“…Imaging has taught us that training in clinical digital assessment can improve detection and repair of obstetric anal sphincter injuries and thereby minimize the risk of developing fecal incontinence . Obstructive defecation is another common embarrassing problem and imaging techniques that attempt to capture the defecation process are often inconclusive . Artificial contrast material replicating normal fecal consistency for defecating proctography is not available and magnetic resonance imaging requires an upright scanner.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction

Sultan

Monga

Lee³

et al. 2016

Neurourology and Urodynamics

102

154

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Section: Section 5: Imagingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction

Sultan

Monga

Lee³

et al. 2016

Neurourology and Urodynamics

102

154

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“…Since AES is presently considered a first-line tool to evaluate patients with anal and perianal disorders [15][16][17], we feel that, in units with echoendoscopes already available, such a simple and cost-effective adaptation of the technique might allow good quality AES to be performed without the additional cost of a dedicated probe.…”

Section: Discussionmentioning

confidence: 98%

A simplified method for anal ultrasonography: assessment of patient satisfaction and the simplicity of the procedure

et al. 2008

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“…LARS resulting from structural damage to the anal sphincter complex is assessed by EUS. Both the internal and external anal sphincter can be visualized and defects in the sphincters predicted with an accuracy of over 98percent in experienced hands (20).…”

Section: Endo-anal Uss (Eus)mentioning

confidence: 99%

Low anterior resection syndrome (LARS)

Rajendra

2019

Sri Lanka j Surg

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Patients develop a variety of bowel dysfunction following low or very low anterior resection for rectal cancer. These symptoms are known collectively as low anterior resection syndrome (LARS), and the extent to which it affects the quality of life of these patients can be assessed by the LARS score. Knowledge about anorectal functional anatomy is a prerequisite to understanding the aetio-pathology and clinical manifestation of LARS. Structural and functional impairment of the internal and external anal sphincter and the anal transition zone, loss of reservoir function of the rectum, increased colonic motility, proximal diversion, enteric nervous system remodelling and neuropathy of autonomic nerves in the pelvis are known to cause LARS.Assessment of patients with LARS with MRI scan, endoanal ultrasound and anorectal manometry will help to identify the cause for LARS. Treatment of LARS will have to be tailored to the individual patient. The treatment protocol can start with conservative measures like pelvic floor rehabilitation, colonic irrigation and biofeedback therapy. Medication with Imodium and serotonin receptor antagonists may help some patients with LARS. Sacral nerve stimulation is a minimally invasive technique that has been used to treat patients with LARS for more than one year. Stoma creation will be considered in those with major LARS persisting for more than two years. Meticulous dissection with preservation of nerves and anal sphincters and anastomotic reconstruction techniques such as an end to side anal anastomosis or a colonic-J pouch anal anastomosis can minimize the occurrence of LARS. Introduction and definition of the low anterior resectionLow anterior resection for cancer is defined as the operation which aims to completely remove the rectum with its tumour, including total mesorectal excision, followed by anastomosis Correspondence: Sittampalam Rajendra

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Anal endosonography: a survey of equipment, technique and diagnostic criteria adopted in nine Italian centers

Abstract: A list of recommendations and guidelines based on the groups's experience has been produced for those radiologists and coloproctologists interested in the use of AES and accreditation of their centres.

Cited by 15 publications

References 49 publications

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction

An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female anorectal dysfunction

A simplified method for anal ultrasonography: assessment of patient satisfaction and the simplicity of the procedure

Low anterior resection syndrome (LARS)

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