J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2279KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 88(9): 1291-1295, 1987

Report on the annual meeting

TREATMENT OF ANORECTAL MALFORMATIONS ASSESSED BY ANORECTAL FUNCTIONS

*) Division of Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kyoto, Japan
**) First Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan

Naomi Iwai*), Jun Yanagihara*), Toshiaki Tsuto*), Kazuaki Tokiwa*), Toshio Takahashi**)

Anorectal functions after surgical corrections of anorectal malformations were assessed by clinical, manometric, and electromyographic studies. Sixty-seven patients, aged 4 to 30, were personally interviewed.
Functional disorder in the patients with high type anomaly was mainly fecal incontinence. A slight constipation was found in some of the patients with low type anomaly.
The present manometric study showed that anal sphincter function and rectal reservoir function were disturbed in patients with fecal incontinence, and abnormal high values of maximum tolerable volume and rectal compliance were observed in patients with constipation.
The present electromyography of the external sphincter muscle showed that although patients with high type anomaly have a rudimentary external sphincter muscle they may achieve compensatory voluntary fecal continence through training.

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