significance of defecography and the role of rectocele in constipated patients意义的便秘患者的排便和脱肛的作用.pdfVIP

Open Journal of Gastroenterology, 2012, 2, 40-44 OJGas /10.4236/ojgas.2012.22009 Published Online May 2012 (http://www.SciRP.org/journal/ojgas/) Significance of defecography and the role of rectocele in constipated patients Mehmet Abdussamet Bozkurt, Ahmet Sürek, Murat Gönenç, Mustafa Uygar Kalaycı, Halil Aliş Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey Email: msametbozkurt@ Received 14 January 2012; revised 6 March 2012; accepted 12 March 2012 ABSTRACT Table 1. Diagnostic criteria of ROME III. Backround: Chronic constipation is a common, chro- 1. Must include two or more of the following: nic and frequent problem of the general population. a. Straining during at least 25% of defecations The aim of this study is to assess the efficacy of de- fecography in diagnosing the etiology of constipation b. Lumpy or hard stools in at least 25% of defecations and the relation between constipation and rectocele. c. Sensation of incomplete evacuation for at least 25% of Material-method: We have investigated 250 patients defecations who have been admitted to our general surgery out- d. Sensation of anorectal obstruction/blockage for at least 25% of patient clinic with complaint of constipation using defecations Rome III criteria and diagnostic defecography. Re- e. Manual maneuvers to facilitate at least 25% of defecations (e.g., sults: Out of 250 pat