anorectal motility in patients with achalasia of the esophagus recognition of an esophago-rectal syndrome肛门直肠的运动性失弛缓性患者的食道esophago-rectal综合征的认识.pdfVIP

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anorectal motility in patients with achalasia of the esophagus recognition of an esophago-rectal syndrome肛门直肠的运动性失弛缓性患者的食道esophago-rectal综合征的认识.pdf

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anorectal motility in patients with achalasia of the esophagus recognition of an esophago-rectal syndrome肛门直肠的运动性失弛缓性患者的食道esophago-rectal综合征的认识

BMC Gastroenterology BioMed Central Research article Open Access Anorectal motility in patients with achalasia of the esophagus: recognition of an esophago-rectal syndrome Ahmed Shafik* Address: Department of Surgery and Experimental Research, Faculty of Medicine, Cairo University, Cairo, Egypt Email: Ahmed Shafik* - shafik@ * Corresponding author Published: 17 October 2003 Received: 12 February 2003 Accepted: 17 October 2003 BMC Gastroenterology 2003, 3:28 This article is available from: /1471-230X/3/28 © 2003 Shafik; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the articles original URL. EsophagusRectumAchalasiaConstipationStrainodyniaMyotomyMyectomy Abstract Background: During my study of constipation, I encountered patients who had achalasia of the esophagus (AE) as well. The possibility of an existing relationship between the 2 conditions was studied. Method: Investigations to study the anorectal motility in 9 AE patients included: the intestinal transit time, anorectal manometry, rectoanal inhibitory reflex, defecography and electromyography (EMG) of external anal sphincter and levator ani muscle. Anorectal biopsy was done. The study comprised 8 healthy volunteers as controls. Results: 6/9 AE patients had constipation presenting as strainodynia (excessive prolonged straining at sto