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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Techniques in coloproctology 4 (2000), S. 25-28 
    ISSN: 1128-045X
    Keywords: Key words Faecal incontinence ; Internal sphincterotomy ; Anal fissure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: Minor defects in continence following open lateral sphincterotomy are relatively common. This study prospectively assessed 28 patients undergoing lateral sphincterotomy for chronic anal fissure. There were substantial differences in both resting and squeeze anal pressures and vector volumes in the incontinent cohort when compared to the continent post-operative cases. Mean preoperative high pressure zone was 37.6 mm, significantly higher than the postoperative value of 17.0 mm (p 〈 0.001). There was a significant difference in percent asymmetry of the anal canal at rest between incontinent and continent post-sphincterotomy cases, with a 6.7% increase in the former group and a 3.1% fall in the latter group (p 〈 0.001). It is unknown whether these changes are predictive for long-term continence.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Techniques in coloproctology 4 (2000), S. 129-131 
    ISSN: 1128-045X
    Keywords: Key words Colonscopy ; CT scanning ; Magnetic resonance imaging ; Virtual colonoscopy ; Pneumocolography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Colonoscopy is an invasive technique, frequently incomplete and often poorly tolerated in elderly patients. New, less invasive modalities are being developed to diagnose moderate-sized adenomatous polyps and colorectal caners which involve pneumo- or hydrocolography with high-resolution surface imaging, either by CT or MR scanning. This approach has recently been supplemented by complex image post-processing to provide a form of virtual colonoscopy which takes account of projected colonic direction and which can map for mucosal anomalies. It remains to be seen how sensitive these newer techniques are and whether defined algorithms for colonic representation can be agreed upon which will prove both accurate and cost-effective both in symptomatic and screening populations.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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