Ultrasonographic assessment of patients referred with chronic anal pain to a tertiary referral centre

Beer-Gabel, Marc; Carter, D.; Venturero, Moris; Zmora, Osnat; Zbar, Andrew P.

doi:10.1007/s10151-010-0566-3

Cited by 13 publications

(2 citation statements)

References 29 publications

(29 reference statements)

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“…TPUS can be useful for an objective assessment of internal haemorrhoids, although it does not provide clinical benefit in cases with a substantial external haemorr hoidal component, nor has a real role in the therapeutic decision, where generally larger and more symptomatic haemorrhoids are treated operatively [57] . In a study by BeerGabel et al [58] static and DTPUS and EAUS were used to evaluate a cohort of patients presenting with previously undiagnosed chronic anal pain (> 3 mo duration with no clinical anorectal signs). In 25% of the cases occult intersphincteric sepsis was detected.…”

Section: Other Possible Indicationsmentioning

confidence: 99%

Current applications of transperineal ultrasound in gastroenterology

Albuquerque¹,

Pereira²

2016

WJR

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Transperineal ultrasound is an inexpensive, safe and painless technique that dynamically and noninvasively evaluates the anorectal area. It has multiple indications, mainly in urology, gynaecology, surgery and gastroenterology, with increased use in the last decade. It is performed with conventional probes, positioned directly above the anus, and may capture images of the anal canal, rectum, puborectalis muscle (posterior compartment), vagina, uterus, (central compartment), urethra and urinary bladder (anterior compartment). Evacuatory disorders and pelvic floor dysfunction, like rectoceles, enteroceles, rectoanal intussusception, pelvic floor dyssynergy can be diagnosed using this technique. It makes a dynamic evaluation of the interaction between pelvic viscera and pelvic floor musculature, with images obtained at rest, straining and sustained squeezing. This technique is an accurate examination for detecting, classifying and following of perianal inflammatory disease. It can also be used to sonographically guide drainage of deep pelvic abscesses, mainly in patients who cannot undergo conventional drainage. Transperineal ultrasound correctly evaluates sphincters in patients with fecal incontinence, postpartum and also following surgical repair of obstetric tears. There are also some studies referring to its role in anal stenosis, for the measurement of the anal cushions in haemorrhoids and in chronic anal pain. structures interaction during defecation stimulation manoeuvres, as well as the identification, classification, and follow-up in inflammatory perianal disease, and it can also identify sphincter injury in fecal incontinence. In this review the technique is described and the current evidence that supports its use in several areas is also discussed.Albuquerque A, Pereira E. Current applications of transperineal ultrasound in gastroenterology.

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Section: Other Possible Indicationsmentioning

confidence: 99%

Current applications of transperineal ultrasound in gastroenterology

Albuquerque¹,

Pereira²

2016

WJR

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“…De igual forma, la importante frecuencia de indicación en pacientes con neoplasia maligna rectal confirmada habla de la aceptación a nivel nacional y regional que se le está dando a este diagnóstico por parte de grupos interdisciplinarios de oncología, donde la endosonografía juega un papel fundamental a la hora de complementar otras ayudas diagnósticas para estadificación locorregional y planeamiento adecuado de la terapia (4,9,(19)(20)(21)(22).…”

Section: Masaunclassified

Hallazgos en endosonografía anorrectal en una cohorte prospectiva

Ferreira

Vásquez

et al. 2016

Rev. Colomb. Gastroenterol.

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La endosonografía anorrectal permite diagnosticar múltiples patologías del canal anal y del recto. En Colombia se realiza en pocos sitios y es escaso el personal entrenado para ello. Un grupo de docentes de gastroenterología clínica quirúrgica de la Universidad de Caldas recibió entrenamiento en endosonografía anorrectal en Chile y España, después de lo cual inició su trayectoria, ya de 4 años. Con los datos del último año se realizó un estudio descriptivo en una cohorte prospectiva, tomando la información de los pacientes a quienes se les realizó endosonografía anorrectal entre octubre de 2014 y septiembre de 2015. Se obtuvieron datos de 136 pacientes, predominando el género femenino (72,05%); el 20,6% de los pacientes procedían de departamentos diferentes a Caldas. La principal indicación fue incontinencia fecal en 44 pacientes (32,35%), siendo 86% mujeres; otras indicaciones fueron neoplasia maligna rectal (23,5%), fístula perianal (12,5%), proctalgia (11,03%), endometriosis (7,35%) y absceso perianal (6,62%). El diagnóstico final más frecuente fue defecto de los esfínteres en 40 pacientes (29,41%), seguido por neoplasia maligna rectal (13,24%), fístula perianal (11,76%), absceso perianal (8,82%) y neoplasia benigna rectal (6,62%). Los resultados están en congruencia con la literatura mundial, donde la principal indicación es la incontinencia fecal en relación con el diagnóstico final, que es defectos de los esfínteres por alteraciones obstétricas.La endosonografía anorrectal es de gran importancia como método diagnóstico único o de apoyo para otros, con centros de referencia como el nuestro, donde se realiza en un volumen importante y siguiendo las pautas internacionales recomendadas.

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Emorroidi

Pescatori¹

2011

Prevenzione E Trattamento Delle Complicanze in Chirurgia Proctologica

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Ultrasonographic assessment of patients referred with chronic anal pain to a tertiary referral centre

Cited by 13 publications

References 29 publications

Current applications of transperineal ultrasound in gastroenterology

Current applications of transperineal ultrasound in gastroenterology

Hallazgos en endosonografía anorrectal en una cohorte prospectiva

Emorroidi

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