4999 KB14 KB199220252002Baczuk, LechBielecki, KrzystofCiesielski, AdamJakubowski, WieslawSudoł-Szopińska, IwonaTarnowski, Wieslawštevilka:3letnik:36str. 219-223ISSN:1318-2099COBISSID:15524313URN:URN:NBN:SI:doc-MOUIDLIHenCroatian Medical Association - Croatian Society of RadiologySlovenian Medical Society - Section of RadiologyRadiology and oncology (Ljubljana)analni sfinkterAnusCrohn DiseaseCrohnova bolezendiagnostikaEndosonografijaEndosonographyManometrijaManometryradiološka diagnostikaSurgeryEndosonographic and manometric assessment of the anal sphincters in patients operated on for Crohn's disease of the colon|Background. The aim of this study was to compare endosonography and manometry of the anal sphincters in patients operated on for Crohn's Disease (CD) of thecolon. Patients and methods. Ten patients aged between 21-67 years operatedon for CD between 1988 and 1999 were examined with anal endosonography(AES) and anorectal manometry. Results. AES visualized abnormal image of the internal anal sphincter (IAS) in 8 patients (80%). Defects of theexternal anal sphincter (EAS) and puborectalis muscle (PR) were shown in 7 patients (70%). Correlation between endosonographic and manometric assessment of the IAS was found in 9 patients (90%). Correlation for the EAS and PR was found in 7 cases (70%). Conclusions. AES and manometry allow assessing the morphology as well as functioning of the anal sphincters and in most of the patients operated on for CD of the colon show high correlation in the above assessment. Both methods may be very helpful in choosing an optimal surgical procedure in patients with CDIzhodišča. Študija primerja endosonografsko in manometrieno preiskavo analnegasfinkterja pri bolnikih, ki so bili operiranih zaradi Crohnove bolezniširokega črevesa. Bolniki in metode. Deset bolnikov starih med 21 in 67let, ki so bili operirani zaradi CD med 1988 in 1999, smo pregredali z rektalno endosonografijo in anorektalno manometrijo. Rezultati. Rektalna endosonografija je prikazala nenormalno sliko notranjega analnega sfinktra pri8 bolnikih (80%); okvare zunanjega analnega sfinktra puborektalne mišice papri 7 bolnikih (70%). Korelacijo med endosonografsko in manometrieno oceno notranjega analnega sfinktra smo našli pri 9 bolnikih (90%); korelacijo med oceno zunanjega analnega sfinktra in puborektalno mišico pa pri 7 bolnikih (70%). Zaključki. Rektalna endosonografijo in manometrija omogoeata oceno morfologije in funkcije analnih sfinktrov ter pri večini bolnikov, ki so bili operiranih zaradi Crohnove bolezni širokega črevesa, kažeta visoko korelacijo med ocenami. Obe metodi bi bili lahko zelo koristni pri izbiri optimalnega kirurškega postopka pri bolnikih s Crohnovo boleznijoTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaOnkološki inštitut Ljubljana