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직장 중첩증의 배변조영술 소견

Other Titles
 Defecographic findings of rectal intussusception 
 이광훈  ;  추적금  ;  지상원  ;  김기황  ;  박효진 
 Korean Journal of Neurogastroenterology and Motility (대한소화관운동학회지), Vol.8(2) : 177-184, 2002 
Journal Title
 Korean Journal of Neurogastroenterology and Motility (대한소화관운동학회지) 
Issue Date
Rectal intussusception ; Defecogram
Objectives: To analyze the findings of rectal intussusception and to find the other accompanied functional anorectal diseases. Materials and Methods: We analyzed defecograms in 25 patients with rectal intussusception among 77 patients taken with obstructed defecatory symptom. Females were 16 (64%), males were 9 (36%), and the mean age was 55 years old. The changes of anorectal angle (ARA) and movement of anorectal junction were measured, and the morphologic changes of rectal wall during defecation were analyzed. Results: ARAs measured by central axis method (CAM), the mean angles were 114.6, 102.2, and 119.8 degree, respectively in resting, squeezing, and straining period. By posterior wall methods (PWM), those were 86.7, 72.0, 93.3 degree. The differences of ARA between resting and straining period were 5.2, 6.6 degree, respectively by CAM and PWM. The mean descent of anorectal junction during defecation was 0.83 cm. The most frequent finding associated with rectal intussusception was rectocele (12 cases;48%). The other accompanied findings were 9 spastic pelvic floor syndrome (36%) and 4 fecal incontinence (16%). Total 18 patients out of 25 patients were accompanied with other functional anorectal diseases (72%). Conslusions: Recognition of rectal intussusception with accompanied diseases would be important for the proper treatment planning.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Whang(김기황)
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Lee, Kwang Hun(이광훈)
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