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Barium trapping in rectoceles: are we trapped by the wrong definition?
T Greenberg1, F M Kelvin, D D Maglinte
1Department of Medical Education, Methodist Hospital, Indianapolis, IN 46202, USA.
Abdominal Imaging
|March 22, 2002
Summary
Post-toilet radiography reveals that barium trapping in rectoceles often resolves, suggesting it
Area of Science:
- Gastroenterology
- Radiology
- Surgical Assessment
Background:
- Barium trapping in rectoceles is a surgical selection criterion.
- Proctography is used to assess rectocele repair candidacy.
Purpose of the Study:
- Compare barium trapping on post-evacuation vs. post-toilet radiography.
- Evaluate the impact of further evacuation on rectocele barium trapping.
Main Methods:
- Retrospective review of 82 patients with rectocele barium trapping.
- Measurement of rectocele size and barium trapping depth.
- Comparison of post-evacuation and post-toilet radiographs.
Main Results:
- Barium trapping resolved in 57% of patients on post-toilet radiographs.
- Resolution was related to rectocele size.
- Significant differences in trapping depth were observed between imaging types.
Conclusions:
- Rectocele barium trapping is influenced by rectal evacuation completeness.
- Post-toilet radiography demonstrates more complete evacuation.
- Post-toilet imaging may be superior for preoperative assessment of rectocele barium trapping.
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