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[Manometry and defecography in constipated patients with dyschezia]
César A Marrufo-García1, Ma Teresa Sánchez-Avila, Luis A Morales-Garza
1Departamento de Medicina Interna, Hospital San José-Tec de Monterrey, Monterrey, N.L. camarrufo@hotmail.com
Manometry and defecography help diagnose dyssynergic defecation in constipated patients. Defecography revealed disorders in patients without dyssynergia, while inadequate anal canal opening indicated sphincter involvement in those with dyssynergia.
Area of Science:
- Gastroenterology
- Physiology
Background:
- Constipation is a common gastrointestinal disorder.
- Radiologic and physiologic studies are crucial for diagnosing and managing constipation.
Purpose of the Study:
- To evaluate the utility of manometry and defecography in constipated patients with suspected dyssynergic defecation.
Main Methods:
- Dyschesic patients underwent anorectal manometry and defecography.
- Patients were categorized based on manometric findings into those with and without dyssynergia.
Main Results:
- Fifty-eight patients were analyzed. Group I (no dyssynergia) showed higher rates of perineal descending and intussusception.
- Group II (dyssynergia) exhibited a higher frequency of inadequate anal canal opening.
Conclusions:
- Defecography identified disorders contributing to symptoms in Group I.
- In Group II, inadequate anal canal opening suggests external anal sphincter involvement in dyssynergia.
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