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Ischemic fecal incontinence and rectal angina
Gastroenterology
|November 1, 1982
Summary
Chronic rectal ischemia may cause fecal incontinence and pain. Patients showed rectal scarring, reduced rectal balloon tolerance, and abnormal rectoanal inhibitory reflexes, supporting this link.
Area of Science:
- Gastroenterology
- Vascular Surgery
Background:
- Fecal incontinence and rectal pain are common conditions.
- The underlying pathophysiology is not fully understood.
Purpose of the Study:
- To investigate the potential role of chronic rectal ischemia in patients with fecal incontinence or rectal pain.
Main Methods:
- Biopsy and clinical examination of 36 patients.
- Assessment of rectal balloon volumes and rectoanal inhibitory reflex.
Main Results:
- Rectal scarring, mucosal atrophy, and fibrosis were observed.
- Reduced maximum tolerable rectal balloon volumes in patients compared to controls.
- Abnormal rectoanal inhibitory reflex in nearly all patients.
Conclusions:
- Findings support the hypothesis that chronic rectal ischemia may cause fecal incontinence and rectal pain.
- Further research into vascular interventions for these conditions may be warranted.
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