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Radiologic evaluation of constipation and anorectal disorders
D G Mezwa1, P J Feczko, C Bosanko
1Department of Diagnostic Radiology, William Beaumont Hospital, Royal Oak, Michigan.
Radiologic Clinics of North America
|November 1, 1993
Summary
This study reviews radiographic approaches for anorectal issues. Defecography offers a visual record, but combining it with other physiologic data is crucial for deeper understanding of defecation disorders.
Area of Science:
- Radiology
- Gastroenterology
- Physiology
Background:
- Constipation and anorectal complaints are common patient issues.
- Radiographic evaluation plays a role in assessing these conditions.
- Current understanding of defecation pathophysiology may be limited by single-modality assessment.
Purpose of the Study:
- To outline an orderly radiographic approach for evaluating patients with constipation and anorectal complaints.
- To highlight the role and limitations of defecography in assessing defecation disorders.
- To emphasize the need for integrating defecography with other physiological studies.
Main Methods:
- Review of radiographic techniques for anorectal evaluation.
- Discussion of defecography as a primary imaging tool.
- Exploration of complementary physiological assessments like manometry, electromyography, and proctography.
Main Results:
- Defecography provides a visual record of the defecation process.
- Integrating defecography with manometric, electromyographic, and proctographic data is necessary for comprehensive pathophysiological understanding.
- Defecography is widely accessible due to the availability of fluoroscopy suites.
Conclusions:
- An orderly radiographic approach, including defecography, is essential for evaluating anorectal complaints.
- Further research is needed to correlate proctographic findings with other physiological studies.
- More studies are required to link pre- and postoperative defecography results with clinical outcomes.