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Anorectal function in systemic sclerosis
- Source :
- Diseases of the Colon & Rectum. 40:1328-1335
- Publication Year :
- 1997
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 1997.
-
Abstract
- PURPOSE: This study was designed to compare esophageal and anorectal function parameters in patients with systemic sclerosis and to define the role of anorectal manometry in the diagnosis of gastrointestinal involvement of systemic sclerosis. PATIENTS AND METHODS: Twenty-six consecutive patients (22 females) with systemic sclerosis originally referred for assessment of esophageal function were evaluated by esophageal and anorectal manometry. Anorectal function parameters were compared between patients with normal and those with disturbed esophageal function. RESULTS: A total of 17 of 26 patients (65 percent) had severe esophageal dysfunction with aperistalsis of the lower two-thirds of the esophagus, whereas 9 patients (35 percent) had normal esophageal manometry. Only three patients (11.5 percent) suffered from occasional fecal incontinence. Anorectal function parameters (resting pressure, maximum squeeze pressure, perception threshold) were not significantly different between patients with normal and those with disturbed esophageal motility. Rectoanal inhibitory reflex was excitable in nearly 90 percent of patients. CONCLUSION: In an unselected group of patients with systemic sclerosis, fecal incontinence and abnormal anorectal function are rather rare findings. Anorectal manometry cannot differentiate between patients with and without gastrointestinal involvement of systemic sclerosis.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Manometry
Anal Canal
Gastroenterology
Scleroderma
Esophagus
Internal medicine
Reflex
medicine
Humans
Fecal incontinence
Aged
Scleroderma, Systemic
business.industry
Esophageal disease
Anorectal manometry
Rectum
General Medicine
Middle Aged
medicine.disease
Connective tissue disease
Colorectal surgery
medicine.anatomical_structure
Female
medicine.symptom
Gastrointestinal Motility
business
Fecal Incontinence
Subjects
Details
- ISSN :
- 00123706
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Diseases of the Colon & Rectum
- Accession number :
- edsair.doi.dedup.....209b0af1c7d52bf76374613795805de9