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- Title
Anorektale Diagnostik bei proktologischen Erkrankungen.
- Authors
Jackisch, T.; Witzigmann, H.; Stelzner, S.
- Abstract
The majority of proctological diseases can be defined by a structured evaluation of the symptoms and a physical examination. Magnetic resonance imaging (MRI) and anal endosonography can detect complex anal fistulas with a high accuracy but MRI should be preferred because of its objective visualization. Functional anorectal disorders are multifactorial and show morphological and functional irregularities in different compartments of the pelvic floor which is why MR defecography is now one of the most important methods in diagnostic algorithms. Interpreting the results of anal endosonography, anal manometry and neurophysiological testing is highly demanding because of large interindividual variability. Scores are used for objective measurement of symptom severity and quality of life. In clinical practice, well validated scores evaluated in large patient groups with predetermined circumstances are needed. Bringing together morphological results with scores based on subjective perception is required to optimize diagnostics and therapy evaluation in proctology.
- Subjects
ENDOSCOPIC ultrasonography; MAGNETIC resonance imaging; DEFECOGRAPHY; DIAGNOSIS of defecation disorders; RECTAL radiography; PELVIC floor
- Publication
Der Chirurg, 2012, Vol 83, Issue 12, p1023
- ISSN
0009-4722
- Publication type
Article
- DOI
10.1007/s00104-012-2296-8