直腸肛門奇形症例における術後排便機能, 特に便秘の予防策と排便機能検査所見について

概要

論文の詳細を見る
Follow-up results after surgical treatment of anorectal anomalies were assessed in 118 of 161 patients seen during the past 27 years at the University of Tokyo Hospital. Postoperative constipation, which is one of the major complications in this disease, has been successfully treated in all but one patient with our intensive follow-up management. Radiological and manometric studies for anorectal functions were performed in 43 cases. Amplitude of ano-rectal pressure difference, length of high pressure zone and presence of ano-rectal reflex, as well as radiographic findings, were found to correlate well with continence studied on a clinical basis. Patients were, finally, evaluated with clinical and objective (radiography and manometry) scores, and it was found that objective assessment is more important than clinical assessment.
日本小児外科学会の論文