Büyükaşık Süleyman, Bozkurt Mehmet Abdussamet, Kapan Selin, Alis Halil
General Surgery Department, Istanbul Aydın Univercity, Istanbul, Turkey.
General Surgery Department, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Ann Coloproctol. 2020 Oct;36(5):330-334. doi: 10.3393/ac.2019.09.15. Epub 2020 Mar 16.
Constipation is a common entity in society with various factors in the etiology. In this study, we evaluated the role of anal sphincter pressure of patients who refer to surgery clinic with complaint of constipation.
Sixty patients who refer to surgery clinic with complaint of constipation and were diagnosed with constipation due to Rome III criteria between July 2010 and September 2014. These patients were evaluated with defecography and were divided into 2 groups based on presence of rectocele. Both groups' anal sphincter pressures were evaluated using anal manometry and findings were compared.
The patients with rectocele and without rectocele using defecography were inspected with anal manometry regarding resting tone pressure, squeeze pressure, maximum squeeze pressure and simulated defecation response pressure, first sensation volume, urge sensation volume, and maximum tolerable volume. Results were compared and no significant difference was found regarding groups with rectocele and without rectocele (P > 0.05).
We have proved the hypothesis arguing that increased sphincter pressures do not play a role in the formation of rectocele by inducing an obstruction and the formation of dilation in proximal bowel, and demonstrated that the presence of rectocele is not dependent on an increase in sphincter pressures.
便秘在社会中是一种常见病症，病因多种多样。在本研究中，我们评估了因便秘主诉前来外科门诊的患者肛门括约肌压力的作用。
2010年7月至2014年9月期间，60例因便秘主诉前来外科门诊且根据罗马III标准被诊断为便秘的患者。这些患者接受了排粪造影检查，并根据直肠膨出的有无分为两组。使用肛门测压法评估两组患者的肛门括约肌压力，并比较结果。
对使用排粪造影检查有直肠膨出和无直肠膨出的患者，就静息张力压力、挤压压力、最大挤压压力和模拟排便反应压力、首次感觉容量、便意感觉容量以及最大耐受容量进行肛门测压检查。比较结果发现，有直肠膨出组和无直肠膨出组之间无显著差异（P>0.05）。
我们证实了如下假设，即括约肌压力增加不会通过导致梗阻和近端肠管扩张而在直肠膨出形成中起作用，并证明直肠膨出的存在不依赖于括约肌压力的增加。
