View More View Less
  • 1 Washington Suite, North Wing, Worthing Hospital, West Sussex, BN11 2DH, UK
Restricted access

Purchase article

USD  $25.00

1 year subscription (Individual Only)

USD  $356.00

Abstract

Objective: To evaluate the endo-anal ultrasound (EAUS) versus endo-anal magnetic resonance imaging (EAMRI) in the diagnosis of external anal sphincter defects (EAS) in patients with faecal incontinence (FI). Methods: Studies on EAUS and EAMRI were selected and analyzed to generate summative data. Results: Five studies encompassing 347 patients of FI were included in this review. Three studies validated the results of EAUS and EAMRI by surgery (61 patients). In the fixed effect model, EAUS was superior to EAMRI in the depiction of EAS defects. On combined analysis of five studies using fixed effect model, both EAUS and EAMRI were equally effective. However, there was a significant heterogeneity between studies. Conclusion: EAUS and EAMRI are comparable in the diagnosis of EAS defects in patients of FI. Since EAUS is an economical, quicker and easily available imaging modality, it may be used a preferable investigation for the diagnosis of EAS defects in patients of FI.

  • 1. R Nelson N Norton E Cautley S Furner 1995 Community-based prevalence of anal incontinence JAMA 274 559 61.

  • 2. RO Roberts SJ Jacobsen WT Reilly JH Pemberton MM Lieber NJ Talley 1996 Prevalence of combined fecal and urinary incontinence: a community-based study J Am Geriatr Soc 47 837 41.

    • Search Google Scholar
    • Export Citation
  • 3. KS Venkatesh PS Ramanujam DM Larson MA Haywood 1989 Anorectal complications of vaginal delivery Dis Colon Rectum 32 1039 1041.

  • 4. EK Fornell G Berg O Hallbook LS Matthiesen R Sjodahl 1996 Clinical consequences of anal sphincter rupure during vaginal delivery J Am Coll Surg 183 553 8.

    • Search Google Scholar
    • Export Citation
  • 5. AH Sultan MA Kamm CN Hudson JM Thomas CI Bartram 1993 Anal sphincter disruption during vaginal delivery N Engl J Med 329 1905 11.

  • 6. MA Gladman SM Scott NS Williams PJ Lunniss 2003 Clinical and physiological findings, and possible aetiological factors of rectal hyposensitivity Br J Surg 90 860 6.

    • Search Google Scholar
    • Export Citation
  • 7. PJ Law MA Kamm CI Bartram 1991 Anal endosonography in the investigation of faecal incontinence Br J Surg 81 463 5.

  • 8. MA Cuesta S Meijer EJ Derksen H Boutkan SG Meuwissen 1992 Anal sphincter imaging in faecal incontinence using endosonography Dis Colon Rectum 35 59 63.

    • Search Google Scholar
    • Export Citation
  • 9. NM De Souza AS Hall R Puni DJ Gilderdale IR Young WA Kimot 1996 High resolution magnetic resonance imaging on the anal sphincter using a dedicated endoanal coil: comparison of magnetic resonance imaging with surgical findings Dis Colon Rectum 39 926 34.

    • Search Google Scholar
    • Export Citation
  • 10. NM De Souza R Puni DJ Gilderdale GM Bydder 1995 Magnetic resonance imaging of anal sphincter using an internal coil Magn Reson Q 11 45 56.

    • Search Google Scholar
    • Export Citation
  • 11. RL West S Dwarkasing JW Briel 2005 Can three-dimensional endo-anal ultrasonography detect external anal sphincter atrophy? A comparison with endo-anal magnetic resonance imaging Int J Colorectal Dis 20 328 33.

    • Search Google Scholar
    • Export Citation
  • 12. AJ Malouf AB Williams S Halligan CI Bartram S Dhillon MA Kamm 2000 Prospective assessment of accuracy of endo-anal MR imaging and endosonography in patients with faecal incontinence AJR Am J Roentgenol 175 741 5.

    • Search Google Scholar
    • Export Citation
  • 13. RG Beets-Tan GL Morren GL Beets 2001 Measurement of anal sphincter muscles: endo-anal US, endo-anal MR imaging, or phased-array MR imaging? A study with healthy volunteers Radiology 220 81 9.

    • Search Google Scholar
    • Export Citation
  • 14. AC Dobben MP Terra JF Slors 2007 External anal sphincter defects in patients with faecal incontinence: comparison of endo-anal MR imaging and endo-anal US Radiology 242 463 71.

    • Search Google Scholar
    • Export Citation
  • 15. M Cazemier MP Terra J Stoker 2005 Atrophy and defects detection of the external anal sphincter: comparison between three dimensional anal endosonography and endo-anal magnetic resonance imaging Dis Colon Rectum 49 20 7.

    • Search Google Scholar
    • Export Citation
  • 16. E Rociu J Stoker MJ Eijkemans WR Schouten JS Lameris 1999 Faecal incontinence: endo-anal US versus endo-anal MR imaging Radiology 212 453 8.

    • Search Google Scholar
    • Export Citation
  • 17. MP Terra RG Beets-Tan VP van der Hulst 2006 MRI in evaluating atrophy of the external anal sphincter in patients with faecal incontinence AJR Am J Roentgenol 187 991 9.

    • Search Google Scholar
    • Export Citation
  • 18. MP Terra RG Beets-Tan VP van der Hulst 2005 Anal sphincter defects in patients with faecal incontinence: endo-anal versus external phased-array MR imaging Radiology 236 886 95.

    • Search Google Scholar
    • Export Citation
  • 19. AH Sultan MA Kamm CI Talbot RJ Nicholls CI Bartram 1994 Anal endosonography for identifying external sphincter defects confirmed histologically Br J Surg 81 463 5.

    • Search Google Scholar
    • Export Citation
  • 20. A Schafer P Enck G Furst T Kahn T Frieling HJ Lubke 1994 Anatomy of anal sphincters: comparison of anal endosonography to magnetic resonance imaging Dis Colon Rectum 37 777 81.

    • Search Google Scholar
    • Export Citation
  • 21. J Stoker CI Bartram S Halligan 2002 Imaging of posterior pelvic floor Eur Radiol 12 779 88.

  • 22. AE Bharucha 2003 Faecal incontinence Gastroenterology 124 1672 85.

  • 23. C Andrews AE Bharucha B Seide AR Zinsmeister 2007 Rectal sensorimotor dysfunction in women with fecal incontinence Am J Physiol Gastrointest Liver Physiol 292 G282 89.

    • Search Google Scholar
    • Export Citation
  • 24. JW Briel DD Zimmerman J Stoker L Rociu JS Lameris WJ Mooi WR Schouten 2000 Relationship between sphincter morphology on endo-anal MRI and histopathological aspects of the external anal sphincter Int J Colorectal Dis 15 87 90.

    • Search Google Scholar
    • Export Citation
  • 25. AB Williams CI Bartram S Halligan JA Spencer RJ Nicholls WA Kmiot 2001 Anal sphincter damage after vaginal delivery using three-dimensional endosonography Obstet Gynecol 97 770 5.

    • Search Google Scholar
    • Export Citation

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Aug 2020 9 0 0
Sep 2020 12 2 3
Oct 2020 7 0 0
Nov 2020 2 1 1
Dec 2020 1 0 0
Jan 2021 6 0 0
Feb 2021 0 0 0