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At least 289 records · Page 16Linked to original sources
PubMed2001

[Diagnostic possibilities of anal endosonography in proctology. Part 1].

On the basis of literature and own experience, the usefulness of endosonographic examination with the use of axial endoprobe was presented. The first part was devoted to the description of the endosonographic anatomy of normal rectum, examination technique and its usefulness in diagnosis of anal sphincters disorders. The endosonographic examinations have been performed in Poland for many years, mainly for prostate diagnostics with the use of multiplane transducers. We present a diagnostic possibilities of axial endoprobe of high frequency equipped with hard plastic cone and water balloon.

Anal Canal↗
PubMed2001

[Diagnostic possibilities of anal endosonography in proctology. Part II].

In the second part of the paper, we present advantages and drawbacks of transanal endosonography with the use of axial endoprobe in the diagnostics of perianal and perirectal abscesses and fistulas and also for tumours of the rectum. Typical images of the fistula nad abscess were shown. Ultrasonographic staging for the rectum malignancies was presented together with possibilities of assessment perirectal lymph nodes involvement by ultrasonography. Diagnosis of local recurrence by anal endosonography was presented and compared with other methods.

Colorectal Surgery↗
PubMedDate not supplied

Proctological crunch: sunflower-seed bezoar.

Bezoars are the uncommon result of the ingestion of indigestible or poorly digested substances, which form a solid mass within the gastrointestinal tract. They are classified based on their content and include phytobezoars (plant fibers), trichobezoars (hair), and lactobezoars (milk curds). They may occur in combinations like trichophytobezoars, and can result from virtually anything capable of forming concretions within the gastrointestinal tract, including medications. They are found mainly in the stomach and are rare in the colon. Bezoars are uncommon in children. We report the rare case of a sunflower-seed bezoar impacted at the anal verge in a 6-year-old boy who presented initially with acute gastroenteritis. He required removal of the impaction under sedation.

Bezoars↗
PubMedDate not supplied

[Computed tomography of the pelvis in pediatric proctology].

The article shows the wide possibilities of computed tomography (CT) diagnosis of the topography of muscles forming the external sphincter of the anus (ESA) in patients with developmental anorectal anomalies and in trauma and rupture of the perineum. It is shown that in anorectal anomalies with fistulas opening into the urinary system the puborectal muscular sling is "drawn up" ventrally in relation to the external sphincter elements lying closer to the surface. Analysis of the results of CT examination of the pelvic floor in 16 children with anorectal anomalies showed that the degree of development of the sphincter muscles does not always correspond to the level of atresia. For instance, the mass of the ESA muscles is manifested more in some forms of cloacal atresia than in "tubular" stenoses of the rectum (anorectal stenosis--Curravino-triad component) (G. Curravino, 1981). CT examination of children with this complex of caudal anomalies allowed the authors to reveal a fourth constant component: dysplasia of the pelvic floor and a specific developmental anomaly of the anal sphincter. CT is the method of choice in the examination of children with this pathological condition because it makes it possible to recognise the presence of presacral masses. The use of CT in traumas and ruptures of the perineum allows the depth and extension of ruptures of the ESA muscles to be authentically determined.

Adolescent↗
PubMed2003

[The state and development of colon proctological care at the Vishnevsky Central Military Clinical Hospital].

The work is devoted to the assessment of gastric carcinoma spread using the method of spiral CT. It is established that CT is highly effective at carcinoma advanced stages (II-IV), that's why this method should be the main one in determining the disease spread. Besides the CT possibilities in determining the depth of tumor invasion into gastric wall are not unequivocal. The method is more informative at the advanced tumor (pT2-pT4). Without contrast amplification the CT doesn't allow to conduct differentiation according to T1-T2 invasion degree. At the same time the method gives great opportunities in revealing the tumor spread to gastric serous membrane, i.e. in detection of T3 invasion degree that is of great significance for disease prediction. The use of bolus contrast amplification widens the CT possibilities in detection of tumor invasion into gastric wall and in some cases it permits to differentiate T1 and T2 degrees.

Colonic Neoplasms↗