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(1986)
Fecal i ncon t inence
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Sensory and Motor Function in the Maintenance of Anal Continence KLAUS BIELEFELDT, M.D. PAUL ENCK, PH.D. JOACHIM F. ERCKENBRECHT, M.D. Bielefeldt K, Enck P, Erckenbrecht JF. Sensory and motor function From the Department of Internal Medicine in the maintenance of anal continence. Dis Colon Rectum and Division of Gastroenterology, 1990;33:674-678. Heinrich-Heine- Universit% Dusseldorf, Federal Republic of Germany Anorectal function was prospectively evaluated in 43 consecutive patients with fecal incontinence and in 19 healthy volunteers using manometry and electrical stimulation of the anoderm. Both anorectal on anorectal motor disturbances. Only recently, has motor and sensory function was impaired in incontinent patients as compared with healthy controls. Further statistical analysis identified sensitivity of both the rectum and anal canal been four subgroups of patients showing different pathomechanisms of fecal accepted generally as an important factor in the incontinence: severe combined anorectal motor and sensory pathogenesis of anorectal disorders. 2-4 Rectal distention dysfunction, isolated anal sphincter dysfunction, isolated anorectal leads to an excitation of stretch receptors within the rectal sensory dysfunction, and combined dysfunction of the internal anal wall or the pararectal tissue informing about rectal sphincter and impaired anorectal sensitivity. These data support the hypothesis that sensory function of both the
Diseases of the Colon & Rectum – Wolters Kluwer Health
Published: Aug 1, 1990
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