Role of enterocele in the obstructed defecation syndrome (ODS): a new radiological point of view

Aim  The aim of this study was to understand the role of enterocele in the pathogenesis of the obstructed defecation syndrome (ODS) a new defecographic classification based on function. Method  A total of 597 patients (551 women, 46 men) who underwent cinedefecography between November 2001 and Novem...

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Bibliographic Details
Published in:Colorectal disease 2010-08, Vol.12 (8), p.810-816
Main Authors: Morandi, C., Martellucci, J., Talento, P., Carriero, A.
Format: Article
Language:English
Subjects:
Adult
Aged
constipation
Constipation - diagnostic imaging
Defecation - physiology
Defecography
Enterocele
Female
Hernia - classification
Hernia - diagnostic imaging
Hernia - physiopathology
Humans
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - physiopathology
Male
Middle Aged
obstructed defecation syndrome
Young Adult
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Summary:Aim  The aim of this study was to understand the role of enterocele in the pathogenesis of the obstructed defecation syndrome (ODS) a new defecographic classification based on function. Method  A total of 597 patients (551 women, 46 men) who underwent cinedefecography between November 2001 and November 2005 were studied. A total of 567 (95%) underwent cinedefecography as they had symptoms of ODS. Enterocele was classified into three types. Results  Enterocele was found in 127 (23%) female and one (2.2%) male patients. Thirty‐eight (6.9%) patients had type A, 38(6.9%) type B, and 27(4.9%) type C enterocele. A total of 24 patients (4.35%) had sigmoidocele. In patients with type C enterocele, the finding of a radiological pattern of ODS was higher (26/27) than that in the other groups (A + B + Sigmoidocele) (23/100) (P 
ISSN:1462-8910
1463-1318
DOI:10.1111/j.1463-1318.2009.02050.x