Rectal prolapse abdominal x ray: Difference between revisions
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==Overview== | ==Overview== | ||
Based on the radiological characteristics, rectal prolapse may be graded as internal rectal prolapse (recto-rectal intussusception and recto-anal intussusception) or external rectal prolapse (exteriorized rectal prolapse). | Based on the radiological characteristics, rectal prolapse may be graded as internal rectal prolapse (recto-rectal [[intussusception]] and recto-anal [[intussusception]]) or external rectal prolapse (exteriorized rectal prolapse). | ||
==X Ray== | ==X Ray== | ||
Standard defecography is a diagnostic method to visualize internal rectal prolapse radiologically | Standard defecography is a dynamic [[fluoroscopy]] study and a diagnostic method to visualize internal rectal prolapse radiologically, performed in the sitting position. After placing [[barium]] paste into the patient’s [[rectum]], the patient is asked to squeeze to evacuate the [[barium]].<ref name="pmid27865742">{{cite journal |vauthors=Cariou de Vergie L, Venara A, Duchalais E, Frampas E, Lehur PA |title=Internal rectal prolapse: Definition, assessment and management in 2016 |journal=J Visc Surg |volume=154 |issue=1 |pages=21–28 |year=2017 |pmid=27865742 |doi=10.1016/j.jviscsurg.2016.10.004 |url=}}</ref><ref name="pmid29050194">{{cite journal |vauthors=Patcharatrakul T, Rao SSC |title=Update on the Pathophysiology and Management of Anorectal Disorders |journal=Gut Liver |volume= |issue= |pages= |year=2017 |pmid=29050194 |doi=10.5009/gnl17172 |url=}}</ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
! colspan="4" |Oxford radiological rectal prolapse grading system:<ref name="pmid27865742">{{cite journal |vauthors=Cariou de Vergie L, Venara A, Duchalais E, Frampas E, Lehur PA |title=Internal rectal prolapse: Definition, assessment and management in 2016 |journal=J Visc Surg |volume=154 |issue=1 |pages=21–28 |year=2017 |pmid=27865742 |doi=10.1016/j.jviscsurg.2016.10.004 |url=}}</ref> | ! colspan="4" |Oxford radiological rectal prolapse grading system:<ref name="pmid27865742">{{cite journal |vauthors=Cariou de Vergie L, Venara A, Duchalais E, Frampas E, Lehur PA |title=Internal rectal prolapse: Definition, assessment and management in 2016 |journal=J Visc Surg |volume=154 |issue=1 |pages=21–28 |year=2017 |pmid=27865742 |doi=10.1016/j.jviscsurg.2016.10.004 |url=}}</ref> | ||
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|'''Grade''' | |'''Grade''' | ||
|'''Radiological characteristics''' | |'''Radiological characteristics''' | ||
|- | |- | ||
| rowspan="4" |'''Internal rectal prolapse''' | | rowspan="4" |'''Internal rectal prolapse''' | ||
| rowspan="2" |Recto_rectal intussusception | | rowspan="2" |Recto_rectal [[intussusception]] | ||
|I : High rectal | |I : High rectal | ||
|Descends no lower than proximal limit of the rectocele | |Descends no lower than proximal limit of the [[rectocele]] | ||
|- | |- | ||
|II : Low rectal | |II : Low rectal | ||
|Descends to the level of the rectocele, but not | |Descends to the level of the [[rectocele]], but not into sphincter/anal canal | ||
|- | |- | ||
| rowspan="2" |Recto_anal intussusception | | rowspan="2" |Recto_anal [[intussusception]] | ||
|III : High anal | |III : High anal | ||
|Descends onto sphincter/anal canal | |Descends onto sphincter/anal canal | ||
| Line 34: | Line 33: | ||
|Exteriorized rectal prolapse | |Exteriorized rectal prolapse | ||
|V : Overt rectal prolapse | |V : Overt rectal prolapse | ||
|Rectum protrudes from anus | |Rectum protrudes from [[anus]] | ||
|} | |} | ||
| Line 43: | Line 42: | ||
{{WS}} | {{WS}} | ||
[[Category: | [[Category:Medicine]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Surgery]] | [[Category:Surgery]] | ||
Latest revision as of 17:38, 16 February 2018
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Rectal prolapse abdominal x ray On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
Based on the radiological characteristics, rectal prolapse may be graded as internal rectal prolapse (recto-rectal intussusception and recto-anal intussusception) or external rectal prolapse (exteriorized rectal prolapse).
X Ray
Standard defecography is a dynamic fluoroscopy study and a diagnostic method to visualize internal rectal prolapse radiologically, performed in the sitting position. After placing barium paste into the patient’s rectum, the patient is asked to squeeze to evacuate the barium.[1][2]
| Oxford radiological rectal prolapse grading system:[1] | |||
|---|---|---|---|
| Grade | Radiological characteristics | ||
| Internal rectal prolapse | Recto_rectal intussusception | I : High rectal | Descends no lower than proximal limit of the rectocele |
| II : Low rectal | Descends to the level of the rectocele, but not into sphincter/anal canal | ||
| Recto_anal intussusception | III : High anal | Descends onto sphincter/anal canal | |
| IV : Low anal | Descends into sphincter/anal canal | ||
| External rectal prolapse | Exteriorized rectal prolapse | V : Overt rectal prolapse | Rectum protrudes from anus |
References
- ↑ 1.0 1.1 Cariou de Vergie L, Venara A, Duchalais E, Frampas E, Lehur PA (2017). "Internal rectal prolapse: Definition, assessment and management in 2016". J Visc Surg. 154 (1): 21–28. doi:10.1016/j.jviscsurg.2016.10.004. PMID 27865742.
- ↑ Patcharatrakul T, Rao S (2017). "Update on the Pathophysiology and Management of Anorectal Disorders". Gut Liver. doi:10.5009/gnl17172. PMID 29050194. Vancouver style error: initials (help)