Skip to main content
SpringerLink
Log in

Grundlagen physiologischer und pathophysiologischer Bewegungsabläufe des Anorektums

  • Chapter
Proktologie

  • 77 Accesses

Zusammenfassung

Unter anorektaler Kontinenz und Defäkation versteht man die funktionell an komplizierte Strukturen und Mechanismen gebundene Fähigkeit, den Darminhalt reflektorisch und willkürlich zurückzuhalten und die Entleerung zu gewünschter Zeit durchzuführen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Adang EMM, Engel GL, Rutten FH, Geeredes BP, Baeten GMI (1998) Cost effectiveness of dynamic graciloplasty in patients with fecal incontinence. Dis Colon Rectum 41:725–734

    Article  PubMed  CAS  Google Scholar 

  2. Baeten CG et al. (1995) Anal dynamic graciloplasty in the treatment of intractable fecal incontinence. N Engl J Med 332:1600–1605

    Article  PubMed  CAS  Google Scholar 

  3. Baeten C, Bailey R, Bakka A et al. (2000) Safety and efficacy of dynamic graciloplasty for fecal incontinence: Report of a prospective multicenter trial. Dis Colon Rectum 43:743–751

    Article  PubMed  CAS  Google Scholar 

  4. Bleijenberg G, Kuijpers HC (1994) Biofeedback treatment of constipation: a comparison of two methods. Am J Gastroenterol 89: 1021–1026

    PubMed  CAS  Google Scholar 

  5. Briel JW, de Boer LM, Hop WCJ, Schouten WR (1998) Clinical outcome of anterior overlapping extern al anal sphincter repair with internal anal sphincter imbrication. Dis Colon Rectum 41:209–214

    Article  PubMed  CAS  Google Scholar 

  6. Caldwell KPS (1963) The electrical control of sphincter incompetence. Lancet 7:174–175

    Article  Google Scholar 

  7. Chassagne P, Landrin I, Neveu C et al. (1999) Fecal incontince in the institutionalized elderly: Incidence, risk factors, and prognosis. Am J Med 106:185–190

    Article  PubMed  CAS  Google Scholar 

  8. Chen AS, Luchtefeld MA, Senagore AJ, MacKeigan JM, Hoyt 0 (1998) Pudendal nerve latency. Does it predict outcome of anal sphincter repair? Dis Colon Rectum 41:1005–1009

    Article  PubMed  CAS  Google Scholar 

  9. Christiansen J, Rasmussen O, Lindorff-Larsen K (1998) Dynamic graciloplasty for severe anal incontinence. Br J Surg 85:88–91

    Article  PubMed  CAS  Google Scholar 

  10. Diamant NE, Kamm MA, Wald A, Whitehead WE (1999) American gastroenterological association medical position statement on anorectal testing techniques. Gastroenterology 116:732–760

    Article  Google Scholar 

  11. Enck P, Frieling T (1993) Therapie der Stuhlinkontinenz aus internistischer Sicht. Z Gastroenterol 31:405–409

    PubMed  CAS  Google Scholar 

  12. Fischer AW (1934) Analkanalplastik nach mißglückter Whiteheadoperation. Zentralbl Chir 61:157–159

    Google Scholar 

  13. Gilliland R, Altomare DF, Moreira H, Oliveris L, Gilliland JE, Wexner SD (1998) Pudendal neuropathy is predictive of failure following anaterior sphincteroplasty. Dis Colon Rectum 41:1516–1522

    Article  PubMed  CAS  Google Scholar 

  14. Glia A, Gylin M, Akerlund JE, Lindfors U, Lindberg G (1998) Biofeedback training in patients with fecal incontinence. Dis Colon Rectum 41:359–364

    Article  PubMed  CAS  Google Scholar 

  15. Guillemot F, Bouche B, Gower-Rousseau C et al. (1995) Biofeedback for the treatment of fecal incontinence: long term clinical results. Dis Colon Rectum 38:393–397

    Article  PubMed  CAS  Google Scholar 

  16. Hancke E, Junginger T (1991) Anorektale Kontinenz und Kontinenzstörungen. Ärztebl Rheinland-Pfalz 3:112–121

    Google Scholar 

  17. Heymen S, Pikarsky AJ, Weiss EG, Vickers D, Nogueras JJ, Wexner SD (2000) A prospective radomized trial comparing four biofeedback techniques for patients with faecal incontinence. Colorectal Disease 2:88–92

    Article  Google Scholar 

  18. Ho Y, Chiang J, Tan M, Low JY (1996) Biofeedback therapy for excessive stool frequency and incontinence following anterior resection or total colectomy. Dis Colon Rectum 39:1289–1292

    Article  PubMed  CAS  Google Scholar 

  19. Hobbs CJ, Wynne JM (1986) Buggery in childhood-a common syndrom of child abuse. Lancet II:792–796

    Article  Google Scholar 

  20. Hool GR, Lieber ML, Church JM (1999) Postoperative anal canal length predicts outcome in patients having sphincter repair for fecal incontinence. Dis Colon Recturn 42:313–318

    Article  CAS  Google Scholar 

  21. Hüppe D et al. (1992) Psychosoziale Aspekte der Stuhlinkontinenz. Leber Magen Darm 4:138–142

    Google Scholar 

  22. Jorge J, Wexner S (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36:77–97

    Article  PubMed  CAS  Google Scholar 

  23. Jost WH (1998) Electrostimulation in fecal incontinence: relevance of the sphincteric compound muscle action potential. Dis Colon Rectum 41:590–592

    Article  PubMed  CAS  Google Scholar 

  24. Karoui S, Leroi AM, Koning E, Menard JF, Michot F, Denis P (2000) Results of sphincteroplasty in 86 patients with anal incontinence. Dis Colon Rectum 43:813–820

    Article  PubMed  CAS  Google Scholar 

  25. Korsgen S, Deen KI, Keighley MR (1997) Long-term results of total pelvic floor repair for postobstetric fecal incontinence. Dis Colon Rectum 40:835–8390

    Article  PubMed  CAS  Google Scholar 

  26. Madoff RD, Rosen HR, Baeten CG et al. (1999) Safety and efficacy of dynamic muscle plasty for anal inconticence:L essons from a prospective multicenter trial. Gastroenterology 116:549–556

    Article  PubMed  CAS  Google Scholar 

  27. Matzel KE, Stadelmaier U, Hohenfellner M, Gall FP (1995) Electrical stimulation of sacral spinal nerves for treatment of faecal incontinence. Lancet 346:1124–1127

    Article  PubMed  CAS  Google Scholar 

  28. Matzel KE, Stadelmaier U, Hohenfellner M, Hohenberger W (2001) Chronic sacral spinal nerve stimulation for fecalincontinence: long-term results with foramen and cuff electrodes. Dis Colon Rectum 44:59–66

    Article  PubMed  CAS  Google Scholar 

  29. Mavrantonis C, Matsuoka H, Yamaguchi T, Gilliland R, Wexner SD (1998) Postanal repair for fecal in continence: is it worthwhile? Dis Colon Rectum 41: A50

    Google Scholar 

  30. Mavrantonis C, Wexner SD (1999) Stimulated graciloplasty for the treatment of intractable fecal incontinence: critical influence of the method of stimulation. Dis Colon Rectum 42:497–504

    Article  PubMed  CAS  Google Scholar 

  31. Österberg A, Graf W, Eeg-Olofsson K, HalIden M, Phalman L (1999) Is electrostimulation of the pelvic floor an effective treatmetn for neurogenic faecal incontinence? Scand J Gastroenterol 34:319–324

    Article  PubMed  Google Scholar 

  32. Patankar SK, Ferrara A, Levy JR, Larach SW, Williamson PR, Peroxo SE (1997) Biofeedback in colorectal practice. A multicenter, statewide, three-year experience. Dis Colon Rectum 40:827–831

    Article  PubMed  CAS  Google Scholar 

  33. Pehl C, Birkner B, Bittmann W et al. (2000) Stuhlinkontinenz. Diagnostisches und therapeutisches Stufenschema. Dtsch Ärtzebl 97: A-1302–1308

    Google Scholar 

  34. Poeck K (1987) Reflexe. In: Lehrbuch der Neurologie. Springer, Berlin Heidelberg New York Tokyo, S 12–15

    Google Scholar 

  35. Rao SS, Enck P, Loening-Baucke V (1997) Biofeedback therapy for defecation disorders. Dig Dis 15(Suppl):78–92

    Article  PubMed  Google Scholar 

  36. Rasmussen O, Puggard L, Christiansen J (1999) Anal sphincter repair in patients with obstetric trauma: age affects outcome. Dis Colon Rectum 42:193–195

    Article  PubMed  CAS  Google Scholar 

  37. Rieger NA, Sarre RG, Saccone GT, Hunter A, Toouli J (1997) Postanal repair for faecal incontinence: longterm follow-up. Aust N Z J Surg 67:566–570

    Article  PubMed  CAS  Google Scholar 

  38. Ruppert R, Staimmer D (1999) Neu Möglichkeiten der Inkontinezbehandlung durch dynamische Grazilisplastik und „artificiall bowel sphincter“. Coloproctology 2116:269–275

    Article  Google Scholar 

  39. Sangwan YP, Solla JA (1998) Internal anal sphincter: advances and insights. Dis Colon Rectum 41:1297–1311

    Article  PubMed  CAS  Google Scholar 

  40. Scheuer M, Kuijpers HC, Bleijenberg G (1994) Effect of electrostimulation on sphincter function in neurogenic fecal continence. Dis Colon Rectum 37:590–593

    Article  PubMed  CAS  Google Scholar 

  41. Scheurlen C, Neubrand M, Kaminski M, Sauerbruch T (2000) Stuhlonkontinenz. Internist 41:1213–1242

    Article  PubMed  CAS  Google Scholar 

  42. Sielezneff I, Malouf AJ, Bartolo DCC et al. (1999) Dynamic graciloplasty in the treatment of patients with feacal incontinence. Br J Surg 86:61–65

    Article  PubMed  CAS  Google Scholar 

  43. Sprakel B, Maurer S, Lunger M, Diller R, Spiegel HU, Winde G (1998) Value of electrotherapy within the scope of conservative treatment of anorectal in continence. Zentralbl Chir 123:224–229

    PubMed  CAS  Google Scholar 

  44. Stratmann H, Kaminski M, Lauschke H, Hirner A (2000) Plastische Chirurgie im Anorektalbereich. Indikation, Technik und Ergebnisse. Zentralbl Chir 125:161–165

    PubMed  CAS  Google Scholar 

  45. Struck F (1967) Zur Whiteheadschen Operation bei sogenannten inneren Hämorrhoiden. Zentralbl Chir 92:2167

    PubMed  CAS  Google Scholar 

  46. Talley NK, O,Keefe EA, Zinsmeister AR, Melton III LJ (1992) Prevalence of gastrointestinal symptoms in the elderly: a population-based study. Gastroenterology 102:895–901

    PubMed  CAS  Google Scholar 

  47. Ternent CA, Shashidharan M, Blatchford GJ, Christensen MA, Thorson AG, Sentovich SM (1997) Transanal ultrasound and anorectal physiology findings affecting continence after sphincteroplasty. Dis Colon Rectum 40:462–467

    Article  PubMed  CAS  Google Scholar 

  48. Vaizey CJ, Kamm MA, Turner CJ, Nicholls RJ, Woloszko J (1999) Effects of short term sacral nerve stimulation on anal and rectal function in patients with anal incontinence. Gut 44:407–412

    Article  PubMed  CAS  Google Scholar 

  49. Wexner SD, Gonzalez-Padron A, Rius J et al. (1996) Stimulated gracilis neosphincter operation. Initial experience, pitfalls, and complications. Dis Colon Recturn 39: 957–964

    Article  CAS  Google Scholar 

  50. Wolff BG, Culp CE (1998) The Whitehead hemorrhoidectomy. Dis Colon Rectum 31:587–590

    Article  Google Scholar 

  51. Wong WD, Jensen LL, Bartolo DC, Rothenberger DA (1996) Artificial anal sphincter. Dis Colon Rectum 39:1345–1351

    Article  PubMed  CAS  Google Scholar 

  52. Young CJ, Mathur MN, Eyers AA, Solomon MJ (1998) Successful overlapping anal sphincter repair. Relationship to patient age, neuropathy, and colostomy formation. Dis Colon Rectum 41:344–349

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Arzt für Dermatologie — Allergologie, Schwetzinger Straße 35, Limburgerhof, 67117, Germany

    Dr.med. Ernst Stein

Authors
  1. Dr.med. Ernst Stein
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Stein, E. (2003). Grundlagen physiologischer und pathophysiologischer Bewegungsabläufe des Anorektums. In: Proktologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55594-7_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-55594-7_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-62761-3

  • Online ISBN: 978-3-642-55594-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation