Defecography, a dynamic imaging modality, plays an important role in the diagnosis of functional and morphologic abnormalities of the anorectal region. We have here summarized the principle and techniques as well as observations of defecography, with special emphasis on morphologic measurements, clinical relevance, and limitations. The application of MR imaging in examination of anorectal function has also been addressed.
ArcherB. D.SomersS.StevensonG. W.: Contrast medium gel for marking vaginal position during defecography. Radiology182 (1992), 278.
2.
AsmanH. B.: Internal procidentia of the rectum. South. Med. J.50 (1957), 641.
3.
BartoloD. C. C.ReadN. W.JarrattJ. A.ReadM. G.DonnellyT. C.JohnsonA. G.: Differences in anal sphincter function and clinical presentation in patients with the pelvic floor descent. Gastroenterology85 (1983), 68.
4.
BartramC. I.TurnbullG. K.Lennard-JonesJ. E.: Evacuation proctography. An investigation of rectal expulsion in 20 subjects without defecatory disturbances. Gastrointest. Radiol.13 (1988), 72.
BrodenB.SnellmanB.: Procidentia of the rectum studied with cineradiography. A contribution to the discussion of causative mechanism. Dis. Colon Rectum11 (1986), 330.
7.
BrownB. S. J.: Defecography or anorectal studies in children including cinefluorographic observations. J. Can. Assoc. Radiol.16 (1965), 66.
8.
BurhenneH. J.: Intestinal evacuation study. A new roentgenologic technique. Radiol. Clin. North Am.33 (1964), 79.
9.
CavalloG.SalzanoA.RobertoG.ZanattaP.TuccilloM.: Rectocele in males. Clinical, defecographic, and CT study of singular cases. Dis. Colon Rectum34 (1991), 964.
10.
EkbergO.NylanderG.ForkF. T.: Defecography. Radiology155 (1985), 45.
11.
Felt-BersmaR. J.Klinkenberg-KnolE. C.MeuwissenS. G.: Investigation of anorectal function. Br. J. Surg.75 (1988), 53.
12.
Felt-BersmaR. J. F.LuthW. J.JanssenJ. J. W. M.MeuwissenS. G. M.: Defecography in patients with anorectal disorders. Which findings are clinically relevant? Dis. Colon Rectum33 (1990), 277.
13.
FerranteS. L.PerryR. E.SchreimanJ. S.ChengS. C.FrickM. P.: The reproducibility of measuring the anorectal angle in defecography. Dis. Colon Rectum34 (1991), 51.
14.
GinaiA. Z.: Technical report. Evacuation proctography (defecography). A new seat and method of examination. Clin. Radiol.42 (1990), 214.
15.
GoeiR.: Anorectal function in patients with defecation disorders and asymptomatic subjects. Evaluation with defecography. Radiology174 (1990), 121.
16.
GoeiR.BaetenC.: Rectal intussusception and rectal prolapse. Detection and postoperative evaluation with defecography. Radiology174 (1990), 124.
17.
GoeiR.BaetenC.ArendsJ. W.: Solitary rectal ulcer syndrome. Findings at barium enema study and defecography. Radiology168 (1988), 303.
18.
GoeiR.BaetenC.JanevskiB.EngelshovenJ.: The solitary rectal ulcer syndrome. Diagnosis with defecography. AJR149 (1987), 933.
GrimaudJ. C.BouvierM.BernardN.GuienC.SalducciJ.: Manometric and radiologic investigations and biofeedback treatment of chronic idiopathic anal pain. Dis. Colon Rectum34 (1991), 690.
21.
HardcastleJ. D.: The descending perineum syndrome. Practitioner203 (1969), 612.
22.
HiltunenK. M.KolehmainenH.MatikainenM.: Does defecography help in diagnosis and clinical decision-making in defecation disorders?Abdom. Imaging19 (1994), 355.
23.
HoffmanM. J.KodnerI. J.FryR. D.: Internal intussusception of the rectum. Diagnosis and surgical management. Dis. Colon Rectum27 (1984), 435.
24.
IhreT.SeligsonU.: Intussusception of the rectum. Internal procidentia — Treatment and results in 90 patients. Dis. Colon Rectum18 (1975), 391.
25.
JohanssonC.IhreT.HolmströmB.NordströmE.DolkA.BrodénG.: A combined electromyographic and cineradiologic investigation in patients with defecation disorders. Dis. Colon Rectum33 (1990), 1009.
26.
KelvinF. M.MaglinteD. D. T.HornbackJ. A.BensonJ. T.: Pelvic prolapse. Assessment with evacuation proctography (defecography). Radiology184 (1992), 547.
27.
KruytR. H.DelemarreJ. B. V. M.DoornbosJ.VogelH. J.: Normal anorectum. Dynamic MR imaging anatomy. Radiology179 (1991), 159.
28.
KruytR. H.DelmarreJ. B. V. M.GooszenH. G.HermansJ.: Defecography and anorectal manometry. Eur. J. Radiol.15 (1992), 166.
29.
KuijpersH. C.: Fecal incontinence and the anorectal angle. Neth. J. Surg.36 (1984), 20.
30.
KuijpersH. C.BleijenbergC.DeMorreeH.: The spastic pelvic floor syndrome. Large bowel obstruction caused by pelvic floor dysfunction — A radiological study. Int. J. Colorectal Dis.1 (1986), 44.
31.
KuijpersH. C.SchreveR. H.ten Cate HoedemakersH.: Diagnosis of functional disorders of defecation causing the solitary rectal ulcer syndrome. Dis. Colon Rectum29 (1986), 126.
32.
MahieuP.PringotJ.BodartP.: Defecography: I. Description of a new procedure and results in normal patients. Gastrointest. Radiol.9 (1984), 247.
33.
MahieuP.PringotJ.BodartP.: Defecography. II. Contribution to the diagnosis of defecation disorders. Gastrointest. Radiol.9 (1984), 253.
34.
MezwaD. G.FeczkoP.BosankoC.: Radiologic evaluation of constipation and anorectal disorders. Radiol. Clin. North Am.31 (1993), 1375.
35.
MillerR.BartoloD. C. C.Locke-EdmundsJ. C.MortensenN. J. Mc. C.: Prospective study of conservative and operative treatment for faecal incontinence. Br. J. Surg.75 (1988), 101.
36.
MillerR.OrromW. J.CornesH.DuthieG.BartoloD. C. C.: Anterior sphincter plication and levatorplasty in the treatment of fecal incontinence. Br. J. Surg.76 (1989), 1058.
37.
MooreK. L.: Clinically oriented anatomy, p. 293. Williams & Wilkins, Baltimore1980.
38.
NicholsD. H.: Posterior colporrhaphy and perineorrhaphy. In: Vaginal surgery, p. 269. Edited by NicholsD. H.RandallC. L.. Williams & Wilkins, Baltimore1989.
39.
NigroN. M.: Procidentia. The etiology of rectal procidentia. Dis. Colon Rectum15 (1972), 330.
40.
OrromW. J.MillerR.CornesH.DuthieG.MortensenN. J. Mc. C.BartoloD. C. C.: Comparison of anterior sphincteroplasty and post-anal repair in the treatment of idiopathic fecal incontinence. Dis. Colon Rectum34 (1991), 305.
41.
OttD. J.DonatiD. L.KerrR. M.ChenM. Y. M.: Defecography. Results in 55 patients and impact on clinical management. Abdom. Imaging19 (1994), 349.
RipsteinC. B.LanterB.: Etiology and surgical therapy of massive prolapse of the rectum. Ann. Surg.157 (1963), 259.
47.
RontondoA.GrassiR.ZanattaP.SalzanoA.CavalloG.: Ruolo della defecografia con video-registrazione fluoroscopica nello studio della patologia funzionale ano-rettale. Med. News38 (1989), 1.
48.
RutterK. R.RiddellR. H.: The solitary ulcer syndrome of the rectum. Clin. Gastroenterol.4 (1975), 505.
49.
RyanP.: Observations upon etiology and treatment of rectal prolapse. Aust. N. Z. J. Surg.50 (1980), 109.
50.
ShafikA.: A new concept of the anatomy of the anal sphincter mechanism and the physiology of defecation. II. Anatomy of the levator ani muscle with special reference to puborectalis. Invest. Urol.13 (1975), 175.
51.
ShorvonP. J.McHughS.DiamantN. E.SomersS.StevensonG. W.: Defecography in normal volunteers. Results and implications. Gut30 (1989), 1737.
52.
ShorvonP.StevensonG. W.McHughS.SomersS.: Defecography. A study of normal volunteers. (Abstract.) Radiology165 (1987), 428.
53.
TingK. H.MangelE.Eibl-EibesfeldtB.Muller-LissnerS. A.: Is the volume retained after defecation a valuable parameter at defecography?Dis. Colon Rectum35 (1992), 762.
54.
WallaceW. C.MaddenW. M.: Experience with partial resection of the puborectalis muscle. Dis. Colon Rectum12 (1969), 196.
55.
WalldenL.: Defecation block in cases of deep recto-genital pouch. Acta Chir. Scand.165 (1952), 1.
56.
WassermanI. F.: Puborectalis syndrome (rectal stenosis duo to anorectal spasm). Dis. Colon Rectum7 (1964), 87.
57.
WhiteheadW. E.SchusterM. M.: Anorectal physiology and pathophysiology. Am. J. Gastroenterol.82 (1987), 487.
58.
YangA.MostwinJ. L.RosensheinN. B.ZerhouniE. A.: Pelvic floor descent in women. Dynamic evaluation with fast MR imaging and cinematic display. Radiology179 (1991), 25.
59.
YangX.PartanenK.FarinP.JiH.SoimakallioS.: Reproducibility of five anorectal morphologic measurements in defecography. Acad. Radiol.1 (1994), 224.
60.
YoshiokaK.PinhoM.HylandG.KeighleyM. R.: How reliable is measurement of the anorectal angle by videoproctography?. Am. Soc. Colon & Rectal Surgeons, 88th Annual Convention, Toronto, June 1988.