Sign in

Iranian Journal of Radiology

An Innovative Journal in the Field of Radiology

e-ISSN 2008-2711
p-ISSN 1735-1065
Authors GuideSubmit manuscript

Outline

https://doi.org/10.5812/iranjradiol.21280

The Efficacy of Endoanal Sonography in Treatment of Patients with Anal Diseases Referred to Shiraz Colorectal Surgery (SCRS) Department Since 2011

Authors

Ensieh Izadpanah1,*, Ahmad Izadpanah2, Vahid Hosseini3, Mehrzad Lotfi1, Leila Ghahremani3, Ali Mohammad Bananzadeh3
1Department of Radiology, Shiraz University of Medical Sciences, Shiraz, IR Iran
2Colorectal Surgery Research Center
3Shiraz Colorectal Research Center
*Corresponding Author: Department of Radiology, Shiraz University of Medical Sciences, Shiraz, IR Iran. , Ncizadpanah@gmail.com. Email: Ncizadpanah@gmail.com
Iranian Journal of Radiology:Vol. 11, issue 30th Iranian Congress of Radiology; e21280
Published online:Feb 28, 2014
Article type:Research Article
How to Cite:Izadpanah E, Izadpanah A, Hosseini V, Lotfi M, Ghahremani L, et al. The Efficacy of Endoanal Sonography in Treatment of Patients with Anal Diseases Referred to Shiraz Colorectal Surgery (SCRS) Department Since 2011. I J Radiol. 2014;11(30th Iranian Congress of Radiology):e21280. doi: https://doi.org/10.5812/iranjradiol.21280

Abstract

Background/Objectives:

Different diagnostic modalities have been used in treatment of patients with anal diseases who have referred to Shiraz colorectal surgery (SCRS) department in the past 7 years. These modalities include anoscopy, manometry, endoanal sonography, MRI and EMG in addition to clinical evaluation. Among these modalities, endoanal sonography looks like the first choice of SCR surgeons, and with their increasing reliance on ultrasound findings, the rate of using other modalities have declined among in recent years.

Patients and Methods:

To evaluate the efficacy of endoanal songraphy on treatment planning of patients with anal diseases, we reviewed the notes of patients who had anal sonography prior to treatment by using Medtronic 360 degree endoanal sonography device. We focused on decision making efficacy of this modality and its diagnostic accuracy.

Results:

Endoanal sonography was done in 1418 patients from March 2011 to December 2013. In 83% of patients anal canal structure was normal, and in 17% of patients, pathological findings such as anal canal tumor, peri-anal fistula and anal sphincter muscle damage were found. Comparing to other modalities, endoanal sonography had most accuracy in diagnosis of patients with fecal incontinence and was very helpful for colorectal surgeons in decision making for patients with anal canal tumors. In 5 patients with anal canal tumor, primary decision of local excision was changed to AP resection because of detecting T2 or T3 involvements. In 2 patients who insisted on local excision, deep tissue involvement was revealed on histopathology. In patients with incontinence due to sphincter damage, the detected site of damage was accurate in 100% of patients, and colorectal surgeons could confidently rely on sonography findings for approach to the site of sphincter defect. In 15 patients with longstanding anal pain, a small peri-anal cold abscess was detected on endoanal sonography. These abscesses had not been diagnosed prior to ultra sound scanning and were eventually approached and treated under the guide of sonography. Conclusion: Endoanal sonography can be the best modality in detection of anal canal diseases if there is close cooperation between radiologists and colorectal surgeons.

Highlights

Full Text

Full text is available in PDF

Copyright

© 2014, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

Similar Articles

20
May
2018
Preoperative Trans-Perineal Sonographic Findings in Children with Imperforate Anus for Detection of Anal Sphincter Muscle Complex and the Anal Canal Pathway: A Pilot Study

Preoperative Trans-Perineal Sonographic Findings in Children with Imperforate Anus for Detection of Anal Sphincter Muscle Complex and the Anal Canal Pathway: A Pilot Study

Seyed Ali Alamdaran,
Marjan Joudi,
Ali Azadmand,
Alireza Sabzevari,
Ali Abdollahi,
Ali Feyzi
,et al.
PDF

Alamdaran SA, Joudi M, Azadmand A, Sabzevari A, Abdollahi A, et al. Preoperative Trans-Perineal Sonographic Findings in Children with Imperforate Anus for Detection of Anal Sphincter Muscle Complex and the Anal Canal Pathway: A Pilot Study. I J Radiol. 2018;15(3):e57944. doi: https://doi.org/10.5812/iranjradiol.57944

30
Dec
2009
Evaluation of Hydrogen Peroxide- Enhanced Endoanal Ultrasound in Detecting the Internal Orifice and Type of Fistula-in-Ano

Evaluation of Hydrogen Peroxide- Enhanced Endoanal Ultrasound in Detecting the Internal Orifice and Type of Fistula-in-Ano

Mohammadsadegh Fazeli
PDF

Fazeli M. Evaluation of Hydrogen Peroxide- Enhanced Endoanal Ultrasound in Detecting the Internal Orifice and Type of Fistula-in-Ano. I J Radiol. 2009;6(4):e79456. doi:

14
Feb
2021
Trans-Perineal Sonographic Findings of Anal Sphincter Muscle Complex in Imperforated Anus: Diagnostic Pitfalls

Trans-Perineal Sonographic Findings of Anal Sphincter Muscle Complex in Imperforated Anus: Diagnostic Pitfalls

Seyed Ali Alamdaran,
Ali Abdollahi,
Ali Feyzi,
Farideh Jamali-Behnam,
Mehdi Yousefzadeh Talfavani,
Mehdi Fathi
,et al.
PDF

Alamdaran SA, Abdollahi A, Feyzi A, Jamali-Behnam F, Yousefzadeh Talfavani M, et al. Trans-Perineal Sonographic Findings of Anal Sphincter Muscle Complex in Imperforated Anus: Diagnostic Pitfalls. I J Radiol. 2021;18(1):e100525. doi: https://doi.org/10.5812/iranjradiol.100525

13
Mar
2018
Ultrasound Guided Wire Localization of Anal Tract in Imperforate Anus

Ultrasound Guided Wire Localization of Anal Tract in Imperforate Anus

Seyed Ali Alamdaran,
Jahanbakhsh Hashemi,
Ali Feyzi,
Ali Azadmand,
Masoud Mahdavi Rashed,
Samira Jafari
,et al.
PDF

Alamdaran SA, Hashemi J, Feyzi A, Azadmand A, Mahdavi Rashed M, et al. Ultrasound Guided Wire Localization of Anal Tract in Imperforate Anus. Inn J Pediatr. 2018;28(4):e65338. doi: https://doi.org/10.5812/ijp.65338

1
Jan
2006
Treatment of Anal Fissure - Revisited

Treatment of Anal Fissure - Revisited

PJ Gupta
PDF

Gupta P. Treatment of Anal Fissure - Revisited. Shiraz E-Med J. 2006;7(1):20389. doi:

More by these authors

Ensieh IzadpanahPubMedScholar
Ahmad IzadpanahPubMedScholar
Vahid HosseiniPubMedScholar
Mehrzad LotfiPubMedScholar
Leila GhahremaniPubMedScholar
Ali Mohammad BananzadehPubMedScholar

Find related work

PubMed
Google Scholar
Create citation alert
Download PDF746.34 KB
Share
Cited by
Metrics
Comments
Number of Comments:0