Logo
homeHome
toggle_offCompany ProfilegroupsBoards & Staffsworkspace_premiumMemberships & PartnersschoolAcademy of Journalismperson_addCareerslinkBlog(EN)emailContact Us
list_altOur JournalslightbulbInstruction for AuthorsbookmarkBrieflands PolicieshandshakePublish My Researchplay_circleJournal Management Systemcredit_cardArticle Processing Chargeszoom_inOpen Peer ReviewimagePublishing Services
menu_bookPublish My Book

IJ Radiology

An Innovative Journal in the Field of Radiology

homeHome
play_arrowCurrent IssuelistAll Issuesformat_indent_increaseIn Presscheck_circleAccepted ManuscriptssearchSearch
helpInstructions
bookmarkJournal InformationgroupsEditors and BoardsshareIndexing and Listing Sourcesshow_chartJournal Metricszoom_inOpen Peer Review (OPR)balancePublication Ethics and Malpractice Statementassignment_indReviewer and AE Registration FormemailSupportphoneContact Us
format_list_bulletedAPC
Authors GuideSubmit Manuscript

Outlines

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

Author(s):
Ensieh IzadpanahEnsieh Izadpanah1,*, Ahmad IzadpanahAhmad Izadpanah2, Vahid HosseiniVahid Hosseini3, Mehrzad LotfiMehrzad Lotfi1, Leila GhahremaniLeila Ghahremani3, Ali Mohammad BananzadehAli Mohammad Bananzadeh3
1Department of Radiology, Shiraz University of Medical Sciences, Shiraz, IR Iran
2Colorectal Surgery Research Center
3Shiraz Colorectal Research Center
IJ 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.

Full Text

Full text is available in PDF
Import into EndNoteImport into BibTex
Crossmark
Crossmark
Checking
Share on
Comments
Number of Comments:0
Cited by
Metrics
Get Permission (article level)

Purchasing Reprints

  • Copyright Clearance Center (CCC) handles bulk orders for article reprints for Brieflands. To place an order for reprints, please click here (   https://www.copyright.com/landing/reprintsinquiryform/ ). Clicking this link will bring you to a CCC request form where you can provide the details of your order. Once complete, please click the ‘Submit Request’ button and CCC’s Reprints Services team will generate a quote for your review.
Search Relations

Author(s):

Related Articles

Related Article in PubMed

Related Article in Google Scholar

Create Citation Alert via Google Reader