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ID 17235
Eprint ID
17235
フルテキストURL
Thumnail 90_225.pdf 8.25 MB
タイトル(別表記)
Studies on the ano-rectal functions following sphincter-preserving operations for the rectal cancer
著者
吉川 守 岡山大学医学部第1外科教室
抄録
In 60 cases of rectal cancer who underwent sphincter-preserving operations between 1962 and 1975, post-operative ano-rectal functions were examined by means of subjective symptoms, digital examination through the anal canal, the pressure inside the anal canal, electromyography of the external sphincter, anal canal sensory examinations, reflex of the internal sphincter and radiography of the rectum. In 28 cases of anterior resection, the post-operative ano-rectal functions were good as long as there was no stenosis in the junction part. In patients who underwent the invagination type operation, the ano-rectal functions were also good as in the anterior resection cases. In cases of the pull-through operation, the ano-rectal functions in the initial post-operative period were worse than those for the other types of operation. The reason for this is thought to be the loss of the internal sphincter reflex and the decrease in reservoir continence due to defective ampulla formation. However, two years after the operations, the ano-rectal functions of these patients showed considerable improvement. In particulart, ano-rectal functions were good when the post-operative ampulla formation was good even when there was no internal sphincter reflex but the functions were disturbed in some way if there was internal sphincter reflex but poor ampulla formation. From animal experiments, it was evident that rectal ampulla is an important factor in post-operative ano-rectal functions.
発行日
1978-02-28
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
90巻
1-2号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
225
終了ページ
249
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
オフィシャル URL
https://www.jstage.jst.go.jp/article/joma1947/90/1-2/90_1-2_225/_article/-char/ja/
関連URL
http://www.okayama-u.ac.jp/user/oma/index.html
言語
Japanese
著作権者
岡山医学会
論文のバージョン
publisher
査読
有り
Eprints Journal Name
joma