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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 7, 2015; 21(13): 4000-4005
Published online Apr 7, 2015. doi: 10.3748/wjg.v21.i13.4000
Published online Apr 7, 2015. doi: 10.3748/wjg.v21.i13.4000
Rectal tone and compliance affected in patients with fecal incontinence after fistulotomy
Richard Alexander Awad, Santiago Camacho, Francisco Flores, Evelyn Altamirano, Mario Antonio García, Experimental Medicine and Motility Unit, Gastroenterology Service U-107, Mexico City General Hospital, Mexico DF06726, Mexico
Author contributions: Awad RA was involved in creating the protocol, evaluation of data, recruitment of patients, acquisition of results, statistical analysis, and drafting of the manuscript; Camacho S was involved in recruitment of patients, acquisition of results, and statistical analysis; Flores F, Altamirano E and García MA were involved in recruitment of patients and acquisition of results; all authors have seen and approved the final version of the report.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Richard Alexander Awad, MD, MSc, Experimental Medicine and Motility Unit, Gastroenterology Service U-107, Mexico City General Hospital, Dr. Balmis #148, Col. Doctores, México DF06726, Mexico. awadrichardalexander@prodigy.net.mx
Telephone: +52-55-50043806 Fax: +52-55-50043806
Received: September 9, 2014
Peer-review started: September 9, 2014
First decision: September 27, 2014
Revised: October 15, 2014
Accepted: November 18, 2014
Article in press: November 19, 2014
Published online: April 7, 2015
Peer-review started: September 9, 2014
First decision: September 27, 2014
Revised: October 15, 2014
Accepted: November 18, 2014
Article in press: November 19, 2014
Published online: April 7, 2015
Core Tip
Core tip: Fistula and anorectal abscess are common, and 40% of such abscesses result in fistulas. Postoperative fecal incontinence (FI) is frequent. It has been reported that rectal distensibility and thresholds for sensations decrease after hemorrhoidopexy, and that the perception of rectal distension is not always reduced in FI. In our patients with FI after fistulotomy (FIAF), anal sphincter function and rectal sensitivity are preserved, but rectal tone and compliance are impaired. The results suggest that FIAF is not due to alterations in rectal sensitivity and that the rectum is more involved than the anal sphincters in the genesis of FIAF.