Case Report
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World J Gastrointest Endosc. Jul 16, 2014; 6(7): 324-327
Published online Jul 16, 2014. doi: 10.4253/wjge.v6.i7.324
Endoscopic and imaging appearance after injection of an ano-rectal bulking agent
Haris Papafragkakis, Kinesh Changela, Taruna Bhatia, Mel A Ona, Anju Malieckal, Vani Paleti, Moshe S Fuksbrumer, Sury Anand
Haris Papafragkakis, Kinesh Changela, Taruna Bhatia, Mel A Ona, Anju Malieckal, Vani Paleti, Sury Anand, Division of Gastroenterology, the Brooklyn Hospital Center, New York Presbyterian Healthcare System, Brooklyn, NY 11201, United States
Moshe S Fuksbrumer, Department of Radiology, the Brooklyn Hospital Center, New York Presbyterian Healthcare System, Brooklyn, NY 11201, United States
Author contributions: Papafragkaki H and Changela K contributed equally to this work, contributed to conception and design, drafting manuscript part; Bhatia T, Ona MA, Malieckal A and Paleti V contributed to revision of manuscript, acquisition and editing images; Fuksbrumer MS and Anand S contributed to critical revision of the manuscript for important intellectual content.
Correspondence to: Kinesh Changela, MD, Division of Gastroenterology, the Brooklyn Hospital Center, New York Presbyterian Healthcare System, 121 Dekalb Ave, Brooklyn, NY 11201, United States. kinooo2002@gmail.com
Telephone: +1-516-5828772 Fax: +1-718-2508120
Received: January 23, 2014
Revised: May 10, 2014
Accepted: June 10, 2014
Published online: July 16, 2014
Processing time: 143 Days and 7.3 Hours
Abstract

The use of hyaluronic acid and dextranomer (Solesta, Salix) injection in the anal canal is an emerging modality in the treatment of fecal incontinence. However, little is known regarding the endoscopic and radiological appearance following injection of this ano-rectal bulking agent. We report computed tomography and endoscopic findings after hyaluronic acid/dextranomer injection in the ano-rectal area.

Keywords: Fecal incontinence; Ano-rectal bulking agent; Hyaluronic acid; Dextranomer

Core tip: The use of hyaluronic acid and dextranomer (Solesta, Salix) injection in the ano-rectum is an emerging modality in the treatment of fecal incontinence. Our case discusses the endoscopic and radiological findings after injection of this bulking agent in the ano-rectal area.