Abstract Background In spite of prolonged disease remission IBD patients, induced by the new biological molecules, a significant number them suffer from persistent debilitating symptoms with major impact on quality life. Frequently, these are due to post-inflammatory motility changes and misinterpreted as functional disorders. Our aim is identify characterize anorectal dysfunction in patients. ...

Haematochezia was the commonest presenting feature while rectum predominant anatomical site involved. Since these clinical features overlap with those associated commoner benign anorectal condition like haemorrhoids, there is need to raise awareness and stimulate high index of suspicion for malignancy in order reduce delay diagnosis intervention especially our setting where we noted younger pat...

The ultrastructural features of the internal anal sphincter (IAS) muscle were studied in biopsies from five patients with neurogenic anorectal incontinence and six control subjects undergoing anorectal excision for cancer, or for inflammatory bowel disease. In the patients with idiopathic neurogenic anorectal incontinence the internal anal sphincter showed loss of smooth muscle cells, disruptio...

The anorectal physiology of 106 children with long-standing chronic constipation, who had failed to response to a trial of medical treatment, was assessed. 10 (9%) were shown to have ultrashort-segment Hischsprung's disease, later confirmed on histology, The remainder showed evidence of hypertrophy of the internal sphicter on anorectal manometry and had a vigorous anal dilatation (to accept 4 f...

BACKGROUND The Centers for Disease Control recommend screening for asymptomatic sexually transmitted infection (STI) among HIV-infected men when there is self-report of unprotected anal-receptive exposure. The study goals were: (1) to estimate the validity and usefulness for screening policies of self-reported unprotected anal-receptive exposure as a risk indicator for asymptomatic anorectal in...

OBJECTIVES Recent outbreaks of anorectal lymphogranuloma venereum (LGV) among men who have sex with men (MSM) have been characterised by proctocolitis requiring extended antibiotic treatment compared with infections caused by other serovars of Chlamydia trachomatis (CT). We describe the prevalence and clinical features of LGV among Nigerian MSM diagnosed with anorectal CT. METHODS MSM were re...

Anorectal manometry measures the pressures of the anal sphincter muscles, sensation in rectum, and the neural reflexes that are needed for normal bowel movements. This test is mainly performed to evaluate patients with constipation or fecal incontinence but is also useful for pre/post surgical evaluation of anal sphincter tone, functional anorectal pain, pelvic floor dyssynergia and diagnosis o...

objective the associations between imperforate anus and spinal and vertebral abnormalities and neurologic deficits are well recognized; these neurologic deficits have been considered static rather than progressive. however, recent experience indicates that some patients may develop progressive neurologic problems due to spinal cord lesions that are amenable to neurosurgical correction. material...

BACKGROUND Hemorrhoidal disease is an affliction that in referral populations coexists with other significant anorectal diseases. Published texts recommend aggressive procedures to diagnose associated pathologic conditions and as an aid for planning the extirpation of these diseases. Procrastination in management is said to be characteristic of both patient and primary care physician. The purpo...

The specialty of colon and rectal surgery, a specialty of general surgery, has evolved from the field of proctology. Clinical care has demonstrated decreased number of patients requiring intestinal stomas, improved quality of life in patients with benign anorectal disorders, and more favorable results in patients afflicted with primary and recurrent colorectal cancer. Basic science investigatio...