便失禁に対する新しい肛門管形成手術―内肛門括約筋後方形成手術
I．目的 特発性便失禁10例に，当院で開発した肛門管形成手術（（1）肛門管の後壁側の内肛門括約筋を大きく前方に反転させて肛門管内腔を狭くする，（2）左右の浅外肛門括約筋を寄せて縫合する）を行い，便失禁の改善の効果を検討した． II．結果 10例のうち9例で便失禁が消失した．残りの1例は便失禁の程度が軽減（Wexnerのスコア9点→3点に減少）した．肛門内圧検査では，手術後6カ月以上を経過した6例で最大静止圧と最大随意収縮圧の手術前後の変化をみたが，有意な差はみられなかった．バルーンによる肛門管造影を8例に行ったところ手術前と手術後3～7カ月の時点での比較で，肛門管開大の抑制，画像上内腔18mm...
Saved in:
| Published in | 日本大腸肛門病学会雑誌 Vol. 64; no. 6; pp. 383 - 402 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本大腸肛門病学会
2011
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0047-1801 1882-9619 |
| DOI | 10.3862/jcoloproctology.64.383 |
Cover
| Abstract | I．目的 特発性便失禁10例に，当院で開発した肛門管形成手術（（1）肛門管の後壁側の内肛門括約筋を大きく前方に反転させて肛門管内腔を狭くする，（2）左右の浅外肛門括約筋を寄せて縫合する）を行い，便失禁の改善の効果を検討した． II．結果 10例のうち9例で便失禁が消失した．残りの1例は便失禁の程度が軽減（Wexnerのスコア9点→3点に減少）した．肛門内圧検査では，手術後6カ月以上を経過した6例で最大静止圧と最大随意収縮圧の手術前後の変化をみたが，有意な差はみられなかった．バルーンによる肛門管造影を8例に行ったところ手術前と手術後3～7カ月の時点での比較で，肛門管開大の抑制，画像上内腔18mm（示指頭大）以内が，安静時・収縮時・排便時ですべての症例にみられた．肛門管の長さは安静時と収縮時で有意に延長していた（P<0.05）．今回の画像上8例のうち7例で安静時から収縮時や排便時に，尾骨先端が5mm以上動いているのが確認された． |
|---|---|
| AbstractList | I．目的 特発性便失禁10例に，当院で開発した肛門管形成手術（（1）肛門管の後壁側の内肛門括約筋を大きく前方に反転させて肛門管内腔を狭くする，（2）左右の浅外肛門括約筋を寄せて縫合する）を行い，便失禁の改善の効果を検討した． II．結果 10例のうち9例で便失禁が消失した．残りの1例は便失禁の程度が軽減（Wexnerのスコア9点→3点に減少）した．肛門内圧検査では，手術後6カ月以上を経過した6例で最大静止圧と最大随意収縮圧の手術前後の変化をみたが，有意な差はみられなかった．バルーンによる肛門管造影を8例に行ったところ手術前と手術後3～7カ月の時点での比較で，肛門管開大の抑制，画像上内腔18mm（示指頭大）以内が，安静時・収縮時・排便時ですべての症例にみられた．肛門管の長さは安静時と収縮時で有意に延長していた（P<0.05）．今回の画像上8例のうち7例で安静時から収縮時や排便時に，尾骨先端が5mm以上動いているのが確認された． |
| Author | 大見, 琢磨 大見, 良裕 関野, 晴夫 |
| Author_xml | – sequence: 1 fullname: 大見, 琢磨 organization: 大見クリニック – sequence: 1 fullname: 関野, 晴夫 organization: 大島診療所 – sequence: 1 fullname: 大見, 良裕 organization: 大見クリニック |
| BookMark | eNpdkM1Kw0AAhBepYK19Bd8gdX-SzeYoxT8seNGLl7DZbGpDbUrSS29NqVKJB0GsiKeKePEfvHiwvosxSX0LCxURL_PBzDCHmQe5hteQACwiWCKM4iVXeHWv6XuiNWG1XaLqxCczII8Yw4pBkZEDeQhVXUEMojlQDIKaBTWmGkRnMA92P0fvyfVzdhPG4W3yOIrDi7gbpYOnODyPw964e_k16GQPw-TtKu2fpEfReHj60TlLDg-mURrdZS-97D5KRsfp4PVvbQHMOrweyOIPC2BndWW7vK5UttY2yssVxcWaARWhC9shGGHLYhZSDZ1CoUvpUGwzRIlGMIRMIo5slXGNcYwdJDnToKMjWyeIFMDmdNcNWrwqzaZf2-d-2-R-qybq0vx3kUlVk05l8tRvS-xx33Q5-QYwiYjC |
| ContentType | Journal Article |
| Copyright | 2011 日本大腸肛門病学会 |
| Copyright_xml | – notice: 2011 日本大腸肛門病学会 |
| DOI | 10.3862/jcoloproctology.64.383 |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| EISSN | 1882-9619 |
| EndPage | 402 |
| ExternalDocumentID | article_jcoloproctology_64_6_64_6_383_article_char_ja |
| GroupedDBID | 123 2WC ABDBF ALMA_UNASSIGNED_HOLDINGS CS3 F5P JSF KQ8 OK1 RJT |
| ID | FETCH-LOGICAL-j2590-c7cdf3212bb8b149760c7eef62d8163532008e1a1d48a58a22f1ea850f71d7313 |
| ISSN | 0047-1801 |
| IngestDate | Wed Sep 03 06:29:17 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 6 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j2590-c7cdf3212bb8b149760c7eef62d8163532008e1a1d48a58a22f1ea850f71d7313 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/jcoloproctology/64/6/64_6_383/_article/-char/ja |
| PageCount | 20 |
| ParticipantIDs | jstage_primary_article_jcoloproctology_64_6_64_6_383_article_char_ja |
| PublicationCentury | 2000 |
| PublicationDate | 20110000 |
| PublicationDateYYYYMMDD | 2011-01-01 |
| PublicationDate_xml | – year: 2011 text: 20110000 |
| PublicationDecade | 2010 |
| PublicationTitle | 日本大腸肛門病学会雑誌 |
| PublicationTitleAlternate | 日本大腸肛門病会誌 |
| PublicationYear | 2011 |
| Publisher | 日本大腸肛門病学会 |
| Publisher_xml | – name: 日本大腸肛門病学会 |
| References | 63) Corman ML: Follow-up evaluation of gracilis muscle transposition for fecal incontinence. Dis Colon Rectum 23: 552-555, 1980 3) Roberts RO, Jacobsen SJ, Reilly WT, et al: Prevalence of combined fecal and urinary incontinence: A community-based study. JAGS 47: 837-841, 1999 31) Broden B, Snellman B: Procidentia of the rectum studied with cineradiography: A contribution to the discussion of causative mechanism. Dis Colon Rectum 11: 330-347, 1968 56) Yoshioka K, Keighley MRB: Clinical and manometric assessment of gracilis muscle transplant for fecal incontinence. Dis Colon Rectum 31: 767-769, 1988 78) Nelson DA: Coccydynia and lumbar disk disease historical correlations and clinical cautions. Perspectives in Biology and Medicine 34: 229-238, 1991 37) 大見良裕, 稲葉 宏, 関野晴夫ほか: 痔瘻に対する原発巣開放手術（限局的laying open法）の術後長期成績. 日本大腸肛門病会誌 62: 307-322, 2009 81) Maigne JY: Standardized radiological protocol fot the study of common coccydynia. Characteristics of the lesions observed in the sitting position. Clinical elements differentiating luxation, hypermobility and normal mobility. Spine 21 (22): 2588-2593, 1996 33) Cherry DA, Greenwald ML: Anal incontinence. In Beck DE, Wexner SD, eds. Fundamentals of anorectal surgery. New York. McGraw Hill, 1992, p104-130 64) Leguit P, Van Baal JG, Brummelkamp WH, et al: Gracilis muscle transposition in the treatment of fecal incontinence. Dis Colon Rectum 28: 1-4, 1985 21) Mander BJ: Preliminary results of a multicentre trial of the electrically stimulated gracilis neoanal sphincter. Br J Surg 86: 1543-1548, 1999 59) Hentz VR: Construction of a rectal sphincter using the origin of the gluteus maximus muscle. Plastic and reconstructive surgery 70: 82-85, 1982 61) Sato T, Konishi F, Kanazawa K: Anal sphincter reconstruction with a pudendal nerve anastomosis following abdominoperineal resection. Dis Colon Rectum 40: 1497-1503, 1997 22) 大見良裕, 稲葉 宏, 関野晴夫ほか: 直腸脱に対する新しい会陰式手術法. 外科 70: 778-784, 2008 74) Ekengren K, Snellman B: Roentgen appearances in mechanical rectal constipation. Acta Radiologica 40: 447-456, 1953 28) 長谷川信吾: 裂肛治療に対する肛門内圧測定の意義―側方皮下内括約筋切開術の適応について―. 日本大腸肛門病会誌 46: 48-53, 1993 58) 藤川 亨, 高尾良彦, 穴沢貞夫ほか: 肛門機能からみた便失禁に対するPostanal Repairの意義. 日本大腸肛門病会誌 53: 348-352, 2000 62) 佐藤知行, 澁澤公行, 中村英美ほか: 新肛門―直腸癌手術における排便機能再建術. 臨外 60: 1571-1577, 2005 18) Chittenden AS, Binghamton NY: Reconstruction of the anal sphincter by muscle slips from the glutei. Ann Surg 92: 152-154, 1930 7) Hetzer FH, Hahnloser D, Clavien P-A, et al: Quality of life and morbidity after permanent sacral nerve stimulation for fecal incontinence. Arch Surg 142: 8-13, 2007 40) Kamm MA: Faecal incontinence: Many treatment options now exist for this embarrassing condition. BMJ 327: 1299-1300, 2003 5) Thomas TM, Egan M, Walgrove A, et al: The prevalence of faecal and double incontinence. Community Medicine 6: 216-220, 1984 13) Stone HB: Plastic operation for anal incontinence. Trans South Surg Assoc 41: 235-240, 1928 6) Tobin GW, Brocklehurst JC: Faecal incontinence in residential homes for the elderly: prevalence, aetiology and management. Age and Ageing 15: 41-46, 1986 72) Scheuer M, Kuijpers HC, Jacobs PP: Postanal repair restores anatomy rather than function. Dis Colon Rectum 32: 960-963, 1989 75) Bartolo DCC, Read NW, Jarratt JA, et al: Differences in anal sphincter function and clinical presentation in patients with pelvic floor descent. Gastroenterology 85: 68-75, 1983 48) Swerdlow H: A new instrument for the performance of the thiersch procedure for rectal procidentia. Dis Col & Rect 29: 145-147, 1986 41) Malouf AJ, Norton CS, Engel AF, et al: Long-term results of overlapping anterior anal-sphincter repair for obstetric trauma. THE LANCET 355: 260-265, 2000 51) 吉田鉄郎, 笹口政利, 吉田英毅ほか: 直腸脱に対するGANT-三輪-Thiersch法―吉田変法の術式と遠隔成績. 日本大腸肛門病会誌 54: 156-160, 2001 57) 寺本龍生, 小平 進, 北島政樹: 便失禁症の手術―Post anal repair―. 手術 46: 957-963, 1992 14) Wreden RR: A method of reconstructing a voluntary sphincter ani. Archives of Surgery 841-844, 1928 29) 土屋周二, 島津久明, 中野春雄: 直腸脱の成因・治療方針についての考察. 日本大腸肛門病会誌 24: 149-157, 1971 35) Shouler PJ, Grimley RP, Keighley MRB, et al: Fistula-in-ano is usually simple to manage surgically. Int J Colorect Dis 1: 113-115, 1986 20) Corman ML: Gracilis muscle transposition for anal incontinence: late resuts. Br J Surg 72: S21-22, 1985 46) Heymen S, Scarlett Y, Jones K, et al: Randomized controlled trial shows biofeedback to be superior to pelvic floor exercises for fecal incontinence. Dis Colon Rectum 52: 1730-1737, 2009 15) Parks AG: Anorectal incontinence. Proc roy Soc Med 68: 681-690, 1975 45) Engel BT, Nikoomanesh P, Schuster MM: Operant conditioning of rectosphincteric responses in the treatment of fecal incontinence. The New England Journal of Medicine 290: 646-649, 1974 23) 山名哲郎, 高橋知子, 積美保子ほか: 便失禁患者の診療の現状. 日本大腸肛門病会誌 60: 895-900, 2007 39) Watts JM, Bennett RC, Goligher JC: Stretching of anal sphincters in treatment of fissure-in-ano. Brit Med J 2: 342-343, 1964 54) Maslekar S, Gardiner AB, Duthie GS, et al: Anterior anal sphincter repair for fecal incontinence: good longterm results are possible. J Am Coll Surg 204: 40-46, 2007 27) Hancock BD: Lord's procedure for haemorrhoids: a prospective anal pressure study. Br J Surg 68: 729-730, 1981 70) Deen KI, Kumar D, Williams JG, et al: Randomized trial of internal anal sphincter plication with pelvic floor repair for neuropathic fecal incontinence. Dis Colon Rectum 38: 14-18, 1995 49) Stricker JW, Schoetz DJ Jr, Coller JA, et al: Surgical correction of anal incontinence. Dis Colon Rectum 31: 533-540, 1988 12) Plumley P: A modification to Thiersch's operation for rectal prolapse. Br J Surg 53: 624-625, 1966 38) McCaffrey J: Lord treatment of haemorrhoids four-year follow-up of fifty patients. THE LANCET 133-134, 1975 53) Jacobs PPM, Scheuer M, Kuijpers JHC, et al: Obstetric fecal incontinence. Role of pelvic floor denervation and results of delayed sphincter repair. Dis Col & Rect 33: 494-497, 1990 16) Keighley MRB: Postanal repair for faecal incontinence. Journal of the Royal Society of Medeicine 77: 285-288, 1984 32) Sainio P, Husa A: Fistula-in-ano, clinical features and long-term results of surgery in 199 adults. Acta Chir Scand 151: 169-176, 1985 60) Pearl RK, Prasad ML, Nelson RL, et al: Bilateral gluteus maximus transposition for anal incontinence. Dis Colon Rectum 34: 478-481, 1991 1) Lahr CJ, Rothenberger DA, Jensen LL, et al: Balloon topography. Dis Colon Rectum 29: 1-5, 1986 42) Parks AG, Porter NH, Hardcastle J: The syndrome of the descending perineum. Proc roy Soc Med 59: 477-482, 1966 55) Orrom WJ, Miller R, Cornes H, et al: Comparison of anterior sphincteroplasty and postanal repair in the treatment of idiopathic fecal incontinencce. Dis Colon Rectum 34: 305-310, 1991 77) 神山剛一: バルーンカテーテルを用いた簡易式直腸造影法の有用性についての検討. 日本大腸肛門病会誌 53: 263-268, 2000 43) 味村俊樹, 上西紀夫, Kamm MA: St Mark’s病院における便失禁の診断に関する検討. 日消外会誌 38: 482-489, 2005 79) Saluja PG: The incidence of ossification of the sacrococcygeal joint. J Anat 156: 11-15, 1988 9) 吉岡和彦, 岩本慈能, 森田美佳ほか: 肛門機能不全の診断・治療の実際. 臨外 59: 1007-1011, 2004 66) Queralto M, Portier G, Cabarrot PH, et al: Preliminary results of peripheral transcutaneous neuromodulation in the treatment of idiopathic fecal incontinence. Int J Colorectal Dis 21: 670-672, 2006 76) Renzi A, Izzo D, Sarno GD, et al: Cinedefecographic findings in patients with obstructed defecation syndrome. Minerva chir 61: 493-499, 2006 8) 味村俊樹: 便失禁の診断と治療. 消化器科 46: 607-617, 2008 71) 安部達也, 國本正雄, 鉢呂芳一ほか: 内肛門括約筋形成術が奏効した便失禁の1例. 臨牀と研究 85: 107-109, 2008 2) Jorge JMN, Wexner SD: Etiology and management of fecal incontinence. Dis Colon Rectum 36: 77-97, 1993 10) Gabriel WB: Thiersch's operation for anal incontinence and minor degrees of rectal prolapse. Am J Surg 583-590, 1953 65) 吉岡和彦, 畑 嘉高, 岩本慈能ほか: 直腸肛門機能性疾患に対する治療―有茎薄筋移植を中心に―. 日本大腸肛門病会誌 60: 906-910, 2007 11) Blaisdell PC: Repair of the incontinent sphincter ani. Surg Gynecol Obstet 70: 692-697, 1940 4) Perry S, Shaw C, McGrother C, et al: Prevalence of faecal incontinence in adults aged 40 years or more living in the community. Gut 50: 480-484, 2002 36) Garcia-Aguilar J, Belmonte C, Wong WD, et al: Anal fistula surgery, factors associated with recurrence and incontinence. Dis Colon Rectum 39: 723-729, 1996 34) Ramanujam PS, Prasad ML, Abcarian H: The role of seton in fistulotomy of the anus. Surg Gynecology Obstetrics 157: 419-422, 1983 17) Chetwood CH: Plastic operation for restoration of the sphincter ani, with report of a case. Med Rec 61: 529, 1902 30) Porter N: Collective results of operations for rectal prolapse. Proc roy Soc Med 55: 1087-1091, 1962 47) 鈴木宏志, 松本好市, 三浦 力: 直腸に起因する排便障害の診断に対する直腸肛門内圧測定の応用とバイオフィードバックによる治療. 日本大腸肛門病会誌 42: 977-980, 1989 52) Browning GGP, Motson RW: Results of Parks operation for faecal incontinence after anal sphincter injury. Brit Med J 286: 1873-1875, 1983 73) Wallden L: Defecation block in cases of deep rectogenial pouch. Acta Chir Scand 165: 1-22, 1952 68) Wong WD, Rothenberger DA: Surgical approaches to anal incontinence. Neurobiology of Incontinence. Chichester (Chiba Foundation Symposium 151) . Wiley, 1990, p246-266 80) 藤井正彦, 北村ゆり, 楫 靖ほか: 骨盤底. 画像診断 22: 204-209, 2002 69) Wexner SD, Marchetti F, Jagelman DG, et al: The role of sphincteroteroplasty for fecal incontinence reevaluated: A prospective physiologic and functional review. Dis Colon Rectum 34: 22-30, 1991 19) Pickrell KL, Broadbent TR, Masters FW, et al: Construction of a rectal sphincter and restoration of anal continence by transplanting the gracilis muscle. Annals of Surg 135: 853-862, 1952 25) 内山安男, 相磯貞和: 人体組織学第2版. 南江堂, 2000, p191-193 67) Yamana T, Takahashi T, Iwadare J: Perineal puborectails sling operation for fecal incontinence -preliminary report. Dis Colon Rectum 47: 1982-1989, 2004 26) Teramoto T, Parks AG, Swash M: Hypertrophy of the external anal sphincter in haemorrhoids: a histometric study. Gut 22: 45-48, 1981 44) 山名哲郎: 排便機能障害の診断と治療―便秘と便失禁の診療の実際―. Nikkei Medical 12: 121-124, 2006 50) Horn HR, Schoetz DJ, Coller JA, et al: Sphincter repair with a silastic sling for anal incontinence and rectal procidentia. Dis Col & Rect 28 |
| References_xml | – reference: 68) Wong WD, Rothenberger DA: Surgical approaches to anal incontinence. Neurobiology of Incontinence. Chichester (Chiba Foundation Symposium 151) . Wiley, 1990, p246-266 – reference: 44) 山名哲郎: 排便機能障害の診断と治療―便秘と便失禁の診療の実際―. Nikkei Medical 12: 121-124, 2006 – reference: 35) Shouler PJ, Grimley RP, Keighley MRB, et al: Fistula-in-ano is usually simple to manage surgically. Int J Colorect Dis 1: 113-115, 1986 – reference: 66) Queralto M, Portier G, Cabarrot PH, et al: Preliminary results of peripheral transcutaneous neuromodulation in the treatment of idiopathic fecal incontinence. Int J Colorectal Dis 21: 670-672, 2006 – reference: 72) Scheuer M, Kuijpers HC, Jacobs PP: Postanal repair restores anatomy rather than function. Dis Colon Rectum 32: 960-963, 1989 – reference: 28) 長谷川信吾: 裂肛治療に対する肛門内圧測定の意義―側方皮下内括約筋切開術の適応について―. 日本大腸肛門病会誌 46: 48-53, 1993 – reference: 25) 内山安男, 相磯貞和: 人体組織学第2版. 南江堂, 2000, p191-193 – reference: 11) Blaisdell PC: Repair of the incontinent sphincter ani. Surg Gynecol Obstet 70: 692-697, 1940 – reference: 7) Hetzer FH, Hahnloser D, Clavien P-A, et al: Quality of life and morbidity after permanent sacral nerve stimulation for fecal incontinence. Arch Surg 142: 8-13, 2007 – reference: 58) 藤川 亨, 高尾良彦, 穴沢貞夫ほか: 肛門機能からみた便失禁に対するPostanal Repairの意義. 日本大腸肛門病会誌 53: 348-352, 2000 – reference: 14) Wreden RR: A method of reconstructing a voluntary sphincter ani. Archives of Surgery 841-844, 1928 – reference: 18) Chittenden AS, Binghamton NY: Reconstruction of the anal sphincter by muscle slips from the glutei. Ann Surg 92: 152-154, 1930 – reference: 8) 味村俊樹: 便失禁の診断と治療. 消化器科 46: 607-617, 2008 – reference: 40) Kamm MA: Faecal incontinence: Many treatment options now exist for this embarrassing condition. BMJ 327: 1299-1300, 2003 – reference: 54) Maslekar S, Gardiner AB, Duthie GS, et al: Anterior anal sphincter repair for fecal incontinence: good longterm results are possible. J Am Coll Surg 204: 40-46, 2007 – reference: 76) Renzi A, Izzo D, Sarno GD, et al: Cinedefecographic findings in patients with obstructed defecation syndrome. Minerva chir 61: 493-499, 2006 – reference: 23) 山名哲郎, 高橋知子, 積美保子ほか: 便失禁患者の診療の現状. 日本大腸肛門病会誌 60: 895-900, 2007 – reference: 53) Jacobs PPM, Scheuer M, Kuijpers JHC, et al: Obstetric fecal incontinence. Role of pelvic floor denervation and results of delayed sphincter repair. Dis Col & Rect 33: 494-497, 1990 – reference: 46) Heymen S, Scarlett Y, Jones K, et al: Randomized controlled trial shows biofeedback to be superior to pelvic floor exercises for fecal incontinence. Dis Colon Rectum 52: 1730-1737, 2009 – reference: 26) Teramoto T, Parks AG, Swash M: Hypertrophy of the external anal sphincter in haemorrhoids: a histometric study. Gut 22: 45-48, 1981 – reference: 47) 鈴木宏志, 松本好市, 三浦 力: 直腸に起因する排便障害の診断に対する直腸肛門内圧測定の応用とバイオフィードバックによる治療. 日本大腸肛門病会誌 42: 977-980, 1989 – reference: 37) 大見良裕, 稲葉 宏, 関野晴夫ほか: 痔瘻に対する原発巣開放手術（限局的laying open法）の術後長期成績. 日本大腸肛門病会誌 62: 307-322, 2009 – reference: 60) Pearl RK, Prasad ML, Nelson RL, et al: Bilateral gluteus maximus transposition for anal incontinence. Dis Colon Rectum 34: 478-481, 1991 – reference: 81) Maigne JY: Standardized radiological protocol fot the study of common coccydynia. Characteristics of the lesions observed in the sitting position. Clinical elements differentiating luxation, hypermobility and normal mobility. Spine 21 (22): 2588-2593, 1996 – reference: 63) Corman ML: Follow-up evaluation of gracilis muscle transposition for fecal incontinence. Dis Colon Rectum 23: 552-555, 1980 – reference: 13) Stone HB: Plastic operation for anal incontinence. Trans South Surg Assoc 41: 235-240, 1928 – reference: 33) Cherry DA, Greenwald ML: Anal incontinence. In Beck DE, Wexner SD, eds. Fundamentals of anorectal surgery. New York. McGraw Hill, 1992, p104-130 – reference: 9) 吉岡和彦, 岩本慈能, 森田美佳ほか: 肛門機能不全の診断・治療の実際. 臨外 59: 1007-1011, 2004 – reference: 49) Stricker JW, Schoetz DJ Jr, Coller JA, et al: Surgical correction of anal incontinence. Dis Colon Rectum 31: 533-540, 1988 – reference: 55) Orrom WJ, Miller R, Cornes H, et al: Comparison of anterior sphincteroplasty and postanal repair in the treatment of idiopathic fecal incontinencce. Dis Colon Rectum 34: 305-310, 1991 – reference: 71) 安部達也, 國本正雄, 鉢呂芳一ほか: 内肛門括約筋形成術が奏効した便失禁の1例. 臨牀と研究 85: 107-109, 2008 – reference: 61) Sato T, Konishi F, Kanazawa K: Anal sphincter reconstruction with a pudendal nerve anastomosis following abdominoperineal resection. Dis Colon Rectum 40: 1497-1503, 1997 – reference: 6) Tobin GW, Brocklehurst JC: Faecal incontinence in residential homes for the elderly: prevalence, aetiology and management. Age and Ageing 15: 41-46, 1986 – reference: 3) Roberts RO, Jacobsen SJ, Reilly WT, et al: Prevalence of combined fecal and urinary incontinence: A community-based study. JAGS 47: 837-841, 1999 – reference: 30) Porter N: Collective results of operations for rectal prolapse. Proc roy Soc Med 55: 1087-1091, 1962 – reference: 59) Hentz VR: Construction of a rectal sphincter using the origin of the gluteus maximus muscle. Plastic and reconstructive surgery 70: 82-85, 1982 – reference: 80) 藤井正彦, 北村ゆり, 楫 靖ほか: 骨盤底. 画像診断 22: 204-209, 2002 – reference: 27) Hancock BD: Lord's procedure for haemorrhoids: a prospective anal pressure study. Br J Surg 68: 729-730, 1981 – reference: 43) 味村俊樹, 上西紀夫, Kamm MA: St Mark’s病院における便失禁の診断に関する検討. 日消外会誌 38: 482-489, 2005 – reference: 78) Nelson DA: Coccydynia and lumbar disk disease historical correlations and clinical cautions. Perspectives in Biology and Medicine 34: 229-238, 1991 – reference: 70) Deen KI, Kumar D, Williams JG, et al: Randomized trial of internal anal sphincter plication with pelvic floor repair for neuropathic fecal incontinence. Dis Colon Rectum 38: 14-18, 1995 – reference: 5) Thomas TM, Egan M, Walgrove A, et al: The prevalence of faecal and double incontinence. Community Medicine 6: 216-220, 1984 – reference: 38) McCaffrey J: Lord treatment of haemorrhoids four-year follow-up of fifty patients. THE LANCET 133-134, 1975 – reference: 10) Gabriel WB: Thiersch's operation for anal incontinence and minor degrees of rectal prolapse. Am J Surg 583-590, 1953 – reference: 74) Ekengren K, Snellman B: Roentgen appearances in mechanical rectal constipation. Acta Radiologica 40: 447-456, 1953 – reference: 57) 寺本龍生, 小平 進, 北島政樹: 便失禁症の手術―Post anal repair―. 手術 46: 957-963, 1992 – reference: 32) Sainio P, Husa A: Fistula-in-ano, clinical features and long-term results of surgery in 199 adults. Acta Chir Scand 151: 169-176, 1985 – reference: 51) 吉田鉄郎, 笹口政利, 吉田英毅ほか: 直腸脱に対するGANT-三輪-Thiersch法―吉田変法の術式と遠隔成績. 日本大腸肛門病会誌 54: 156-160, 2001 – reference: 34) Ramanujam PS, Prasad ML, Abcarian H: The role of seton in fistulotomy of the anus. Surg Gynecology Obstetrics 157: 419-422, 1983 – reference: 41) Malouf AJ, Norton CS, Engel AF, et al: Long-term results of overlapping anterior anal-sphincter repair for obstetric trauma. THE LANCET 355: 260-265, 2000 – reference: 56) Yoshioka K, Keighley MRB: Clinical and manometric assessment of gracilis muscle transplant for fecal incontinence. Dis Colon Rectum 31: 767-769, 1988 – reference: 77) 神山剛一: バルーンカテーテルを用いた簡易式直腸造影法の有用性についての検討. 日本大腸肛門病会誌 53: 263-268, 2000 – reference: 4) Perry S, Shaw C, McGrother C, et al: Prevalence of faecal incontinence in adults aged 40 years or more living in the community. Gut 50: 480-484, 2002 – reference: 65) 吉岡和彦, 畑 嘉高, 岩本慈能ほか: 直腸肛門機能性疾患に対する治療―有茎薄筋移植を中心に―. 日本大腸肛門病会誌 60: 906-910, 2007 – reference: 20) Corman ML: Gracilis muscle transposition for anal incontinence: late resuts. Br J Surg 72: S21-22, 1985 – reference: 45) Engel BT, Nikoomanesh P, Schuster MM: Operant conditioning of rectosphincteric responses in the treatment of fecal incontinence. The New England Journal of Medicine 290: 646-649, 1974 – reference: 64) Leguit P, Van Baal JG, Brummelkamp WH, et al: Gracilis muscle transposition in the treatment of fecal incontinence. Dis Colon Rectum 28: 1-4, 1985 – reference: 67) Yamana T, Takahashi T, Iwadare J: Perineal puborectails sling operation for fecal incontinence -preliminary report. Dis Colon Rectum 47: 1982-1989, 2004 – reference: 75) Bartolo DCC, Read NW, Jarratt JA, et al: Differences in anal sphincter function and clinical presentation in patients with pelvic floor descent. Gastroenterology 85: 68-75, 1983 – reference: 15) Parks AG: Anorectal incontinence. Proc roy Soc Med 68: 681-690, 1975 – reference: 22) 大見良裕, 稲葉 宏, 関野晴夫ほか: 直腸脱に対する新しい会陰式手術法. 外科 70: 778-784, 2008 – reference: 17) Chetwood CH: Plastic operation for restoration of the sphincter ani, with report of a case. Med Rec 61: 529, 1902 – reference: 62) 佐藤知行, 澁澤公行, 中村英美ほか: 新肛門―直腸癌手術における排便機能再建術. 臨外 60: 1571-1577, 2005 – reference: 1) Lahr CJ, Rothenberger DA, Jensen LL, et al: Balloon topography. Dis Colon Rectum 29: 1-5, 1986 – reference: 12) Plumley P: A modification to Thiersch's operation for rectal prolapse. Br J Surg 53: 624-625, 1966 – reference: 48) Swerdlow H: A new instrument for the performance of the thiersch procedure for rectal procidentia. Dis Col & Rect 29: 145-147, 1986 – reference: 36) Garcia-Aguilar J, Belmonte C, Wong WD, et al: Anal fistula surgery, factors associated with recurrence and incontinence. Dis Colon Rectum 39: 723-729, 1996 – reference: 42) Parks AG, Porter NH, Hardcastle J: The syndrome of the descending perineum. Proc roy Soc Med 59: 477-482, 1966 – reference: 50) Horn HR, Schoetz DJ, Coller JA, et al: Sphincter repair with a silastic sling for anal incontinence and rectal procidentia. Dis Col & Rect 28: 868-872, 1985 – reference: 16) Keighley MRB: Postanal repair for faecal incontinence. Journal of the Royal Society of Medeicine 77: 285-288, 1984 – reference: 19) Pickrell KL, Broadbent TR, Masters FW, et al: Construction of a rectal sphincter and restoration of anal continence by transplanting the gracilis muscle. Annals of Surg 135: 853-862, 1952 – reference: 39) Watts JM, Bennett RC, Goligher JC: Stretching of anal sphincters in treatment of fissure-in-ano. Brit Med J 2: 342-343, 1964 – reference: 21) Mander BJ: Preliminary results of a multicentre trial of the electrically stimulated gracilis neoanal sphincter. Br J Surg 86: 1543-1548, 1999 – reference: 2) Jorge JMN, Wexner SD: Etiology and management of fecal incontinence. Dis Colon Rectum 36: 77-97, 1993 – reference: 31) Broden B, Snellman B: Procidentia of the rectum studied with cineradiography: A contribution to the discussion of causative mechanism. Dis Colon Rectum 11: 330-347, 1968 – reference: 69) Wexner SD, Marchetti F, Jagelman DG, et al: The role of sphincteroteroplasty for fecal incontinence reevaluated: A prospective physiologic and functional review. Dis Colon Rectum 34: 22-30, 1991 – reference: 73) Wallden L: Defecation block in cases of deep rectogenial pouch. Acta Chir Scand 165: 1-22, 1952 – reference: 29) 土屋周二, 島津久明, 中野春雄: 直腸脱の成因・治療方針についての考察. 日本大腸肛門病会誌 24: 149-157, 1971 – reference: 52) Browning GGP, Motson RW: Results of Parks operation for faecal incontinence after anal sphincter injury. Brit Med J 286: 1873-1875, 1983 – reference: 79) Saluja PG: The incidence of ossification of the sacrococcygeal joint. J Anat 156: 11-15, 1988 – reference: 24) Preston DM, Lennard Jones JE, Thomas BM: The balloon proctogram. Br J Surg 71: 29-32, 1984 |
| SSID | ssib058493780 ssib002670961 ssib005879710 ssib002671002 ssib002227193 ssib002003916 ssib002484655 ssj0064967 |
| Score | 1.8283222 |
| Snippet | I．目的 特発性便失禁10例に，当院で開発した肛門管形成手術（（1）肛門管の後壁側の内肛門括約筋を大きく前方に反転させて肛門管内腔を狭くする，（2）左右の浅外肛門括約筋を寄せて縫合する）を行い，便失禁の改善の効果を検討した． II．結果... |
| SourceID | jstage |
| SourceType | Publisher |
| StartPage | 383 |
| SubjectTerms | 便失禁 外科的治療 尾骨の可動性 簡易型肛門管間接造影検査 肛門管形成手術 |
| Title | 便失禁に対する新しい肛門管形成手術―内肛門括約筋後方形成手術 |
| URI | https://www.jstage.jst.go.jp/article/jcoloproctology/64/6/64_6_383/_article/-char/ja |
| Volume | 64 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | 日本大腸肛門病学会雑誌, 2011, Vol.64(6), pp.383-402 |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3Na9RAFA-lXryIoqL1gx6cY2ommc9jsk0pioLQQvESspvksIcq0h701C1VlPUgiBXxVBEvfoMXD9b_xXV363_hezNJm9UFaykswzDz5jdv3kt472Vn3jjOpZTlXsEz6rZSBQEKLwJXKUbdrGhxlakioyYD37XrYn6RXVniSxOTU7VdS6srzZnWvbHnSg6iVWgDveIp2f_Q7C4oNEAd9AslaBjKfemYxIxEMYnmSMxJCHVKYklCAe4hiQMsw8h0zSGZbdHaVHyioEsQLUjkVV2yrChGYoU0Gmg00ijPIMckpAgYzZLQx-FKEe2ZijaACgl0UG2h4EisoJePAxQ4JGwgcsTMpDDFrMHhyLBqVBzq_Uxa97PNQEDjptIwsxgRhdJwAmhq_BphlDJsAycgSZRwg-jQ0EREUzNdCLxVj-oIcGjWBI-tgfIMw8BGQEK1R29mwx5gH2aLLb1A1YAcSrjoX_gKlw-axdaA2DtEq-83dO_LzaFLom7nmHSpKj8T5da0YSylRWmgSttnM8iX73jdkAX2eqHSJ2LmVPxf5jaAcBjNLeZXR3_L3Lh8d0awmd3hI6nMyxcl-WNAIlgibAHjkooKjx0mbYh9jvhSUtyue_VGLTQ2dxvUU_35ko6k7lOjqQExUWH9DLfAvFa1VHVKarnnCoNfDo472jbr1Qmmhc2_W0rWZhtACVwev35wadsQ4FWbQ42_unDcOVYGmtOhXeYJZ6KdnnRu_tz-3n_9efim0-u87X_c7nVe9Na7g81Pvc7zXmdjZ_3lr8214Yet_rdXg4dPBo-6O1tPf6w96z-4b7sG3XfDLxvD993-9uPB5tc62SlncS5eaMy75e0qbtvn2nNbspUVAXiuzaZqUgZhideSeV4IP1MQpOGFMZ7KaUozplKuUt8vaJ4q7hWSZjKgwWlncvnWcn7Gmc5zDYGJJ7yMQfjFmjotADbnMmOZSJk468xaUSS3bQqd5EBPwtThwJxzjto_hvB33plcubOaX4DIYqV50TxivwFI1vPS |
| linkProvider | Colorado Alliance of Research Libraries |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E4%BE%BF%E5%A4%B1%E7%A6%81%E3%81%AB%E5%AF%BE%E3%81%99%E3%82%8B%E6%96%B0%E3%81%97%E3%81%84%E8%82%9B%E9%96%80%E7%AE%A1%E5%BD%A2%E6%88%90%E6%89%8B%E8%A1%93%E2%80%95%E5%86%85%E8%82%9B%E9%96%80%E6%8B%AC%E7%B4%84%E7%AD%8B%E5%BE%8C%E6%96%B9%E5%BD%A2%E6%88%90%E6%89%8B%E8%A1%93&rft.jtitle=%E6%97%A5%E6%9C%AC%E5%A4%A7%E8%85%B8%E8%82%9B%E9%96%80%E7%97%85%E5%AD%A6%E4%BC%9A%E9%9B%91%E8%AA%8C&rft.au=%E5%A4%A7%E8%A6%8B%2C+%E7%90%A2%E7%A3%A8&rft.au=%E9%96%A2%E9%87%8E%2C+%E6%99%B4%E5%A4%AB&rft.au=%E5%A4%A7%E8%A6%8B%2C+%E8%89%AF%E8%A3%95&rft.date=2011&rft.pub=%E6%97%A5%E6%9C%AC%E5%A4%A7%E8%85%B8%E8%82%9B%E9%96%80%E7%97%85%E5%AD%A6%E4%BC%9A&rft.issn=0047-1801&rft.eissn=1882-9619&rft.volume=64&rft.issue=6&rft.spage=383&rft.epage=402&rft_id=info:doi/10.3862%2Fjcoloproctology.64.383&rft.externalDocID=article_jcoloproctology_64_6_64_6_383_article_char_ja |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0047-1801&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0047-1801&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0047-1801&client=summon |