The Role of Anorectal Physiology Tests in Ulcerative Colitis; Challenging 3 Cases
Ozdal Ersoy *
Department of Gastroenterology, Acibadem Fulya Hospital, Crohn’s and Colitis Center and Center for Anorectal Diseases, Istanbul, Turkey. and Department of Gastroenterology, School of Medicine, Acibadem University, Istanbul, Turkey.
Eser Vardareli
Department of Gastroenterology, School of Medicine, Acibadem University, Istanbul, Turkey.
Umit Sekmen
Department Colorectal Surgery, Acibadem Fulya Hospital, Center for Anorectal Diseases, Istanbul, Turkey.
Hulya Hamzaoglu
Department of Gastroenterology, Acibadem Fulya Hospital, Crohn’s and Colitis Center and Center for Anorectal Diseases, Istanbul, Turkey.
Melih Paksoy
Department Colorectal Surgery, Acibadem Fulya Hospital, Center for Anorectal Diseases, Istanbul, Turkey.
Nurdan Tozun
Department of Gastroenterology, School of Medicine, Acibadem University, Istanbul, Turkey.
*Author to whom correspondence should be addressed.
Abstract
Benign functional anorectal disorders such as faecal incontinence or constipation can be concomitant issues in inflammatory bowel disease (IBD) whether the main disease is under control or not and they lead to negative impact on patients’ quality of life. However, reports regarding these anorectal disorders and anorectal physiologic features in patients with IBD are rare and routine diagnostic tests and therapeutic options for these pelvic floor disorders reported by IBD patients are often underused. Anorectal physiology tests are important in patients with inflammatory bowel diseases, to better diagnose any symptomatic and concomitant anorectal functional disorders in order to avoid unnecessary medical or surgical therapies and to tailor the most suitable treatment modalities for the patients. Three challenging patients with ulcerative colitis (UC) under deep remission but having different defecatory and functional bowel problems are summarized here, under the guidance of specific anorectal physiology tests.
Keywords: Ulcerative colitis, anorectal physiology test, constipation, faecal incontinence