Obesity, Morbid

Anal Incontinence

Image, Body

gastric bypass, sleeve, banding,biliopancreatic diversion

bariatric surgical procedures

CHRU Nancy - Département Chirurgie Viscérale, Métabolique et Cancérologique CVMC (7ème étage)

Impact of Bariatric Surgery in Patients With Morbid Obesity

Impact of Bariatric Surgery in Patients With Morbid Obesity. Prospective Study With Comparison Before and After

PFDI-20 score (pelvic floor distress inventory) from zero to 12 (0: no incontinence and 12: severe incontinence)

PFIQ-7 (pelvic floor impact questionnaire) from 0 to 16 (0: no incontinence and 16: severe incontinence)

Laurent BRUNAUD

Principal investigator, Professor of Surgery

Central Hospital, Nancy, France

symptomatic patient and suspicious to have ODS by history and clinical examination those patient will have MRI defecography

Asymptomatic group not suspicious to have ODS by history or clinical examination they will undergone MRI defecography

MRI Defecography, ODS

AssiutU university hospital

Role of MRI Defecography in Diagnosis of Obstructed Defecation Syndrome

sensitivity and specificity of MRI defecography in diagnosis of obstructed defecation syndrome and help physician in patient management by using modified Longo score for obstructed defecation syndrome.
data collected by history using Rome III guidelines.
imaging data :
Normal functional movements of the pelvic floor using pupococygeal line (PCL) as reference line, The anorectal angle (ARA) and Levator plate angle.
Pelvic floor relaxation: using H and M lines
Defecographic disorders: Rectocele, Intussusception, Rectal prolapse ,Descending perineal syndrome, Anismus, or spastic pelvic floor syndrome and Enterocele.
the imaging data will be correlated with operative data if patient candidate for operation and with clinical examination and modified Longo score patient no candidate for operation.

rectal prolapse/سمنة

Impact of Bariatric Surgery in Patients With Morbid Obesity

Role of MRI Defecography in Diagnosis of Obstructed Defecation Syndrome

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