The evaluation of ano-rectal function and pelvic floor muscles by sitting position MRI.

2013 Fiscal Year Final Research Report

• Project/Area Number: 23591764
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Radiation science
• Research Institution: Shiga University of Medical Science
• Principal Investigator: ENDO Yoshihiro 滋賀医科大学, 医学部, 教授 (40263040)
• Co-Investigator(Kenkyū-buntansha): SHIMIZU Tomoharu 滋賀医科大学, 医学部, 助教 (70402708) ; TANI Tohru 滋賀医科大学, 医学部, 教授 (20179823) ; MURATA Satoshi 滋賀医科大学, 医学部, 講師 (90239525) ; MEKATA Eiji 滋賀医科大学, 医学部, 講師 (80314152) ; KATAYAMA Ikuko 滋賀医科大学, 医学部, 看護師 (40437132) ; SONODA Hiromichi 滋賀医科大学, 医学部, 助教 (80437152) ; MURAKAMI Koichiro 滋賀医科大学, 医学部, 特任助教 (30572763)
• Co-Investigator(Renkei-kenkyūsha): MORIKAWA Shigehiro 滋賀医科大学, 医学部, 教授 (60220042)
• Project Period (FY): 2011 – 2013
• Keywords: 縦型MRI / 直腸脱 / 直腸癌 / 潰瘍性大腸炎

Research Abstract

Anal descent (AD) in patients with anal prolapse (AP) were longer that in healthy volunteers. This AD elongations was shortened after surgery for AP. We evaluated the relation among AD, type of surgery and outcome. Patients with more than 9 cm of AD at resting appeared to have recurrences of AP when palliative operation was selected for them. Ano-rectal angle (ARA) at squeezing before surgery in patients with rectal cancer (RC) was larger than those after surgery. ARA at straining before surgery was smaller than those after surgery in RC. No significant relation between ARA and fecal incontinence were observed. ARA at squeezing in patients with ulcerative colitis (UC) who received total proctocolectomy was larger than those after surgery. ARA at straining was as same as that in RC. Although the frequency of fecal incontinence in patients with UC was more than that in patients with RC, there was no significant relation between ARA and fecal incontinence in patients with UC.

Research Products

• [Journal Article] 骨盤内臓器の位置評価における体位の影響の検討 (2013)
  • Author(s): 二宮早苗, 森川茂廣, 遠藤善裕, 正木紀代子, 斉藤祥乃, 土川祥, 森みどり, 岡山久代
  • Journal Title: 滋賀医科大学雑誌 Volume: 26巻 Pages: 17-22
  • Peer Reviewed
• [Journal Article] 座位MRI画像を用いたTOT手術による膀胱頸部・尿道軸の形態的変化に関する検討 (2013)
  • Author(s): 二宮早苗, 斉藤祥乃, 岡山久代, 遠藤善裕, 森川茂廣, 正木紀代子 ,齋藤いずみ, 荒木勇雄
  • Journal Title: 日本女性骨盤底医学会誌 Volume: 10巻 Pages: 46-51
  • Peer Reviewed
• [Journal Article] A minimally invasive approach using the open magnetic resonance imaging system combined with video-assisted thoracoscopic surgery for synchronous hepatic and pulmonary metastases from colorectal cancer; Report of four cases (2013)
  • Author(s): Sonoda H, Shimizu T , Takebayashi K, Ohta H, Murakami K, Shiomi H, Naka S, Hanaoka J, Tani T
  • Journal Title: Surgery Today Volume: (in press)
• [Journal Article] 縦型オープンMRを用いた膀胱頸部位置の評価に影響を与える要因の検討 (2013)
  • Author(s): 二宮早苗, 齋藤いずみ, 遠藤善裕, 森川茂廣, 荒木勇雄, 正木紀代子, 斉藤祥乃, 岡山久代
  • Journal Title: 日本女性骨盤底医学会誌 Volume: 9巻 Pages: 60-63
  • Peer Reviewed
• [Presentation] 大腸癌同時性肝肺転移に対する新たな治療戦略-VATS+IVMR-MCTによる低侵襲同時手術の経験 (2012)
  • Author(s): 園田寛道, 清水智治, 塩見尚礼, 仲成幸, 目片英治, 遠藤善裕, 橋本雅之, 北村将司, 寺本晃司, 花岡淳, 手塚則明, 来見良誠, 谷徹
  • Organizer: 第74回日本臨床外科学会総会
  • Year and Date: 20121100
• [Presentation] 座位MRIによる直腸脱症例の評価 (2012)
  • Author(s): 遠藤善裕、清水智治、目片英治、園田寛道、赤堀浩也、三宅亨、谷徹
  • Organizer: 第67回日本大腸肛門病学会学術集会
  • Year and Date: 20121000
• [Presentation] 座位MRIによる排便機能検査 (2011)
  • Author(s): 清水智治, 遠藤善裕, 龍田健, 目片英治, 谷徹
  • Organizer: 第36回日本外科系連合学会学術集会
  • Year and Date: 20110600
• [Presentation] ナビゲーションサージェリーの有用性と今後の展望MRI navigation surgeryシステムによる直腸癌骨盤内再発に対する局所治療 (2011)
  • Author(s): 清水智治, 遠藤善裕, 目片英治, 山本寛, 村田聡, 塩見尚礼, 仲成幸, 森川茂廣, 来見良誠, 谷徹
  • Organizer: 第36回日本外科系連合学会学術集会
  • Year and Date: 20110600
• [Presentation] 尿失禁を有する初老期女性におけるサポート下着長期着用の効果縦型オープンMRによる膀胱頸部の位置評価 (2011)
  • Author(s): 正木紀代子, 岡山久代, 二宮早苗, 齋藤祥乃, 土川祥, 坂本晶子, 遠藤善裕, 森川茂廣
  • Organizer: 生活生命支援医療福祉工学系学会連合大会
  • Year and Date: 20110000