Abstrakt

The goal of a rational diagnostic algorithm for diseases of the anorectum is to get a correct diagnosis and avoid time- and cost-intensive examinations. As a primary step standard basic procedures should be performed. This includes an adequate patient history, inspection, rectal digital examination and proctoscopy/rectoscopy. With this primary approaches a well-trained physician can diagnose already the major bunch of diseases in the anorectal area. Only if this is not successful, by suspicion, colonoscopy, laboratory evaluations, endosonography, rectal manometric assessments, MRI or MR-defecography should be performed. In special situations further examinations are needed. Pelvic floor EMG or pudendus latency time measurement and a colontransit-time measurement (modified Hinton-Test) can be necessary.

Autoreninformation

Autoren

• R. Ehehalt¹
• F. Chahoud²
• H. Krammer²

Abteilungen

• ¹ Abteilung für Gastroenterologie, Hepatologie und Infektionskrankheiten, Medizinische Universitätsklinik Heidelberg,
• ² Praxis für Gastroenterologie und Ernährungsmedizin am End-und Dickdarmzentrum, Mannheim

Adresse

Prof. Dr. med. H. Krammer
Gastroenterologie und Ernährungsmedizin
am End- und Dickdarmzentrum Mannheim
Bismarckplatz 1
D–68165 Mannheim
Email: [email protected]

Citation