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Endetarmsfremfall

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Svekkelse av bekkengulvet. Det skilles mellom analprolaps og rektumprolaps
Forekomst:
Rektumprolaps er ganske uvanlig, og det oppgis en insidens på 0,2-0,4% i den voksne populasjonen
Symptomer:
Ved defekasjon og andre aktiviteter som øker trykket i analområdet, opplever pasienten at endetarmen vrenger seg ut
Funn:
Når pasienten presser, vil endetarmen prolabere mer eller mindre
Diagnostikk:
Tilleggsundersøkelser kan være trykkmålinger, ev. MR
Behandling:
Unngå forstoppelse og andre aktiviteter som øker trykket mot anus, ev. kirurgi
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  9. Maglinte DD, Bartram CI, Hale DA, et al. Functional imaging of the pelvic floor. Radiology 2011; 258: 23-39. Radiology  
  10. Okamoto N, Maeda K, Kato R, et al. Dynamic pelvic three-dimensional computed tomography for investigation of pelvic abnormalities in patients with rectocele and rectal prolapse. J Gastroenterol 2006; 41: 802-6. PubMed  
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  • Terje Johannessen, professor i allmennmedisin, Trondheim