Hopp til hovedinnhold

Endetarmsfremfall

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
  1. Varma MG, Steele SR. Overview of rectal procidentia (rectal prolapse). UpToDate, last updated Sep 10, 2020. UpToDate  
  2. Felt-Bersma RJ, Tiersma ES, Cuesta MA. Rectal prolapse, rectal intussusception, rectocele, solitary rectal ulcer syndrome, and enterocele. Gastroenterol Clin North Am 2008; 37:645. PubMed  
  3. Kairaluoma MV, Kellokumpu IH. Epidemiologic aspects of complete rectal prolapse. Scand J Surg 2005; 94: 207-10. PubMed  
  4. Felt-Bersma RJ, Tiersma ES, Stella MT, Cuesta MA. Rectal prolapse, rectal intussusception, rectocele, solitary rectal ulcer syndrome, and enterocele. Gastroenterol Clin North Am 2008; 37: 645-68. PubMed  
  5. Fargo MV, Latimer KM. Evaluation and management of common anorectal conditions. Am Fam Physician. 2012;85(6):624–630. Accessed July 15, 2019. PMID: 22534276 PubMed  
  6. Bordeianou L, Paquette I, Johnson E, et al. Clinical Practice Guidelines for the Treatment of Rectal Prolapse. Dis Colon Rectum 2017; 60:1121. PubMed  
  7. Stein EA, Stein DE. Rectal procidentia: diagnosis and management.. Gastrointest Endosc Clin N Am 2006; 16: 189-201. PubMed  
  8. Tou S, Brown SR, Nelson RL. Surgery for complete (full‐thickness) rectal prolapse in adults. Cochrane Database of Systematic Reviews 2015, Issue 11. Art. No.: CD001758. DOI: 10.1002/14651858.CD001758.pub3. DOI  
  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  
  11. Hecht EM, Lee VS, Tanpitukpongse TP, et al. MRI of pelvic floor dysfunction: dynamic true fast imaging with steady-state precession versus HASTE. AJR Am J Roentgenol 2008; 191: 352-8. PubMed  
  12. Lysy J, Sistiery-Ittah M, Israelit Y, et al. Topical capsaicin--a novel and effective treatment for idiopathic intractable pruritus ani: a randomised, placebo controlled, crossover study. Gut 2003; 52:1323. Gut  
  • Terje Johannessen, professor i allmennmedisin, Trondheim