Clinical and manometric evaluation of continence after the Bacon two-stage pull-through procedure.
Twenty-eight patients who underwent the Bacon pull-through operation were evaluated for continence by clinical and radiologic means. Six patients were available for anal manometry. Eighty-three percent of those patients followed for function did not have the sensation to defecate spontaneously. They had normal functioning of the external sphincter, failure of reflex inhibition of the internal sphincter, and decreased rectal compliance secondary to fibrosis of the presacral space. These factors created a distal high-pressure zone which, when combined with sensory loss due to transection of the levators, rendered the patient continent but without the ability to defecate spontaneously unless an enema was administered.
Published In/Presented At
Rosen, L., Khubchandani, I. T., Sheets, J. A., Stasik, J. J., & Riether, R. D. (1985). Clinical and manometric evaluation of continence after the Bacon two-stage pull-through procedure. Diseases of the colon and rectum, 28(4), 232–234. https://doi.org/10.1007/BF02554039
Medicine and Health Sciences
Department of Surgery