{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T12:56:12Z","timestamp":1782305772077,"version":"3.54.5"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[1988,2,1]],"date-time":"1988-02-01T00:00:00Z","timestamp":570672000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1988,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>To assess the functional results of treatment of faecal incontinence we carried out physiological and radiological measurements in 46 patients and 20 controls. Twenty patients were selected for conservative treatment and 26 for surgery (including 17 postanal repairs and 6 anterior sphincter repairs). The degree of incontinence was scored before and after treatment and postoperative investigations carried out on 17 patients (11 postanal repairs). Forty per cent of the conservative treatment group had a successful result compared with sixty-five per cent of the operative group as a whole and fifty-nine per cent of the postanal repair patients. Resting and \u2018squeeze\u2019 anal canal pressures were improved following postanal repair as was upper anal canal sensation but there was no change in the anorectal angle. We conclude that the anorectal angle is not crucial in maintaining continence.<\/jats:p>","DOI":"10.1002\/bjs.1800750204","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T10:35:04Z","timestamp":1172918104000},"page":"101-105","source":"Crossref","is-referenced-by-count":147,"title":["Prospective study of conservative and operative treatment for faecal incontinence"],"prefix":"10.1093","volume":"75","author":[{"given":"R","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Surgery, Bristol Royal Infirmary , Bristol,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D C C","family":"Bartolo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bristol Royal Infirmary , Bristol,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J C","family":"Locke-Edmunds","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bristol Royal Infirmary , Bristol,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N J McC","family":"Mortensen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Bristol Royal Infirmary , Bristol,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1988,2,1]]},"reference":[{"key":"2024092719523097100_bib1","first-page":"477","article-title":"The syndrome of the descending perineum","volume":"59","author":"Parks","year":"1966","journal-title":"Proc R Soc Med"},{"key":"2024092719523097100_bib2","first-page":"116","article-title":"A study of anal incontinence and some principles of treatment","volume":"63","author":"Hardcastle","year":"1970","journal-title":"Proc R Soc Med"},{"key":"2024092719523097100_bib3","first-page":"681","article-title":"Anorectal incontinence","volume":"68","author":"Parks","year":"1975","journal-title":"Proc R Soc Med"},{"key":"2024092719523097100_bib4","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1136\/gut.6.4.396","article-title":"Some aspects of anal continence and defaecation","volume":"6","author":"Phillips","year":"1965","journal-title":"Gut"},{"key":"2024092719523097100_bib5","first-page":"421","article-title":"The functional results after sphincter saving resections of the rectum","volume":"8","author":"Goligher","year":"1951","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092719523097100_bib6","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1016\/S0140-6736(86)90990-6","article-title":"The role of anal cushions in maintaining anal continence","volume":"1","author":"Gibbons","year":"1986","journal-title":"Lancet"},{"key":"2024092719523097100_bib7","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1113\/jphysiol.1953.sp005024","article-title":"Electromyography of the sphincter ani externus in man","volume":"122","author":"Floyd","year":"1953","journal-title":"J Physiol"},{"key":"2024092719523097100_bib8","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/BF02616644","article-title":"Experimental study of the reflex mechanism controlling the muscles of the pelvic floor","volume":"5","author":"Parks","year":"1962","journal-title":"Dis Colon Rectum"},{"key":"2024092719523097100_bib9","doi-asserted-by":"crossref","first-page":"2272","DOI":"10.1172\/JCI105101","article-title":"\u2018Squeeze vs. resistance\u2019: An evaluation of the mechanism of sphincter competence","volume":"43","author":"Harris","year":"1964","journal-title":"J Clin Invest"},{"key":"2024092719523097100_bib10","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1136\/gut.2.2.175","article-title":"The motility of the pelvic colon I","volume":"2","author":"Connell","year":"1961","journal-title":"Gut"},{"key":"2024092719523097100_bib11","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1002\/bjs.1800730421","article-title":"New method for assessment of anal sensation in various anorectal disorders","volume":"73","author":"Roe","year":"1986","journal-title":"Br J Surg"},{"key":"2024092719523097100_bib12","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1136\/gut.4.2.179","article-title":"The relation of sensation in the anal canal to the functional anal sphincter: A possible factor in anal continence","volume":"4","author":"Duthie","year":"1963","journal-title":"Gut"},{"key":"2024092719523097100_bib13","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/S0016-5085(83)80231-5","article-title":"Differences in anal sphincter function and clinical presentation in patients with pelvic floor descent","volume":"85","author":"Bartolo","year":"1983","journal-title":"Gastroenterology"},{"key":"2024092719523097100_bib14","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1007\/BF01887846","article-title":"Defaecogrophy II: Contribution to the diagnosis of defaecation disorders","volume":"9","author":"Mahieu","year":"1984","journal-title":"Gastrointestinal Radiology"},{"key":"2024092719523097100_bib15","first-page":"379","article-title":"A physiological study of the pelvic floor in rectal prolapse","volume":"31","author":"Porter","year":"1962","journal-title":"Ann R Coll Surg Engl"},{"key":"2024092719523097100_bib16","first-page":"245","volume-title":"Operative Surgery","author":"Parks","year":"1980"},{"key":"2024092719523097100_bib17","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1136\/gut.17.8.645","article-title":"Measurement of anal pressure and motility","volume":"17","author":"Hancock","year":"1976","journal-title":"Gut"},{"key":"2024092719523097100_bib18","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1002\/bjs.1800700216","article-title":"Postanal repair for neuropathic faecal incontinence: Correlation of clinical results and anal canal pressures","volume":"70","author":"Browning","year":"1983","journal-title":"Br J Surg"},{"key":"2024092719523097100_bib19","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1002\/bjs.1800700806","article-title":"Management of faecal incontinence and results of surgical treatment","volume":"70","author":"Keighley","year":"1983","journal-title":"Br J Surg"},{"key":"2024092719523097100_bib20","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1007\/BF02554603","article-title":"Electrophysiological and manometric assessment of failed postanal repair for anorectal incontinence","volume":"27","author":"Snooks","year":"1984","journal-title":"Dis Colon Rectum"},{"key":"2024092719523097100_bib21","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1002\/bjs.1800640820","article-title":"Function of the anal sphincters following coloanal anastomosis","volume":"64","author":"Lane","year":"1977","journal-title":"Br J Surg"},{"key":"2024092719523097100_bib22","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1002\/bjs.18004720602","article-title":"Sensory nerves and sensation in the anal region in man","volume":"47","author":"Duthie","year":"1960","journal-title":"Br J Surg"},{"key":"2024092719523097100_bib23","volume-title":"Restoration of anorectal angle is not a prerequisit for successful postanal repair","author":"Womack","year":"1986"},{"key":"2024092719523097100_bib24","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1002\/bjs.1800731227","article-title":"Flap valve theory of anorectal continence","volume":"73","author":"Bartolo","year":"1986","journal-title":"Br J Surg"},{"key":"2024092719523097100_bib25","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1002\/bjs.1800721312","article-title":"Results of postanal repair: a retrospective study","volume":"72","author":"Henry","year":"1985","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800750204","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/75\/2\/101\/59385186\/bjs1800750204.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/75\/2\/101\/59385186\/bjs1800750204.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T19:54:17Z","timestamp":1727466857000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/75\/2\/101\/6183804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,2,1]]},"references-count":25,"journal-issue":{"issue":"2","published-online":{"date-parts":[[1988,2,1]]},"published-print":{"date-parts":[[1988,2,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800750204","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1988,2]]},"published":{"date-parts":[[1988,2,1]]}}}