{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:19Z","timestamp":1787014039828,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,11,1]],"date-time":"2019-11-01T00:00:00Z","timestamp":1572566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Data on the pathogenesis and symptoms of enterocele are limited. The objectives of this study were to determine the clinical phenotype of patients with enterocele, to highlight the main functional and\/or anatomical associations and to improve the accuracy of the preoperative assessment of pelvic floor disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A total of 588 patients who were referred to a tertiary unit for an anorectal complaint completed a self\u2010administered questionnaire and underwent physical examination, anorectal manometry and defaecography. Using defaecography, enterocele was defined as a radiological hernia of the small bowel into an enlarged rectovaginal space. One hundred and thirty\u2010five patients with enterocele were age\u2010 and gender\u2010matched with 270 patients without enterocele. Factors associated with enterocele were assessed using univariate and multivariate analysis models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients with enterocele were less frequently obese than patients without enterocele (8\/135\n                      <jats:italic>vs<\/jats:italic>\n                      36\/270;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.02) and more frequently had a past history of pelvic surgery (51\/135\n                      <jats:italic>vs<\/jats:italic>\n                      75\/270;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.04). They complained more frequently of pelvic pain on bearing down (29\/135\n                      <jats:italic>vs<\/jats:italic>\n                      24\/270;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.003), anal procidentia (37\/135\n                      <jats:italic>vs<\/jats:italic>\n                      46\/270;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.01) and more frequently had irritable bowel syndrome (83\/135\n                      <jats:italic>vs<\/jats:italic>\n                      131\/270;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.01) and severe constipation according to the Kess score (104\/135\n                      <jats:italic>vs<\/jats:italic>\n                      182\/270;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.04). Anorectal function was comparable between the two groups. Patients with enterocele had more frequent rectoceles and overt rectal prolapses than patients without enterocele.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Enterocele should be investigated in patients with chronic pelvic pain, overt rectal prolapse and\/or a past history of pelvic surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/codi.14877","type":"journal-article","created":{"date-parts":[[2019,10,17]],"date-time":"2019-10-17T13:03:39Z","timestamp":1571317419000},"page":"325-330","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Chronic pelvic pain and rectal prolapse invite consideration of enterocele"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7354-6301","authenticated-orcid":false,"given":"C.","family":"Brochard","sequence":"first","affiliation":[{"name":"Service des Maladies de l'Appareil Digestif CHU Pontchaillou Universit\u00e9 de Rennesss 1 Rennes France"},{"name":"Services d'Explorations Fonctionnelles Digestives CHU Pontchaillou Universit\u00e9 de Rennes 1 Rennes France"},{"name":"INSERM U1241 Equipe EXPRES Universit\u00e9 de Rennes 1 Rennes France"},{"name":"INPHY Universit\u00e9 de Rennes 1 Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Ropert","sequence":"additional","affiliation":[{"name":"Services d'Explorations Fonctionnelles Digestives CHU Pontchaillou Universit\u00e9 de Rennes 1 Rennes France"},{"name":"INPHY Universit\u00e9 de Rennes 1 Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Chambaz","sequence":"additional","affiliation":[{"name":"Services d'Explorations Fonctionnelles Digestives CHU Pontchaillou Universit\u00e9 de Rennes 1 Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Gouriou","sequence":"additional","affiliation":[{"name":"Service des Maladies de l'Appareil Digestif CHU Pontchaillou Universit\u00e9 de Rennesss 1 Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Cardaillac","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie\u2010obst\u00e9trique et M\u00e9decine de la Reproduction H\u00f4pital M\u00e8re\u2010Enfant CHU de Nantes Nantes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Grainville","sequence":"additional","affiliation":[{"name":"Service des Maladies de l'Appareil Digestif CHU Pontchaillou Universit\u00e9 de Rennesss 1 Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Bouguen","sequence":"additional","affiliation":[{"name":"Service des Maladies de l'Appareil Digestif CHU Pontchaillou Universit\u00e9 de Rennesss 1 Rennes France"},{"name":"INSERM U1241 Equipe EXPRES Universit\u00e9 de Rennes 1 Rennes France"},{"name":"INPHY Universit\u00e9 de Rennes 1 Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Siproudhis","sequence":"additional","affiliation":[{"name":"Service des Maladies de l'Appareil Digestif CHU Pontchaillou Universit\u00e9 de Rennesss 1 Rennes France"},{"name":"INSERM U1241 Equipe EXPRES Universit\u00e9 de Rennes 1 Rennes France"},{"name":"INPHY Universit\u00e9 de Rennes 1 Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050007"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12586"},{"key":"e_1_2_9_4_1","first-page":"O46","article-title":"Comparison of dynamic magnetic resonance defaecography with rectal contrast and conventional defaecography for posterior pelvic floor compartment prolapse","volume":"19","author":"van Iersel JJ","year":"2017","journal-title":"Colorectal Dis Off J Assoc Coloproctology G B Irel"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(81)90074-0"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gcb.2008.04.036"},{"key":"e_1_2_9_7_1","first-page":"323","article-title":"Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele. 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