Clinical value of anorectal manometry index in neurogenic fecal incontinence

1997 ◽  
Vol 40 (4) ◽  
pp. 457-461 ◽  
Author(s):  
Hooshang Meshkinpour ◽  
H. Movahedi ◽  
P. Welgan
Keyword(s):  
Fecal Incontinence ◽  
Anorectal Manometry ◽  
Clinical Value ◽  
Neurogenic Fecal Incontinence

scholarly journals Effectiveness of the ligation of intersphincteric fistula tract (LIFT) in the treatment of anal fistula: initial results

2014 ◽  
Vol 27 (2) ◽  
pp. 101-103 ◽  
Author(s):  
Sergio Danilo Tanahara TOMIYOSHI ◽  
Carlos Henrique Marques DOS SANTOS
Keyword(s):  
Fecal Incontinence ◽  
Anal Fistula ◽  
Anorectal Manometry ◽  
Fistulous Tract ◽  
Complete Healing ◽  
Fistula Tract ◽  
Anal Fistulas ◽  
Intersphincteric Fistula ◽  
The Mean ◽  
Initial Results

BACKGROUND: The abscesses and anal fistulas represent about 70% of perianal suppuration, with an estimated incidence of 1/10000 inhabitants per year and representing 5% of queries in coloproctology. AIM: To evaluate the effectiveness of the interesphincteric ligation technique of the fistulous tract in the treatment of anal fistula. METHODS: The records of eight patients who underwent this technique, evaluating age, gender and presence of incontinence were studied. Was named technical first-step the passage of cotton thread to promote the correct individualization of the fistula and, as the second, the surgical procedure. RESULTS: Two patients were men and eight women. The mean age was 42.8 years. Of these, seven (87.5%) had complete healing of the fistula; six were cured only with this procedure and one required additional operation with simple fistulotomy. Only one patient developed fecal incontinence which was documented by anorectal manometry. There were no deaths in this series. CONCLUSION: The interesphincteric ligation technique of the fistulous tract proved to be effective for the treatment of anal fistula and should not be discouraged despite the occurrence of eventual fecal incontinence.

Comparison of Anorectal Manometry to Endoanal Ultrasound in the Evaluation of Fecal Incontinence

2009 ◽  
Vol 337 (5) ◽  
pp. 336-339 ◽  
Author(s):  
Savio C. Reddymasu ◽  
Shailender Singh ◽  
Sana Waheed ◽  
Melissa Oropeza-Vail ◽  
Richard W. McCallum ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Anorectal Manometry ◽  
Endoanal Ultrasound

scholarly journals Accident-related neurogenic fecal incontinence: a retrospective study

2019 ◽  
Author(s):  
Jie Liu ◽  
Ruiling Wei ◽  
Dewei Wu ◽  
Hulin Chen ◽  
Juan Dong ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Retrospective Study ◽  
Fecal Incontinence ◽  
Psychological Health ◽  
Healthy Subjects ◽  
Control Group ◽  
Squeeze Pressure ◽  
Anorectal Motility ◽  
Neurogenic Fecal Incontinence

Abstract Abstract Background To evaluate the anorectal motility characteristics, the quality of life and psychological health of accident-related neurogenic fecal incontinence(ArNFI) patients. Methods A retrospective study was conducted on 26 patients with ArNFI visiting the gastrointestinal motility center of affiliated provincial hospital of Anhui medical university were collected as research objects from January 2016 to August 2019. The anorectal motility characteristics of these patients were recorded and analysed by high resolution manometry (HRM), 10 healthy subjects for the same period were recruited as the control group. The psychological characteristics of these patients and healthy subjects were compared by HAMA and HAMD scores,and their quality of life was investigated by SF36. Results Anal sphincter resting pressure in the ArNFI group was more lowwer than that of the control group (21.18± 4.68vs34.83± 14.13, P<0.05). Anorectal compliance in the ArNFI group was more lowwer than that of the control (1.41± 0.32vs4.03± 1.06, P<0.05). Maximal squeeze pressure were in the ArNFI group was also lowwer than that of the control(53.66±14.59 vs 143.95±19.82, P<0.05).HAMA ,HAMD scores of the ArNFI group in the ArNFI group were all higher than that of the control ( 21.29±2.06 vs 7.63±1.41 ;22.00±3.70 vs 8.75±1.91, respectively.all P<0.01). There were significant differences between SF36 scores of ArNFI group and the control group in the 8 dimensions of PF,RP,GH,VT,SF,RE and MH.(P<0.01) . Conclusion In patients with ArNFI,there were significantly reduced anorectal motility characteristics, increased HAMA.HAMD scores,and their life quality was obviously declined.

Internal anal sphincter in neurogenic fecal incontinence

1988 ◽  
Vol 95 (4) ◽  
pp. 997-1002 ◽  
Author(s):  
D.Z. Lubowski ◽  
R.J. Nicholls ◽  
D.E. Burleigh ◽  
M. Swash
Keyword(s):  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Internal Anal Sphincter ◽  
Neurogenic Fecal Incontinence

Diagnostic accuracy of anorectal manometry for fecal incontinence: a meta-analysis

2017 ◽  
Vol 117 (6) ◽  
pp. 347-355 ◽  
Author(s):  
Zhu Hui Yeap ◽  
Constantinos Simillis ◽  
Shengyang Qiu ◽  
Lisa Ramage ◽  
Christos Kontovounisios ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Diagnostic Accuracy ◽  
Anorectal Manometry ◽  
Meta Analysis

Treatment fecal incontinence in children with bulking agents «DAM+»

2014 ◽  
Vol 5 (2) ◽  
pp. 47-50 ◽  
Author(s):  
Igor Alekseyevich Komissarov ◽  
Viktoriya Aleksandrovna Glushkova ◽  
Nadezhda Georgiyevna Kolesnikova
Keyword(s):  
Fecal Incontinence ◽  
Anal Canal ◽  
Anal Manometry ◽  
Internal Sphincter ◽  
Bulking Agents ◽  
Significance Level ◽  
Neurogenic Fecal Incontinence ◽  
Before And After ◽  
Resting Pressure ◽  
Average Quantity

One of the reason of organic and neurogenic fecal incontinence in children is low resting pressure in the anal canal. In functional aspect, one of the main roles plays internal sphincter of the anal canal that provides 50-85 % of basal resting pressure and close of the anal canal. Purposes. The purpose of this article is to study the possibilities of using bulking agent «DAM+» to increase resting pressure in the anal canal in children with fecal incontinence, and evaluate the results of this treatment. Metods. The study has been performed in the Department of Pediatric Surgery in our university since 2007 for 2013. In total, 35 patients, aged 2-18 with organic or neurogenic fecal incontinence were underwent 57 procedure of introduction polyacrylamid gel «DAM+». Patients with overflow fecal incontinence were excluded. Before treatment and after, all patients were assessed clinical examination and anal manometry. Anal manometry was perfomed оn multifunctional apparatus «Menfis 2000». Results. The average quantity of resting pressure in the anal canal before operation is formed 20.98 ± 5.17 сm. (H2O), after operation 32.62 ± 6.63 сm. (H2O), in long-term period 28.07 ± 6.65 сm. (H2O) Conclusion. The clinical efficiency of procedure correlates with values of resting pressure in the anal canal before and after treatment. Implantation of «DAM+» into submucosal layer provides increasing of basal resting tone in the anal canal. Imitation of work of the internal anal sphincter and expansive vascular anal cushions on the other part, prevents patulous anus and provides a hermetic seal, that responds for close anal walls. Statistical data was shown, that the average quantity of resting pressure in the anal canal before operation and after operation has performed at the 5 % significance level. P-values < 0.05 was considered statistically significant.

Anorectal Manometry in Men and Women with Chronic Constipation and Fecal Incontinence

2013 ◽  
Vol 108 ◽  
pp. S564
Author(s):  
Deva Gundupalli ◽  
Stephanie Hatton-Ward ◽  
Mae Go ◽  
Ashok Tuteja
Keyword(s):  
Fecal Incontinence ◽  
Chronic Constipation ◽  
Anorectal Manometry ◽  
Men And Women
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