Do endoflip assessments of anal sphincter distensibility provide more information on patients with fecal incontinence than high-resolution anal manometry?

2015 ◽  
Vol 28 (3) ◽  
pp. 399-409 ◽  
Author(s):  
G. Gourcerol ◽  
S. Granier ◽  
V. Bridoux ◽  
J. F. Menard ◽  
P. Ducrotté ◽  
...  
Keyword(s):  
High Resolution ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Anal Manometry

3D High Resolution Anal Manometry (3DHRAM) on Squeeze Estimates Anal Sphincter Length and Lengths Correlate With Symptoms of Constipation and Fecal Incontinence

2015 ◽  
Vol 110 ◽  
pp. S582
Author(s):  
Sonali Palchaudhuri ◽  
Shreya Raja ◽  
Frances U. Onyimba ◽  
Danielle Hoo-Fatt ◽  
Francis Okeke ◽  
...  
Keyword(s):  
High Resolution ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Anal Manometry

scholarly journals Comparison of Anorectal Function Measured using Wearable Digital Manometry and a High Resolution Manometry System

2020 ◽  
Author(s):  
Ali Attari ◽  
William D. Chey ◽  
Jason R. Baker ◽  
James A. Ashton-Miller
Keyword(s):  
High Resolution ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Chronic Constipation ◽  
Anorectal Function ◽  
Puborectalis Muscle ◽  
Myoelectric Activity ◽  
Sphincter Pressure ◽  
High Resolution Manometry ◽  
Anal Sphincter Pressure

AbstractThere is a need for a lower cost manometry system for assessing anorectal function in primary and secondary care settings. We developed an index finger-based system (termed “digital manometry”) and tested it in healthy volunteers, patients with chronic constipation, and fecal incontinence. Anorectal pressures were measured in 16 participants with the digital manometry system and a 23-channel high-resolution anorectal manometry system. The results were compared using a Bland-Altman analysis at rest as well as during maximum squeeze and simulated defecation maneuvers. Myoelectric activity of the puborectalis muscle was also quantified simultaneously using the digital manometry system. The limits of agreement between the two methods were −7.1 ± 25.7 mmHg for anal sphincter resting pressure, 0.4 ± 23.0 mmHg for the anal sphincter pressure change during simulated defecation, −37.6 ± 50.9 mmHg for rectal pressure changes during simulated defecation, and −20.6 ± 172.6 mmHg for anal sphincter pressure during the maximum squeeze maneuver. The change in the puborectalis myoelectric activity was proportional to the anal sphincter pressure increment during a maximum squeeze maneuver (slope = 0.6, R2 = 0.4). Digital manometry provided a similar evaluation of anorectal pressures and puborectalis myoelectric activity at an order of magnitude less cost than high-resolution manometry, and with a similar level of patient comfort. Digital Manometry provides a simple, inexpensive, point of service means of assessing anorectal function in patients with chronic constipation and fecal incontinence.

Tu1228 Patients With Mixed Fecal Incontinence and Obstructed Defecation Exhibit Unique Physiologic Relationships: A High Resolution Anal Manometry Study

2015 ◽  
Vol 148 (4) ◽  
pp. S-828
Author(s):  
Elyse LeeVan ◽  
Aaron Lewis ◽  
Alexander J. Huang ◽  
Gabriel Akopian ◽  
Howard S. Kaufman
Keyword(s):  
High Resolution ◽  
Fecal Incontinence ◽  
Anal Manometry ◽  
Obstructed Defecation

Sa1372 Can 3D High Resolution Anorectal Manometry Detect Anal Sphincter Defects in Patients With Fecal Incontinence?

2015 ◽  
Vol 148 (4) ◽  
pp. S-306-S-307
Author(s):  
Ali Rezaie ◽  
Sentia Iriana ◽  
Mark Pimentel ◽  
Christopher Chang ◽  
Zuri Murrell ◽  
...  
Keyword(s):  
High Resolution ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Anorectal Manometry ◽  
Sphincter Defects ◽  
Anal Sphincter Defects
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