Functional anal canal length measurement using high‐resolution anorectal manometry to investigate anal sphincter dysfunction in patients with fecal incontinence or constipation

2019 ◽  
Vol 31 (3) ◽  
pp. e13532 ◽  
Author(s):  
Paul F. Vollebregt ◽  
Annika M. P. Rasijeff ◽  
David Pares ◽  
Ugo Grossi ◽  
Emma V. Carrington ◽  
...  
Keyword(s):  
High Resolution ◽  
Fecal Incontinence ◽  
Anal Canal ◽  
Anal Sphincter ◽  
Anorectal Manometry ◽  
Length Measurement ◽  
Functional Anal ◽  
Anal Canal Length

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

Traditional measures of normal anal sphincter function using high-resolution anorectal manometry (HRAM) in 115 healthy volunteers

2014 ◽  
Vol 26 (5) ◽  
pp. 625-635 ◽  
Author(s):  
E. V. Carrington ◽  
A. Brokjaer ◽  
H. Craven ◽  
N. Zarate ◽  
E. J. Horrocks ◽  
...  
Keyword(s):  
High Resolution ◽  
Healthy Volunteers ◽  
Anal Sphincter ◽  
Anorectal Manometry ◽  
Sphincter Function ◽  
Anal Sphincter Function

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

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.

Mo2109 Characterization of Transient Anal Sphincter Relaxations (TASRs) Health Using High Resolution Anorectal Manometry: Redefining the Sampling Reflex?

2013 ◽  
Vol 144 (5) ◽  
pp. S-745 ◽  
Author(s):  
Emma V Carrington ◽  
Anthony Hobson ◽  
Charles H. Knowles ◽  
Peter J. Lunniss ◽  
S. Mark Scott
Keyword(s):  
High Resolution ◽  
Anal Sphincter ◽  
Anorectal 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

Tu1779 Electromyography (EMG) From the Anal Canal Is a Stronger Predictor of Dyssynergic Defecation Than Anal Canal Pressure Measured by High Resolution Anorectal Manometry

2016 ◽  
Vol 150 (4) ◽  
pp. S943
Author(s):  
Krista M. Edelman ◽  
Sarina Pasricha ◽  
Sheila Crawford ◽  
Magnus Simren ◽  
William E. Whitehead
Keyword(s):  
High Resolution ◽  
Anal Canal ◽  
Anorectal Manometry ◽  
Dyssynergic Defecation

scholarly journals CLINICAL AND MANOMETRIC ASSESMENT OF FUNCTIONAL STATE OF ANAL SPHINCTER IN PATIENTS AFTER FISTULECTOMY WITH PRIMARY SPHINCTEROPLASTY

2018 ◽  
pp. 31-38 ◽  
Author(s):  
I. V. Kostarev ◽  
O. Yu. Fomenko ◽  
A. Yu. Titov ◽  
L. A. Blagodarni ◽  
S. V. Belousova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Fecal Incontinence ◽  
Anal Sphincter ◽  
Anorectal Manometry ◽  
Clinical Symptoms ◽  
Normal Pressure ◽  
Wilcoxon Test ◽  
Anal Pressure ◽  
Wexner Score ◽  
Resting Anal Pressure

AIM: to evaluate changes of anorectal manometry parameters and clinical symptoms of fecal incontinence 3 months after fistulectomy with primary sphincteroplasty. MATERIALS AND METHODS: fifty-two patients (37 males) with complex anal fistulae of cryptoglandular origin underwent fistulectomy and primary sphincteroplasty. The fistulas were recurrent in 13 (25 %) cases, 8 (15,4 %) patients had preoperative fecal incontinence. Fecal incontinence Wexner score was 0,46 (0-8) before surgery. Anorectal manometry was performed before and 3 months after surgery. RESULTS: three months days after surgery mean and maximum resting anal pressure were not significantly low compared with the baseline. In patients with initially normal data before the surgery (n=22), resting anal pressure was significantly lower (before surgery M=56,1 ± 7,6 [46,1-69,0], after surgery 45,5 ± 8,8 [38,0-63,0], p=0,006, Wilcoxon test). There were no significant changes in squeezing anal pressure. Resting anal pressure has become below the normal after surgery in 13 (59.1 %) patients. Clinical symptoms of fecal incontinence was detected in 10 patients postoperatively (gas incontinence and soiling). Fecal incontinence Wexner score was 1,64 (0-11) after surgery (p=0,007). CONCLUSION: fistulectomy with primary sphincteroplasty leads to change of resting anal pressure basically in patients with initially normal pressure and mainly - in patients with anterior fistulas. Fecal incontinence symptoms after with surgery produced 26,3 % patients. These data confirm the need of individual approach when choosing the method of surgical treatment of analfistulae.

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