High-resolution anorectalmanometry for diagnosing obstructed defecation syndrome associated with moderate rectocele compared to healthy individuals. Few studies have investigated healthy female individuals (HFI) and those with obstructed defecation syndrome associated with moderate rectocele in women (MRW), identified using three-dimensional high-resolution anorectalmanometry (3D HRAM
BSPGHAN Motility Working Group consensus statement- Anorectalmanometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement- Anorectalmanometry in children with defecation disorders Anorectalmanometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement - Athanasakos - - Neurogastroenterology & Motility - Wiley Online Library COVID-19 campus closures: see options for to subscribed content. By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term POSITION PAPER Free Access Anorectalmanometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement Corresponding Author E-mail address: Paediatric Surgery, Royal London
Management after obstetric anal sphincter injury: anorectalmanometry and symptoms predict long-term fecal incontinence. Obstetric anal sphincter injury (OASI) is associated with serious morbidity and reduced quality of life. The role of anorectalmanometry (ARM) to guide treatment is unclear. We aimed to define the role of ARM and symptom assessment post OASI in predicting anal incontinence
Anorectalmanometry and urodynamics in children with spina bifida: can we predict the colonic dysmotility from bladder dysfunction? Spina bifida is a condition that impacts the development of the neural tube leading to urological and gastrointestinal symptoms. Both systems are influenced together due to their shared innervation and embryological origin. Despite its impact on health and well -being there has been limited research on the relationship between manometry results and urodynamic tests, in this patient population. The aim of this study was to delineate the association of neurogenic bladder/bowel dysfunction with anorectalmanometry and urodynamics. Urodynamics and anorectalmanometry were used to analyse the neurogenic bowel and bladder dysfunctions in 29 paediatric patients
Accuracy of AnorectalManometry to Detect the Rectoanal Inhibitory Reflex in Children: Awake vs Under General Anesthesia. Our objective was to investigate if there is a difference in the detection of the rectoanal inhibitory reflex (RAIR) when an anorectalmanometry (ARM) is performed awake or under general anesthesia. A retrospective review of ARM studies was performed to identify children who
Association of delivery mode and number of pregnancies with anorectalmanometry data in patients with postpartum constipation. To explore the association of delivery mode and the number of pregnancies with anorectalmanometry data in patients with postpartum constipation. This retrospective study included women with postpartum constipation treated at the pelvic floor rehabilitation department
Role of 3D high resolution anorectalmanometry compared to conventional technique in management of constipation and fecal incontinence in children. Anorectalmanometry is a valuable tool for objective assessment of motility motor and sensory function of the anorectum. The aim of this study was to investigate role of water-perfused (WP) three dimensional high-resolution anorectalmanometry (3D
Optimizing the Utility of AnorectalManometry for Diagnosis and Therapy: A Roundtable Review and Recommendations. Anorectalmanometry (ARM) is a comprehensive diagnostic tool for evaluating patients with constipation, fecal incontinence or anorectal pain; however, it is not widely utilized for reasons that remain unclear. The aim of this roundtable discussion was to critically examine
Do we need an extra dimension? A pilot study on the use of three-dimensional anorectalmanometry in children with functional constipation. Recently, a new high-definition (or three-dimensional "3D") high-resolution anorectalmanometry (3D-ARM) catheter has been introduced. This catheter allows for a more detailed visualization of the anal canal. However, its clinical utility and tolerability in children with constipation are unknown. Our primary objective was to evaluate the agreement between findings from solid-state high-resolution anorectalmanometry (HR-ARM) and 3D-ARM. Secondary objectives were to investigate if 3D-ARM has additional value over HR-ARM and to evaluate patient and provider experience. Prospective pilot study including children (8-18 years of age) with functional constipation
Anorectalmanometry for the diagnosis of pelvic floor disorders in patients with hypermobility spectrum disorders and hypermobile Ehlers-Danlos syndrome. Functional gastrointestinal disorders (FGID) including impaired rectal evacuation are common in patients with Hypermobility Spectrum Disorder (HSD) or Hypermobile Ehlers-Danlos Syndrome (hEDS). The effect of connective tissue pathologies on pelvic floor function in HSD/hEDS remains unclear. We aimed to compare clinical characteristics and anorectal pressure profile in patients with HSD/hEDS to those of age and sex matched controls. We conducted a retrospective review of all FGID patients who underwent high resolution anorectalmanometry (HR-ARM) and balloon expulsion test (BET) for evaluation of impaired rectal evacuation. Patients
Hypnosis to Reduce Distress in Children Undergoing AnorectalManometry: A Randomized Controlled Pilot Trial. To assess the effectiveness and feasibility of a brief session of hypnosis to reduce distress in children with functional constipation undergoing anorectalmanometry (ARM). A partially-blinded randomized controlled pilot trial was conducted in children 4-18 years old scheduled for ARM
AnorectalManometry in Children: The Update on the Indications and the Protocol of the Procedure. Anorectal disorders are common in children. They are related to structural and/or functional abnormalities of the anorectum or pelvic floor with a variety of symptoms. Therefore, diagnostic tests to evaluate anorectal function can help to better understand the underlying pathophysiology and aetiology of testing and validate reference values are strongly recommended in children. This review updates on the current indications and the protocol of anorectalmanometry.
High-Resolution AnorectalManometry-A Prospective Cohort Study in Healthy Infants. Functional gastrointestinal disorders (FGD) are common during early childhood. In severe defecation disorders, anorectalmanometry (AM) is done to exclude aganglionosis. High-resolution anorectalmanometry (HRAM) can probably improve diagnostics but normative data in infants are scarce. This study aims to provide
Can Propofol Be Used to Assess the Presence of the Rectoanal Inhibitory Reflex During AnorectalManometry Studies? To study changes in intra-anal pressure (IAP) and characteristics of the rectoanal inhibitory reflex (RAIR) during anorectalmanometry (ARM) in patients undergoing anesthesia induction with propofol. Prospective study in which ARM was performed at baseline while patients were awake
Diagnosing Mild Forms of Anorectal Malformation With AnorectalManometry: A Prospective Study. Rectoperineal congenital anorectal malformations (CARMs) are diagnosed by examining the perineum, combined with electric stimulation (ES) of the anal sphincter performed under anesthesia. This procedure may be troublesome because it is based on the observed contractibility of the sphincter. We aimed to add 3-dimensional high-resolution anorectalmanometry (3D-HRAM) to the procedure and to assess its value for diagnosing rectoperineal forms of CARM. We prospectively included 66 patients younger than 24 months who presented with constipation and were suspected of CARM, idiopathic constipation, or Hirschsprung disease. The patients were assessed between 2015 and 2021 at University Medical Center
Comparison of AnorectalManometry, Rectal Balloon Expulsion Test, and Defecography for Diagnosing Defecatory Disorders. The utility of high-resolution anorectalmanometry (HR-ARM) for diagnosing defecatory disorders (DDs) is unclear because healthy people may have features of dyssynergia. We aimed to identify objective diagnostic criteria for DD and to ascertain the utility of HR-ARM
Effects of a Psychological Preparation Intervention on Anxiety Associated with Pediatric AnorectalManometry. High-resolution anorectalmanometry (HRM) is associated with significant patient and parent anxiety, which can impact the success and efficiency of the procedure. The nature of HRM necessitates cooperation of an alert child. This study examined effects of psychoeducation intervention
3D high-resolution anorectalmanometry in patients with perianal fistulas: comparison with 3D-anal ultrasound. Perianal fistula surgery can damage the anal sphincters which may cause faecal incontinence. By measuring regional pressures, 3D-HRAM potentially provides better guidance for surgical strategy in patients with perianal fistulas. The aim was to measure regional anal pressures with 3D
AnorectalManometry May Reduce the Number of Rectal Suction Biopsy Procedures Needed to Diagnose Hirschsprung's Disease. The aim of the study was to evaluate whether anorectalmanometry (ARM), which is used to test the rectoanal inhibitory reflex (RAIR), is a safe alternative for reducing the number of invasive rectal suction biopsy (RSB) procedures needed to diagnose Hirschsprung disease (HD
High-High-resolution AnorectalManometry Measures are More Accurate Than Conventional Measures in Detecting Anal Hypocontractility in Women With Fecal Incontinence. Anorectalmanometry is a common test of anal tone and contractility. However, existing measures are often criticized for their poor ability to detect functional differences between individuals with presumably normal sphincter