| Anal manometry: a comparison of techniques. | |
| | |
MedLine Citation:
|
PMID: 16729220 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: Methods of anal manometry vary between centers, resulting in potential difficulties in interpretation of results. This study compared several accepted manometric techniques in healthy control subjects and in patients with fecal incontinence. METHODS: Eleven patients with fecal incontinence (M:F = 3:8; mean age = 67 years) and ten healthy control subjects (M:F = 3:7; mean age = 64 years) underwent anal manometry using five different methods: 1) water-perfused side hole; 2) water-perfused end hole; 3) microtransducer; 4) microballoon; 5) portable Peritron. Using a station pull-through technique, anal pressures (resting, squeeze, and cough pressures) were recorded at 1-cm intervals from rectum to anal verge, as well as radial pressures in four quadrants for Methods 1 and 2. RESULTS: Water perfusion side hole recorded slightly higher maximal resting pressures; however, there were no significant differences between any of the methods. In healthy control subjects, distal maximal squeeze pressures were significantly higher (P < 0.05) than proximally as measured by microtransducer. There were slight (nonsignificant) variations in radial pressures with water perfusion and microtransducer. Peritron values for maximum resting pressure and maximum squeeze pressure were lower than those recorded by water perfusion side hole by a factor of 0.8. CONCLUSIONS: There is no significant variation in anal pressure recordings using standard manometry techniques. Variations in radial pressures are slight and not significant in clinical studies. Results obtained with portable nonperfusion systems must be interpreted appropriately. |
| | |
Authors:
|
Richard R Simpson; Michael L Kennedy; M Hung Nguyen; Philip G Dinning; David Z Lubowski |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Diseases of the colon and rectum Volume: 49 ISSN: 0012-3706 ISO Abbreviation: Dis. Colon Rectum Publication Date: 2006 Jul |
Date Detail:
|
Created Date: 2006-07-13 Completed Date: 2006-10-17 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: United States |
Other Details:
|
Languages: eng Pagination: 1033-8 Citation Subset: IM |
Affiliation:
|
Department of Surgery, Gosford Hospital, Gosford, New South Wales, Australia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Anal Canal / physiopathology Case-Control Studies Evaluation Studies as Topic Fecal Incontinence / diagnosis*, physiopathology Female Humans Male Manometry / methods* Transducers, Pressure |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Measurement of the anal cushions by transvaginal ultrasonography.
Next Document: Comprehensive breast cancer adjuvant digital summary.