How to perform and interpret high resolution anorectal manometry

Authors

  • Diana Magoe Meza Madrid Pontificia Universidad Javeriana http://orcid.org/0000-0002-2309-8800
  • Albis Cecilia Hani de Ardila Hospital Universitario de San Ignacio
  • Valeria Atenea Costa Hospital Universitario San Ignacio
  • Ana María Leguízamo
  • Gerardo Andrés Puentes Leal Hospital Universitario de San Ignacio
  • Andrés Felipe Ardila Hani Hospital Universitario de San Ignacio

DOI:

https://doi.org/10.22516/25007440.411

Keywords:

high resolution anorectal manometry, dyssynergic defecation, fecal incontinence

Abstract

Anorectal manometry is the most commonly used technique to evaluate anorectal functioning and coordination and detect functional abnormalities of the anal sphincter. In our physiology laboratory we perform approximately 15 high resolution anorectal manometry studies each week. We consider that proper performance and correct interpretation are vitally important. We want to share our high resolution anorectal manometry protocol based on the most relevant literature through this article.

Downloads

Download data is not yet available.

Author Biographies

Diana Magoe Meza Madrid, Pontificia Universidad Javeriana

Fellow gastroenterología

Valeria Atenea Costa, Hospital Universitario San Ignacio

Internista 

Gastroenterologa 

Areas  de  interes : VCE/enteroscopia/CPRE/ fisiologia  digestiva

Andrés Felipe Ardila Hani, Hospital Universitario de San Ignacio

Gastroenterólogos Unidad de Gastroenterología Hospital Universitario San Ignacio, Pontificia Universidad Javeriana

References

Zhao Y, Ren X, Qiao W, Dong L, He S, Yin Y. High-resolution anorectal manometry in the diagnosis of functional defecation disorder in patients with functional constipation: a retrospective cohort study. J Neurogastroenterol Motil. 2019;25(2):250-7. doi: https://doi.org/10.5056/jnm18032.

Carrington E, Scott M, Bharucha A, Mion F, Remes-Troche J, Malcolm A, et al. Expert consensus document: advances in the evaluation of anorectal function. Nature Rev Gastroenterol Hepatol. 2018;15:309-22. doi: https://doi.org/10.1038/nrgastro.2018.27.

Rao S, Bharucha A, Chiarioni G, Felt-Bersma R, Knowles C, Malcolm A, et al. Anorectal disorders. Gastroenterology. 2016;150:1430-42. doi: https://doi.org/10.1053/j.gastro.2016.02.009.

Tetangco E, Yan Y, Rao S. Performing and analyzing high-resolution anorectal manometry. NeuroGastroLatam Reviews Rev. 2018;2:1-13. doi: https://doi.org/10.24875/NGL.19000016.

Oblizajek N, Gandhi S, Sharma M, Chakrabortv S, Muthyala A, Prichard D, et al. Anorectal pressures measured with high‐resolution manometry in healthy people-Normal values and asymptomatic pelvic floor dysfunction. Neurogastroenterol Motil. 2019;e13597. doi: https://doi.org/10.1111/nmo.13597.

Brochard C, Vénara A, Bodère A, Ropert A, Bouguen G, Siproudhis L. Pathophysiology of fecal incontinence in obese patients: a prospective case-matched study of 201 patients. Neurogastroenterol Motil. 2017;00:e13051. doi: https://doi.org/10.1111/nmo.13051.

Ellington D, Polin M, Szychowski J, Deng L, Richter H. The effect of obesity on fecal incontinence symptom distress, quality of life, and diagnostic testing measures in women. Int Urogynecology J. 2013;24:1733-8. doi: https://10.1007/s00192-013-2103-1.

Otto S, Clewing J, Gröne J, Buhr H, Kroesen A. Repeatability of anorectal manometry in healthy volunteers and patients. J Surg Res. 2013;185(2):e85-92. doi: http://dx.doi.org/10.1016/j.jss.2013.06.008.

Rogers J, Laurberg S, Misiewicz J. Anorectal physiology validated: a repeatability study of the motor and sensory tests of anorectal function. Br J Surg. 1989;76:607. doi: https://doi.org/10.1002/bjs.1800760628.

Ryhammer A, Laurberg S, Hermann A. Test-retest repeatability of anorectal physiology tests in healthy volunteers. Dis Colon Rectum. 1997;40:287-92. doi: https://doi.org/10.1007/BF02050417 .

Association of Gastrointestinal Physiologists. Agreed AGIP Guidelines for High-Resolution Anorectal Manometry (HR-ARM). 2017.

Seo M, Joo S, Jung KW, Song EM, Rao SSC, Myung SJ. New metrics in high-resolution and high-definition anorectal manometry. Curr Gastroenterol Rep. 2018;20(12):57. doi: https://doi.org/10.1007/s11894-018-0662-5.

Tae L, Bharucha A. How to perform and interpret a high-resolution anorectal manometry test. J Neurogastroenterol Motil. 2016;22(1):46-59. doi: http://dx.doi.org/10.5056/jnm15168.

Carrington E, Heinrich H, Knowles C, Rao S, Fox M, Scott S, et al. Methods of anorectal manometry vary widely in clinical practice: results from an international survey. Neurogastroenterol Motil. 2017;29(8):e13016. doi: 10.1111/nmo.13016.

Sonda de manometría anorrectal de resolución

Published

2019-12-30

How to Cite

Meza Madrid, D. M., Hani de Ardila, A. C., Costa, V. A., Leguízamo, A. M., Puentes Leal, G. A., & Ardila Hani, A. F. (2019). How to perform and interpret high resolution anorectal manometry. Revista Colombiana De Gastroenterología, 34(4), 404–410. https://doi.org/10.22516/25007440.411

Issue

Section

Review articles

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views
QR Code

Some similar items: