Prolonged anorectal manometry and external anal sphincter electromyography in ambulant human subjects

1990 ◽  
Vol 35 (5) ◽  
pp. 641-648 ◽  
Author(s):  
D. Kumar ◽  
D. Waldron ◽  
N. S. Williams ◽  
C. Browning ◽  
M. R. E. Hutton ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Anorectal Manometry ◽  
External Anal Sphincter ◽  
Human Subjects ◽  
Sphincter Electromyography

scholarly journals Anorectal manometry in children with chronic functional constipation

2005 ◽  
Vol 42 (3) ◽  
pp. 178-181 ◽  
Author(s):  
Rosa Helena Monteiro Bigélli ◽  
Maria Inez Machado Fernandes ◽  
Yvone Avalloni de Moraes Villela de Andrade Vicente ◽  
Roberto Oliveira Dantas ◽  
Lívia Carvalho Galvão ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Anorectal Manometry ◽  
External Anal Sphincter ◽  
Standard Treatment ◽  
Functional Constipation ◽  
Residual Pressure ◽  
Rectal Distension ◽  
Normal Children ◽  
Basal Pressure ◽  
Before And After

BACKGROUND: The anorectal manometry is a very utilized and well recognized examination in children with chronic funcional constipation. The major manometric findings in these children are: anal hypotonia, anal hypertonia, paradoxal contraction of the external anal sphincter, decreased ability of internal anal sphincter to relax during rectal distension and alterations in rectal contractility, sensibility and compliance. AIMS: To evaluate the anal basal pressure and the relaxation reflex before and after standard treatment for a better understanding of the physiopathologic mechanisms involved in pediatric chronic functional constipation. METHODS: Anorectal manometry was performed before treatment on 20 children with chronic functional constipation aged 4 to 12 years and the results were compared to those obtained after standard treatment, with a good outcome. RESULTS: There was a reduction in anal basal pressure after treatment, but no differences were detected between the anorectal manometries performed before and after treatment in terms of amplitude and duration of relaxation, residual pressure, latency time, or descent and ascent angle. CONCLUSIONS: We conclude that the anal basal pressure decreased in children recovering from chronic functional constipation, but the standard treatment did not provide all the conditions necessary for the relaxation reflex of constipated children to return to the values described in normal children.

scholarly journals Anismus as a cause of functional constipation: Experience from Serbia

2015 ◽  
Vol 72 (1) ◽  
pp. 9-11 ◽  
Author(s):  
Igor Jovanovic ◽  
Dragana Jovanovic ◽  
Milenko Ugljesic ◽  
Nikola Milinic ◽  
Mirjana Cvetkovic ◽  
...  
Keyword(s):  
Anal Sphincter ◽  
Anorectal Manometry ◽  
External Anal Sphincter ◽  
Functional Constipation ◽  
Anorectal Function ◽  
Control Group ◽  
Rome Iii Criteria ◽  
Significant Difference ◽  
Obstructive Defecation ◽  
Rome Iii

Backround/Aim. Anismus is paradoxal pressure increase or pressure decrease less than 20% of external anal sphincter during defecation straining. This study analyzed the presence of anismus as within a group of patients with the positive Rome III criteria for functional constipation. We used anorectal manometry as the determination method for anismus. Methods. We used anorectal waterperfused manometry in 60 patients with obstructive defecation defined by the Rome III criteria for functional constipation. We also analyzed anorectal function in 30 healthy subjects. Results. The presence of anismus is more frequent in the group of patients with obstructive defecation compared to the control group (a highly statistically significant difference, p < 0.01). Furthermore, we found that the Rome III criteria for functional constipation showed 90% accuracy in predicting obstructive defecation. We analyzed the correlation of anismus with the presence of weak external anal sphincter, rectal sensibility disorders, enlarged piles, diverticular disease and anatomic variations of colon. We found no correlation between them in any of these cases. Conclusion. There is a significant correlation between anismus and positive Rome III criteria for functional constipation. Anorectal manometry should be performed in all patients with the positive Rome III criteria for functional constipation.

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