661 Do Rectoanal Pressures Predict Rectal Balloon Expulsion in Chronic Constipation?

2009 ◽  
Vol 136 (5) ◽  
pp. A-101-A-102 ◽  
Author(s):  
Karthik Ravi ◽  
Alan R. Zinsmeister ◽  
Adil E. Bharucha
Keyword(s):  
Chronic Constipation ◽  
Rectal Balloon ◽  
Balloon Expulsion

scholarly journals Prevalence and Clinical Characteristics of Dyssynergic Defecation and Slow Transit Constipation in Patients with Chronic Constipation

2021 ◽  
Vol 10 (9) ◽  
pp. 2027
Author(s):  
Samuel Tanner ◽  
Ahson Chaudhry ◽  
Navneet Goraya ◽  
Rohan Badlani ◽  
Asad Jehangir ◽  
...  
Keyword(s):  
Medical History ◽  
Chronic Constipation ◽  
Clinical Characteristics ◽  
Anorectal Function ◽  
Slow Transit Constipation ◽  
Dyssynergic Defecation ◽  
Patient Demographics ◽  
Balloon Expulsion ◽  
Slow Transit ◽  
Transit Constipation

Patients with chronic constipation who do not respond to initial treatments often need further evaluation for dyssynergic defecation (DD) and slow transit constipation (STC). The aims of this study are to characterize the prevalence of DD and STC in patients referred to a motility center with chronic constipation and correlate diagnoses of DD and STC to patient demographics, medical history, and symptoms. High-resolution ARM (HR-ARM), balloon expulsion testing (BET) and whole gut transit scintigraphy (WGTS) of consecutive patients with chronic constipation were reviewed. Patients completed questionnaires describing their medical history and symptoms at the time of testing. A total of 230 patients completed HR-ARM, BET, and WGTS. Fifty (22%) patients had DD, and 127 (55%) patients had STC. Thirty patients (13%) had both DD and STC. There were no symptoms that were suggestive of STC vs. DD; however, patients with STC and DD reported more severe constipation than patients with normal transit and anorectal function. Patients with chronic constipation often need evaluation for both DD and STC to better understand their pathophysiology of symptoms and help direct treatment.

Benefit of Pelvic Floor Physical Therapy in Pediatric Patients with Dyssynergic Defecation Constipation

2019 ◽  
Vol 37 (6) ◽  
pp. 478-485 ◽  
Author(s):  
Claire Zar-Kessler ◽  
Braden Kuo ◽  
Elizabeth Cole ◽  
Anna Benedix ◽  
Jaime Belkind-Gerson
Keyword(s):  
Physical Therapy ◽  
Pelvic Floor ◽  
Chronic Constipation ◽  
Muscle Tone ◽  
Colonic Surgery ◽  
Tertiary Referral Center ◽  
Dyssynergic Defecation ◽  
Pelvic Floor Physical Therapy ◽  
Novel Treatment ◽  
Balloon Expulsion

Objectives: Chronic constipation is a common childhood problem and often caused or worsened by abnormal dynamics of defecation. The aim of this study was to assess the benefit of pelvic floor physical therapy (PFPT), a novel treatment in pediatrics for the treatment of chronic constipation with dyssynergic defecation. Methods: This was a retrospective study of 69 children seen at a pediatric neurogastroenterology program of a large tertiary referral center for chronic constipation and dyssynergic defecation, determined by anorectal manometry and balloon expulsion testing. We compared the clinical outcome of patients who underwent PFPT (n = 49) to control patients (n = 20) whom received only medical treatment (laxatives/stool softeners). Additionally, characteristics of the treatment group were analyzed in relation to therapeutic response. Results: Thirty-seven (76%) of the patients who received physical therapy had improvement in constipation symptoms, compared to 5 (25%) of the patients on conservative treatment (p < 0.01). Additionally, patients who received pelvic physical therapy had fewer hospitalizations for cleanouts (4 vs. 25%, p = 0.01) and ­colonic surgery than those that were treated with medical therapy exclusively (0 vs. 10%, p = 0.03). Among the patients who received physical therapy, those that suffered from anxiety and/or low muscle tone had a higher response rate (100%). There were no adverse effects from the intervention. Conclusion: The new field of pediatric PFPT is a safe and effective intervention for children with dyssynergic defecation causing or contributing to chronic constipation, particularly in children whose comorbidities include anxiety and low ­muscle tone.

Balloon expulsion testing for the diagnosis of dyssynergic defecation in women with chronic constipation

2015 ◽  
Vol 26 (9) ◽  
pp. 1385-1390 ◽  
Author(s):  
Nadine C. Kassis ◽  
John M. Wo ◽  
Toyia N. James-Stevenson ◽  
Dean D. T. Maglinte ◽  
Michael H. Heit ◽  
...  
Keyword(s):  
Chronic Constipation ◽  
Dyssynergic Defecation ◽  
Balloon Expulsion

scholarly journals Sacral magnetic stimulation in puborectalis paradoxical syndrome

2002 ◽  
Vol 49 (2) ◽  
pp. 27-32 ◽  
Author(s):  
A. Shafik
Keyword(s):  
Magnetic Stimulation ◽  
Pressure Rise ◽  
Canine Model ◽  
Outpatient Basis ◽  
Rectal Balloon ◽  
Balloon Expulsion ◽  
Rectal Pressure ◽  
Balloon Expulsion Test ◽  
Neck Pressure ◽  
Rectal Neck

Background and Purpose: Our earlier studies have demonstrated that sacral magnetic stimulation (IMS) in the canine model, in healthy volunteers and in constipated subjects effected rectal pressure rise, decline of the rectal neck (anal canal) pressure as well as rectal evacuation. Based on these results, we studied the effect of sacral MS on defecation in patients with puborectalis paradoxical syndrome (PPS). Methods: Eleven subjects (8 women, 3 men; age 36-53 years) with PPS were enrolled in the study. The magnetic coil was placed on the back with its center located between L4 and L5. Stimulation parameters were set at 70% of maximum intensity, 40 Hz frequency and 2-second burst length with 2 seconds off. During MS, the rectal neck and gastric (intra-abdominal) pressures were measured. The procedure was performed in the empty and in the full rectum using the balloon expulsion test in the latter. Results: MS of the empty and balloon-filled rectum effected rise of the rectal pressure (p<0.001), decline of the rectal neck pressure (p>0.001) and no significant change of the intragastric pressure (p>0.05). The balloon was expelled to the exterior in all the patients. Conclusions: Sacral MS succeeded in dispelling to the exterior the water-filled rectal balloon. The method is simple, easy, non-invasive, non-radiologic and can be performed on an outpatient basis for the treatment of PPS.

Improvement in Outlet Obstructive Constipation Symptoms After Vaginal Stent Treatment for Rectocele

2020 ◽  
pp. 155335062097561
Author(s):  
Yitong Yin ◽  
Zhijun Xia ◽  
Meng Luan ◽  
Meiying Qin
Keyword(s):  
Side Effects ◽  
Obstructed Defecation ◽  
Safe Procedure ◽  
Rectal Balloon ◽  
Obstructed Defecation Syndrome ◽  
Incomplete Evacuation ◽  
Stent Treatment ◽  
Balloon Expulsion ◽  
Rectal Pressure

Objective. The objective is to determine the possible improvement in outlet obstructive constipation symptoms after vaginal stent treatment for rectocele. Methods. Female patients with rectocele (n = 156) accompanied with outlet obstructive constipation were selected in this study. Longo’s obstructed defecation syndrome (ODS) questionnaire, rectoanal pressures, and rectal balloon expulsion (BET) were evaluated at baseline, 1 month follow-up, and 6 months follow-up. Moreover, the side effects and the potential reasons for giving up treatment were also detected. Results. Vaginal stent significantly decreased the straining intensity, shortened the straining extensity time, decreased the use of laxatives, and alleviated the symptoms of incomplete evacuation ( P < .05). The vaginal stent also increased the rectal pressure and shortened the balloon expulsion time ( P < .05). Conclusions. As an effective, feasible, and safe procedure, the vaginal stent can be recommended as a treatment of choice for rectocele combined with outlet obstructive constipation.

Correlation of Rectal Balloon Expulsion Test Between Seated and Supine Position

2012 ◽  
Vol 107 ◽  
pp. S697-S698
Author(s):  
Shiva Ratuapli ◽  
Adil Bharucha ◽  
Doris Harvey ◽  
Alan Zinsmeister
Keyword(s):  
Supine Position ◽  
Rectal Balloon ◽  
Balloon Expulsion ◽  
Balloon Expulsion Test
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