High-resolution anorectal manometry: A comparison of solid-state and water-perfused catheters

ABSTRACT BACKGROUND: High resolution anorectal manometry (HRAM-WP) allows more simplified, objective, and uniform data acquisition and interpretation of the test results. OBJECTIVE: To validate a HRAM under water perfusion (Alacer Biomédica) with a 24-channel probe and to compare the results of anorectal manometry with other systems. METHODS: Individuals without critical evacuation disorders were selected. Patients with incontinence, anal surgery, dyssynergia or sphincter injury were excluded. The test was performed with an Alacer Biomédica 24 channel manometry system under water perfusion, with a probe configured with 6 levels of 4 radial channels, separated from each other by 0.8 mm. The mean pressures for the functional channel were determined, in states of rest (RMP), contention effort (CMP) and evacuation effort (EEMP). The pressure extension of the sphincter was also tabulated in cm. The results were compared with those available in recent literature. RESULTS: Fifty patients were studied (20 men; 30 women). Overall, the following results were obtained: the RMP was 76.9±3.0 mmHg, the CMP was 194.2±9.4 mmHg, and EEMP was 88.2±3.7 mmHg. When classified according to the gender, for men: RMP was 72.2±3.0 mmHg, CMP was 229.5±17 mmHg, and EEMP was 91.4±7.0. For women, RMP was 79.8±4.0 mmHg, CMP was 170.7±8, and EEMP was 86.1±4.3 mmHg. The sphincter gauge extension for both genders was 3.1±0.09 cm (men 3.3±0.1; women 3.0±0.1). DISCUSSION: Studying HRAM-WP has become much easier. Non-mobilization of the sensor causes less discomfort and artefacts with a lower assessment time. In this study, small differential values between both sexes during rest were observed, highlighting a greater containment force in men. No difference in sphincter extension was noted. The results of this study are consistent with that of existing reports and with those obtained using solid state probes. CONCLUSION: The perfusion system yielded results similar to that of solid state systems. Further studies to evaluate parameters with respect to pelvic dyssynergia and incontinence need to be conducted. Additionally, to determine if the vector volume can furnish new information in terms of functional and anatomical aspects.

Download Full-text

PTU-118 Comparison of Anal Sphincter Function Using Solid-State and Water-Perfused High Resolution Anorectal Manometry (HRAM) In Healthy Volunteers: Abstarct PTU-118 Table 1

Gut ◽

10.1136/gutjnl-2016-312388.204 ◽

2016 ◽

Vol 65 (Suppl 1) ◽

pp. A114.1-A114

Author(s):

A Rasijeff ◽

M Withers ◽

J Burke ◽

W Jackson

Keyword(s):

Solid State ◽

High Resolution ◽

Healthy Volunteers ◽

Anal Sphincter ◽

Anorectal Manometry ◽

Sphincter Function ◽

Anal Sphincter Function

Download Full-text

Normative Metrics of High-Resolution Anorectal Manometry With the Use of Solid-State Catheter in a Healthy Russian Cohort

Case Medical Research ◽

10.31525/ct1-nct03918213 ◽

2019 ◽

Author(s):

Keyword(s):

Solid State ◽

High Resolution ◽

Anorectal Manometry

Download Full-text

The use of high-resolution FESEM to study solid-state phase transformations and reactions

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100172875 ◽

1994 ◽

Vol 52 ◽

pp. 1028-1029

Author(s):

P. G. Kotula ◽

D. D. Erickson ◽

C. B. Carter

Keyword(s):

Solid State ◽

High Resolution ◽

Phase Transformations ◽

High Efficiency ◽

Sol Gel ◽

Quantitative Information ◽

Solid State Reactions ◽

Critical Dimensions ◽

Backscattered Electrons ◽

Backscattered Electron

High-resolution field-emission-gun scanning electron microscopy (FESEM) has recently emerged as an extremely powerful method for characterizing the micro- or nanostructure of materials. The development of high efficiency backscattered-electron detectors has increased the resolution attainable with backscattered-electrons to almost that attainable with secondary-electrons. This increased resolution allows backscattered-electron imaging to be utilized to study materials once possible only by TEM. In addition to providing quantitative information, such as critical dimensions, SEM is more statistically representative. That is, the amount of material that can be sampled with SEM for a given measurement is many orders of magnitude greater than that with TEM.In the present work, a Hitachi S-900 FESEM (operating at 5kV) equipped with a high-resolution backscattered electron detector, has been used to study the α-Fe2O3 enhanced or seeded solid-state phase transformations of sol-gel alumina and solid-state reactions in the NiO/α-Al2O3 system. In both cases, a thin-film cross-section approach has been developed to facilitate the investigation. Specifically, the FESEM allows transformed- or reaction-layer thicknesses along interfaces that are millimeters in length to be measured with a resolution of better than 10nm.

Download Full-text