scholarly journals NORMAL VALUES OF ANAL SPHINCTER PRESSURE MEASURED WITH NON-PERFUSION WATER SPHINCTEROMETER

2016 ◽  
pp. 32-36 ◽  
Author(s):  
Y. A. Shelygin ◽  
O. Y. Fomenko ◽  
A. Y. Titov ◽  
V. V. Veselov ◽  
S. V. Belousova ◽  
...  

There are presented normal values of anal pressure at rest and squeezing measured with non-perfusion water sphincterometer S4402 by MSM ProMedico GmbH. MATERIALS AND METHODS. 73 patients with colon adenomas before polypectomy underwent sphincterometry. All patients had no any complaints of fecal incontinence and outlet obstruction (0 points by Wexner incontinence scale and 0 points by outlet obstruction our clinic scale). Male were 28 (38,4%), average age 56,2± 10,2 years, female - 45 (61,6%), average age 54,9± 13,7 years. RESULTS. Male normal values: average rest anal pressure - 52,1 ± 19,8 mm Hg, maximum rest anal pressure - 60,3 ± 21,9 mm Hg., average squeezing anal pressure - 118,2± 41,5 mm Hg, maximum squeezing anal pressure -174,2± 56,8 mm Hg. Female normal values: average rest anal pressure - 37,1 ± 15,3 mm Hg. maximum rest anal pressure - 43,8± 15,5 mm Hg, average squeezing anal pressure - 75.1 ± 29.5 mm Hg, maximum squeezing anal pressure - 99,1 ± 39,7 mm Hg. CONCLUSION. There were detected normal values of anal pressure at rest and squeezing to use in approximate assessment of anal sphincter function. To perform comprehensive evaluation with this sphincterometer, elaboration of new software is required.

2014 ◽  
Vol 26 (5) ◽  
pp. 625-635 ◽  
Author(s):  
E. V. Carrington ◽  
A. Brokjaer ◽  
H. Craven ◽  
N. Zarate ◽  
E. J. Horrocks ◽  
...  

2020 ◽  
Author(s):  
Ali Attari ◽  
William D. Chey ◽  
Jason R. Baker ◽  
James A. Ashton-Miller

AbstractThere is a need for a lower cost manometry system for assessing anorectal function in primary and secondary care settings. We developed an index finger-based system (termed “digital manometry”) and tested it in healthy volunteers, patients with chronic constipation, and fecal incontinence. Anorectal pressures were measured in 16 participants with the digital manometry system and a 23-channel high-resolution anorectal manometry system. The results were compared using a Bland-Altman analysis at rest as well as during maximum squeeze and simulated defecation maneuvers. Myoelectric activity of the puborectalis muscle was also quantified simultaneously using the digital manometry system. The limits of agreement between the two methods were −7.1 ± 25.7 mmHg for anal sphincter resting pressure, 0.4 ± 23.0 mmHg for the anal sphincter pressure change during simulated defecation, −37.6 ± 50.9 mmHg for rectal pressure changes during simulated defecation, and −20.6 ± 172.6 mmHg for anal sphincter pressure during the maximum squeeze maneuver. The change in the puborectalis myoelectric activity was proportional to the anal sphincter pressure increment during a maximum squeeze maneuver (slope = 0.6, R2 = 0.4). Digital manometry provided a similar evaluation of anorectal pressures and puborectalis myoelectric activity at an order of magnitude less cost than high-resolution manometry, and with a similar level of patient comfort. Digital Manometry provides a simple, inexpensive, point of service means of assessing anorectal function in patients with chronic constipation and fecal incontinence.


1983 ◽  
Vol 13 (5) ◽  
pp. 420-425 ◽  
Author(s):  
Naomi Iwai ◽  
Kyozo Hashimoto ◽  
Hirofumi Kaneda ◽  
Osamu Kojima ◽  
Bunzo Nishioka ◽  
...  

1998 ◽  
Vol 175 (3) ◽  
pp. 187-193 ◽  
Author(s):  
Harald R. Rosen ◽  
Gabriele Novi ◽  
Gerald Zoech ◽  
Wolfgang Feil ◽  
Christina Urbarz ◽  
...  

1993 ◽  
Vol 80 (1) ◽  
pp. 121-123 ◽  
Author(s):  
W. G. Lewis ◽  
P. J. Holdsworth ◽  
P. M. Sagar ◽  
J. P. Blandy ◽  
J. H. M. Holmfield ◽  
...  

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