Sphincterometry Gradation of Anal Sphincter Insufficiency

Shelygin, Yu. A.; Fomenko, A. Yu.; Titov, A. Yu.; Berseneva, E. A.; Мудров, А. А.; Белоусова, С. В.

doi:10.33878/2073-7556-2016-0-4-54-59

Cited by 14 publications

(3 citation statements)

References 6 publications

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“…But many authors mostly attribute the retention of gases and feces to the proper functioning of the rectal sphincters due to the pressure created by the smooth muscles of the internal sphincter (70-80%), and striated muscles of the external sphincter (20-30%). [2,3] Today, there are many scales that allow a subjective assessment of the state of gas and fecal incontinence in proctological patients. Most authors, when interviewing a coloproctological patient for a subjective assessment of incontinence, use the Cleveland Fecal Incontinence Scale (Wexner) (Wexner Anal Incontinence Scale) (Table 1).…”

Section: R E L E V a N C Ementioning

confidence: 99%

Evaluating Experience With Anorectal Manometry in an Outpatient Setting

Kovalev¹,

Khitaryan²,

Штильман³

et al. 2021

ArveMED

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Purpose of the study: 1) Evaluating application of anorectal manometry in an outpatient setting. 2) Determination of reference manometric and point criteria for normal rectal sphincter indicators and Fecal Incontinence (FI) according to anorectal manometry data using a Peritron anal sensor. Materials and methods: The retrospective study was based on the results of anorectal manometry using Peritron equipment (Cardio Design Pty Ltd, Australia) on 1200 patients with various proctological diseases, who were examined and treated at the Center for Outpatient Proctology of the surgical department of Railway Clinical Hospital (Rostov-on-Don, Russia) from 2015 to 2020. All patients were divided into 4 groups in accordance with the clinical classification of Fecal Incontinence (FI) developed at the National Coloproctology Research Center and the obtained results. As a subjective assessment, the Cleveland Fecal Incontinence Scale (Wexner) was used, and objectively, the results of anorectal manometry using the Peritron sphinctometer. Results: Our manometric data enabled to develop a reliable indicator scale of normal sphincter function and various degrees of fecal incontinence according to the Peritron findings and allowed to recommend the device for a wider introduction into clinical practice, in particular in coloproctology, to perform anorectal manometry.

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Section: R E L E V a N C Ementioning

confidence: 99%

Evaluating Experience With Anorectal Manometry in an Outpatient Setting

Kovalev¹,

Khitaryan²,

Штильман³

et al. 2021

ArveMED

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“…Аноректальная манометрия (АМ) -диагностическое исследование, которое широко востребовано специалистами различных специальностей: колопроктологами, гастроэнтерологами, терапевтами, гинекологами, урологами, неврологами, нейрохирургами и даже травматологами -теми, кто для выбора адекватной тактики ведения пациентов нуждается в данных оценки анатомической структуры и функционального состояния мышечного комплекса аноректальной зоны [1][2][3]. Действительно, неадекватная работа мышц анального канала, прямой кишки, тазовой диафрагмы и их регуляторного аппарата может сказаться на функциях держания и эвакуации содержимого кишечника и мочевых путей, приводить к развитию нарушений половой сферы.…”

Section: ââåäåíèåunclassified

“…В связи с этим, а также учитывая, что объем и структура информации, необходимые для специалистов разного профиля, могут существенно отличаться, сохраняется и даже возрастает интерес к использованию более простых и проверенных временем методик, таких как аноректальная сфинктерометрия (АС) и профилометрия (АП). АС является разновидностью АМ, которая позволяет провести скрининговую оценку функционального состояния мышц тазового дна, включая анализ показателей, отвечающих за состояние как держания, так и (косвенно, без определения типов функциональных расстройств дефекации) эвакуации кишечного содержимого [1][2][3][14][15][16]. Методика АМ с пуллерной протяжкой тонкого водно-перфузионного катетера с радиальным расположением каналов -АП -позволяет оценивать давление по каждому из каналов на всем протяжении его перемещения.…”

Section: ââåäåíèåunclassified

Interdisciplinary consensus on Russian-language terminology of anorectal sphincterometry and profilometry

2020

Terapevticheskii arkhiv

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Aim to describe the results of a multidisciplinary discussion on the terminology of anorectal sphincterometry (AS) and profilometry (AP). We performed online survey with the use of public platform Google forms to harmonize Russian terms to be used to describe the results of AP and AS and their abbreviations. The invitation to participate in the survey was sent to the authors who use the results of AP and AS in clinical practice and perform the diagnostic procedures. The obtained answers were analyzed with the use of the aggregator and Statistica 10 (StatSoft Inc, USA) software. The level of consensus was analyzed with the use of modified Delphi criteria (C1 agreement of 90% of participants, C2 agreement of 75 to 90%, C3 less than 75%). Invitations sent 76, responses obtained 63 (response rate 82.9%). Consensus level 1 was reached for all the terms of AP and for 4out of 7 terms to describe the results of AS (3 out of 7 terms were of moderate agreement, C2). The need for the use of predefined abbreviations of terms for AS and AP was of a low rate of consensus (71.4%). The agreed terms of AS and AP should be used to prepare a conclusion for the diagnostic procedures and to publish scientific reports.

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