Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders

Andrianjafy, Charlotte; Luciano, Laure; Loundou, Anderson; Bouvier, Michel; Vitton, Véronique

doi:10.1007/s00384-019-03297-z

Cited by 12 publications

(10 citation statements)

References 25 publications

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“…However, quantitative metrics of these outcomes are not yet available, resulting in relative low inter‐observer agreements reported in this study. Another study in adults reports that 3D‐ARM may be used to differentiate different types of dyssynergic defecation which may be useful to predict biofeedback outcomes in adults 23 . Although in children the clinical benefit of biofeedback has not been shown, 24 differentiation of dyssynergic defecation subtypes may facilitate the identification of patients in whom biofeedback may be effective 12 .…”

Section: Discussionmentioning

confidence: 99%

Do we need an extra dimension? A pilot study on the use of three‐dimensional anorectal manometry in children with functional constipation

Baaleman

Vriesman

Benninga

et al. 2022

Neurogastroenterology Motil

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Section: Discussionmentioning

confidence: 99%

Do we need an extra dimension? A pilot study on the use of three‐dimensional anorectal manometry in children with functional constipation

Baaleman

Vriesman

Benninga

et al. 2022

Neurogastroenterology Motil

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“…Es wurde immer wieder berichtet, dass die Biofeedback-Therapie den kontrollierten Behandlungsmodalitäten einschließlich Schein-Biofeedback, Placebotablette, Muskelrelaxanzien und osmotischen Abführmittel überlegen ist [119,120]. Die Patientenergebnisse korrelieren mit der Verbesserung der anorektalen Physiologie, was nahelegt, dass Biofeedback einen anderen Wirkmechanismus nutzt als psychotherapeutische Eingriffe oder einfache Ausbildung [121]. Biofeedback ist langfristig wirksam und hat keine bekannten unerwünschten Wirkungen [120,122].…”

Section: Aussage 32unclassified

Prise en charge thérapeutique de la constipation chronique

Pohl

Levenfus

Adamina

et al. 2022

Schweiz. Gastroenterol.

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ZusammenfassungDie chronische Obstipation ist eine häufige Erkrankung mit einer Prävalenz von 14 % in der Allgemeinbevölkerung. Unser Ziel war, eine aktuelle Stellungnahme von Schweizer Expert/innen zum klinischen Management der chronischen Obstipation vorzustellen. Nach einer gründlichen Literaturrecherche durch Expert/innen aus den relevanten Bereichen wurden ausgewählte wichtige Empfehlungen der aktuellen ESNM(European Society for Neurogastroenterology and Motility)-Guideline als Grundlage für die Stellungnahme der Schweizer Expert/innen zur Behandlung der Obstipation zusammengestellt und durch einen praxisbezogenen Algorithmus ergänzt. Jeder Empfehlung wurden entsprechende GRADE(Grading of Recommendations, Assessment, Development and Evaluation)-Evidenzniveaus zugewiesen.

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“…[12][13][14][15][16][17] Normative 3D-HDAM values have been published in adults. 12,15,16 More recently, the utility of 3D-HDAM has been described in patients with functional anorectal disorders, including dyssynergic defecation 16,18 and paradoxical puborectalis syndrome (impaired rectal evacuation caused by the inability of the puborectalis to relax permitting opening of the anorectal angle to facilitate defecation). 14,19 However, there is rationale to believe that physical properties of the 3D-HDAM probe may have implications on the measurements of anorectal pressures.…”

Section: Introductionmentioning

confidence: 99%

Manometric parameters, when measured with the 3‐dimensional high‐definition anorectal manometry probe, poorly predict prolonged balloon expulsion time

Woo

Pandey

Gill

et al. 2021

Neurogastroenterology Motil

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Background: There are little data evaluating the performance of the 3-dimensional high-definition anorectal manometry (3D-HDAM) system in the diagnosis of dyssynergic defecation. Physical properties of the thicker, rigid, 3D-HDAM probe may have implications on the measurements of anorectal pressures.Aim: Our aim was to compare 3D-HDAM to balloon expulsion test and magnetic resonance (MR) defecography. Methods: Consecutive constipated patients referred for anorectal function testing atthe Calgary Gut Motility Centre (Calgary, Canada) between 2014 and 2019 were assessed. All patients underwent anorectal manometry with the 3D-HDAM probe, and a subset underwent BET or MR defecography. Anorectal manometric variables were compared between patients who had normal and abnormal BET.Results: Over the study period, 81 patients underwent both 3D-HDAM and BET for symptoms of constipation. 52 patients expelled the balloon within 3 minutes. Patients with abnormal BET had significantly lower rectoanal pressure differential (RAPD) (−61 vs. −31 mmHg for normal BET, p = 0.03) and defecation index (0.29 vs. 0.56, p = 0.03).On logistic regression analysis, RAPD (OR: 0.99, 95% CI: 0.97-0.99, p = 0.03) remained a negative predictor of abnormal BET. On ROC analysis, RAPD had an AUC of 0.65.There was good agreement between dyssynergic patterns on 3D-HDAM and defecographic evidence of dyssynergia (sensitivity 80%, specificity 90%, PLR 9, NLR 0.22, accuracy 85%).Conclusions: Manometric parameters, when measured with the 3D-HDAM probe, poorly predict prolonged balloon expulsion time. RAPD remains the best predictor of prolonged balloon expulsion time. The 3D-HDAM probe may not be the ideal tool to diagnose functional defecatory disorders.

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Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders

Cited by 12 publications

References 25 publications

Do we need an extra dimension? A pilot study on the use of three‐dimensional anorectal manometry in children with functional constipation

Do we need an extra dimension? A pilot study on the use of three‐dimensional anorectal manometry in children with functional constipation

Prise en charge thérapeutique de la constipation chronique

Manometric parameters, when measured with the 3‐dimensional high‐definition anorectal manometry probe, poorly predict prolonged balloon expulsion time

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