Review of the indications, methods, and clinical utility of anorectal manometry and the rectal balloon expulsion test

AE Bharucha, G Basilisco, A Malcolm… - …, 2022 - Wiley Online Library
Background Anorectal manometry (ARM) comprehensively assesses anorectal
sensorimotor functions. Purpose This review examines the indications, techniques …

Chronic constipation in adults: Contemporary perspectives and clinical challenges. 1: Epidemiology, diagnosis, clinical associations, pathophysiology and …

SM Scott, M Simrén, AD Farmer… - …, 2021 - Wiley Online Library
ABSTRACT BACKGROUND Chronic constipation is a prevalent disorder that affects
patients' quality of life and consumes resources in healthcare systems worldwide. In clinical …

Comparison of anorectal manometry, rectal balloon expulsion test, and defecography for diagnosing defecatory disorders

JW Blackett, M Gautam, R Mishra, NR Oblizajek… - Gastroenterology, 2022 - Elsevier
Background & Aims The utility of high-resolution anorectal manometry (HR-ARM) for
diagnosing defecatory disorders (DDs) is unclear because healthy people may have …

ACG clinical guidelines: management of benign anorectal disorders

A Wald, AE Bharucha, B Limketkai… - Official journal of the …, 2021 - journals.lww.com
Benign anorectal disorders of structure and function are common in clinical practice. These
guidelines summarize the preferred approach to the evaluation and management of …

Inadequate rectal pressure and insufficient relaxation and abdominopelvic coordination in defecatory disorders

B Deb, M Sharma, JG Fletcher, SG Srinivasan… - Gastroenterology, 2022 - Elsevier
Background & Aims Diagnostic tests for defecatory disorders (DDs) asynchronously
measure anorectal pressures and evacuation and show limited agreement; thus …

[HTML][HTML] Optimizing the utility of anorectal manometry for diagnosis and therapy: A roundtable review and recommendations

SSC Rao, NK Ahuja, AE Bharucha, DM Brenner… - Clinical …, 2023 - Elsevier
Background & Aims Anorectal manometry (ARM) is a comprehensive diagnostic tool for
evaluating patients with constipation, fecal incontinence or anorectal pain; however, it is not …

Optimizing techniques for measuring anal resting and squeeze pressures with high‐resolution manometry

NR Oblizajek, B Deb… - …, 2022 - Wiley Online Library
Background The optimal methods for measuring and analyzing anal resting and squeeze
pressure with high‐resolution manometry (HRM) are unclear. Methods Anal resting and …

Anorectal manometry to diagnose dyssynergic defecation: Systematic review and meta‐analysis of diagnostic test accuracy

AR Ortengren, RA Ramkissoon… - …, 2021 - Wiley Online Library
Background Chronic constipation is a common condition, and dyssynergic defecation
underlies up to 40% of cases. Anorectal manometry is recommended to assess for …

Reproducibility of high‐resolution manometry among healthy and constipated persons

R Mishra, M Gautam, NR Oblizajek… - …, 2022 - Wiley Online Library
Abstract Background and Aims Although high‐resolution manometry (HR_ARM) is
commonly used to diagnose defecatory disorders, its intraindividual day‐to‐day …

[PDF][PDF] Diagnostic strategy and tools for identifying defecatory disorders

AE Bharucha, E Coss-Adame - Gastroenterology Clinics of North America, 2022 - Elsevier
Although these tests are also used for other indications (eg, fecal incontinence), this 25
chapter reviews the indications, techniques, interpretation, strengths, and weaknesses of …