Colonic and anorectal motility testing in the high-resolution era

Philip Dinning, Emma Carrington, S Scott

    Research output: Contribution to journalReview articlepeer-review

    13 Citations (Scopus)

    Abstract

    The past few years have seen an increase in the number of research and clinical groups around the world using high-resolution manometry (HRM) to record contractile activity in the anorectum and colon. Yet despite the uptake and growing number of publications, the clinical utility and potential advantages over traditional manometry remain undetermined. Recent findings Nearly all of the publications in the field of anorectal and colonic HRM have been published within the last 3 years. These studies have included some data on normal ranges in healthy adults, and abnormalities in patient groups with constipation or fecal incontinence, anal fissure, perineal descent, rectal cancer, and Hirschsprung's disease. Most of the studies have been conducted on adults, with only three published studies in pediatric populations. Very few studies have attempted to show advantages of HRM over traditional manometry Summary High-resolution anorectal and colonic manometry provide a more comprehensive characterization of motility patterns and coordinated activity; this may help to improve our understanding of the normal physiology and pathophysiology in these regions. To date, however, no published study has conclusively demonstrated a clinical, diagnostic, or interventional advantage over conventional manometry:

    Original languageEnglish
    Pages (from-to)44-48
    Number of pages5
    JournalCURRENT OPINION IN GASTROENTEROLOGY
    Volume32
    Issue number1
    DOIs
    Publication statusPublished - 1 Jan 2016

    Keywords

    • Anorectum
    • colon
    • diagnosis
    • high-definition manometry
    • high-resolution manometry

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