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2021, Number 5

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Revista Habanera de Ciencias Médicas 2021; 20 (5)

Introduction of high-resolution anorectal manometry in Cuba. First outcomes

Anido EV, Díaz DZ, Amable DT, Armenteros TM, Labrada SM, Ávila AJA

Language: Spanish
References: 25
Page: 1-6
PDF size: 358.99 Kb.


ABSTRACT

Introduction: High-resolution anorectal manometry has allowed a better understanding of the pathophysiology of motor and sensory damage in patients with pelvic floor dysfunction.
Objective: To offer the outcomes of the introduction of the technique applied in a first group of patients in Cuba, as well as its characterization, the values obtained for the study parameters and the most frequent diagnoses.
Material and Methods: The high-resolution anorectal manometry records, which were performed at the CNCMA Motility Laboratory between September 2017 and June 2019, were reviewed. The record of the patients´ general data and specific discharge parameters were analyzed. The London Classification was applied for the diagnosis of the resulting type of anorectal dysfunction.
Results: A total of 159 patients were studied. There was a predominance of females over 60 years of age. The most common indication for the test was fecal incontinence, followed by constipation. Obstetric history or history of surgical intervention were frequent in women. Type III dyssynergia was the most frequent type of dyssynergic defection. The most frequent diagnoses of anorectal dysfunction were disorders of anal tone and contractility.
Conclusions: The introduction of the technique was successful. It allowed the identification of the damaged structures, which led to a faster and more timely therapeutic decision-making for the patient. The London Classification was used in the diagnosis of dysfunction.


REFERENCES

  1. Ciriza de los Ríos C, Mínguez M, Remes Troche JM, Lacima G. Manometría anorrectal de alta resolución y de alta definición: redescubriendo la función anorrectal. Rev Esp Enferm Dig [Internet]. 2018 ; 110(12):794-805. Disponible en: http://dx.doi.org/10.17235/reed.2018.5705/2018

  2. Seo M, Joo S, Jung KW, Lee J, Lee HJ, Soh JS, et al. A high-resolution anorectal manometry parameter based on integrated pressurized volume: A study based on 204 male patients with constipation and 26 controls. Neurogastroenterol Motil [Internet]. 2018 Sep [Citado 17/10/2020];30(9):e13376. Disponible en: Disponible en: http://doi.org/10.1111/nmo.13376

  3. Grossi U, Carrington EV, Bharucha AE, Horrocks EJ, Scott SM, Knowles CH. Diagnostic accuracy study of anorectal manometry for diagnosis of dyssynergic defecation. Gut. 2016;65:447-55.

  4. Rao SS, Bharucha AE, Chiarioni G, Felt Bersma R, Knowles C, Malcolm A, et al. Functional Anorrectal Disorders. Gastroenterology [Internet]. 2016 Mar [Citado 17/10/2020];25:[Aprox. 2 p.]. Disponible en: Disponible en: http://doi.org/10.1053/j.gastro.2016.02.009

  5. Heinrich H, Misselwitz B. High-Resolution Anorrectal Manometry - New Insights in the Diagnostic Assessment of Functional Anorrectal Disorders. Visc Med[Internet]. 2018;34(2):134-9. Disponible en: http://doi.org/10.1159/000488611

  6. Viebig Ricardo G, Franco J, Araújo S, Viebig GD. Water-perfused high-resolution anorrectal manometry (hram-wp): the first brazilian study. Arq. Gastroenterol. [Internet]. 2018;55(Suppl 1):41-6. Disponible en: https://doi.org/10.1590/s0004-2803.201800000-38

  7. Meza Madrid DM, Hani de Ardila AC, Costa VA, Leguízamo AM, Puentes Leal GA, Ardila Hani AF. Cómo realizar e interpretar una manometría anorrectal de alta resolución. Rev Colomb Gastroenterol [Internet]. 2019 [Citado 17/10/2020];34(4):404-10. Disponible en: Disponible en: https://revistagastrocol.com/index.php/rcg/article/view/411

  8. Carrington EV, Heinrich H, Knowles CH, Fox M, Rao S, Altomare DF, et al. The international anorrectal physiology working group (IAPWG) recommendations: Standardized testing protocol and the London classification for disorders of anorrectal function. Neurogastroenterol Motil [Internet]. 2019;32:e13679. Disponible en: https://doi.org/10.1111/nmo.13679

  9. Pare P, Ferrazzi S, Thompson WG, Irvine EJ, Rance L. An epidemiological survey of constipation in Canada: definitions, rates, demographics, and predictors of health care seeking. Am J Gastroenterol [Internet]. 2001;96(11):3130-7. Disponible en: http://doi.org/10.1111/j.1572-0241.2001.05259.x

  10. Menees SB. My Approach to Fecal Incontinence: It's all about Consistency (Stool, that is). Am J Gastroenterol [Internet]. 2017;112(7):977-80. Disponible en: http://doi.org/10.1038/ajg.2017.177

  11. Whitehead WE, Borrud L, Goode PS. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology [Internet]. 2009;137(2):512517.e5172. Disponible en: http://doi.org/10.1053/j.gastro.2009.04.054

  12. Remes Troche JM, Coss Adame E, López Colombo A, Amieva Blamori M, Carmona Sánchez R, Charua Guindic L, et al. Consenso mexicano sobre estreñimiento crónico. Rev Gastro Mex [Internet]. 2018 [Citado 17/10/2020],83(2):16889. Disponible en: Disponible en: http://www.revistagastroenterologiamexico.org/esconsensomexicanosobreestrenimientocronicoarticuloS0375090618300478

  13. Schmidt FM, Santos VL. Prevalence of constipation in the general adult population: an integrative review. J Wound Ostomy Continence Nurs [Internet]. 2014;41(1):706. Disponible en: http://doi.org/10.1097/01.WON.0000438019.21229.b7

  14. Chiarelli P, Brown W, McElduff P. Constipation in Australian women: prevalence and associated factors. Int Urogynecol J Pelvic Floor Dysfunct [Internet]. 2000;11(2):718. Disponible en: http://doi.org/10.1007/s001920050073

  15. De la Portilla F. Avances y futuro del tratamiento de la incontinencia fecal. Rev Med CLIN CONDES. 2013;24(2)2629.

  16. Anido Escobar V, Díaz Drake Z, Martínez López R, Díaz Canel Fernández O, García Menocal J. Manometría anorrectal en mujeres incontinentes de la tercera edad. Rev Mex Coloproct. 2009;15(2):358.

  17. Martínez Torres JC, García Delgado JA, Rodríguez Adams EM. Rehabilitación de las disfunciones del suelo pélvico: 10 años de Experiencia. Invest Médico Quir. 2017;9(2):23045.

  18. Rousseau González G, Sagaró González E, Castañeda Guillot C, Borbolla Busquets E, Campanioni Acosta S. Manometría anorrectal en niños con constipación crónica. Rev Cuba Pediatr. 1986;58(3): 35-6.

  19. Koppen IJ, Von Gontard A, Chase J, Cooper CS, Rittig CS, Bauer SB, et al. Management of functional non retentive fecal incontinence in children: Recommendations from the International Children's Continence Society. J Pediatr Urol [Internet]. 2016 Feb;12(1):56-64. Disponible en: http://doi.org/10.1016/j.jpurol.2015.09.008

  20. Rodríguez L, Sood M, Di Lorenzo C, Saps M. An ANMSNASPGHAN consensus document on anorrectal and colonic manometry in children. Neurogastroenterol Motil [Internet]. 2017;29(1):[Aprox. 3p.]. Disponible en: http://doi.org/10.1111/nmo.12944

  21. Attari A, Chey WD, Baker JR, Ashton Miller JA. Comparison of anorrectal function measured using wearable digital manometry and a high resolution manometry system. PLoS One [Internet]. 2020;15(9):e0228761. Disponible en: http://doi.org/10.1371/journal.pone.0228761

  22. Guillaume A, Salem AE, García P, Chander Roland B. Pathophysiology and Therapeutic Options for Fecal Incontinence. J Clin Gastroenterol [Internet]. 2017 ;51(4):32-4. Disponible en: http://doi.org/10.1097/MCG.0000000000000797

  23. Grossi U, Carrington EV, Bharucha AE, Horrocks EJ, Scott SM, Knowles CH. Diagnostic accuracy study of anorectal manometry for diagnosis of dyssynergic defecation. Gut. 2016;65(3):447-55.

  24. Seo M, Joo S, Jung KW, Song EM, Rao SSC, Myung SJ. New Metrics in High Resolution and High Definition Anorrectal Manometry. Curr Gastroenterol Rep [Internet]. 2018;20(12):57. Disponible en: http://doi.org/10.1007/s1189401806625

  25. Basilisco G, Bharucha AE. Highresolution anorectal manometry: An expensive hobby or worth every penny?. Neurogastroenterol Motil [Internet]. 2017 ;29(8):[Aprox. 2 p.]. Disponible en: http://doi.org/10.1111/nmo.13125




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