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preLekára.sk / Journals / Perspectives in Surgery / 2020 - 6

Update and review of diagnosing functional anorectal disorders – standardized protocol for high-resolution anorectal manometry and the London classification

Česká verzia

Authors: K. Košťálová;  Š. Suchánek;  M. Zavoral
Authors place of work: Interní klinika 1. lékařské fakulty Univerzity Karlovy a Ústřední vojenské nemocnice – Vojenské fakultní nemocnice, Praha
Published in the journal: Rozhl. Chir., 2020, roč. 99, č. 6, s. 249-257.
Category: Review
doi: https://doi.org/10.33699/PIS.2020.99.6.249–257

Summary

Complex anorectal examination including a detailed medical history, physical proctological examination and evaluation of the sensorimotor and structural function of the anorectum is essential for the diagnosis and therapeutic management of functional anorectal dysfunction. The aim of the work is to provide an overview of diagnosing functional anorectal disorders according to the new update and consensus statement of the International Anorectal Physiology Working Group (IAPWG) with a focus on indications, a standardized examination protocol and introduction of the new London classification of anorectal dysfunction. The indications are: fecal incontinence, defecation disorders, functional pelvic (anorectal) pain, evaluation before an anorectal intervention and before planned delivery to assess the function of a previously traumatized anal sphincter. Standardization of the diagnosis and the evaluated data are the basis for multidisciplinary cooperation and determination of a treatment plan for each patient individually.

Keywords:

indications – functional anorectal testing – anorectal manometry – standardized protocol – London classification

Zdroje
  1. Drossman DA. Functional gastrointestinal disorders: history, pathophysiology, clinical features, and Rome IV. Gastroenterology 2016;150(6):1262−1279. doi:org/10.1053/j.gastro.2016.02.032.
  2. Rao SS, Bharucha AE, Chiarioni G, et al. Anorectal disorders. Gastroenterology 2016;150(6):1430−1442. doi.org/10.1053/j.gastro.2016.02.009.
  3. Patcharatrakul T, Rao SSC. Update on the pathophysiology and management of anorectal disorders. Gut Liver 2018;12(4):375−384. doi:10.5009/gnl17172.
  4. Johanson JF, Lafferty J. Epidemiology of fecal incontinence: the silent affliction. Am J Gastroenterology 1996;91(1):33−36.
  5. Xu X, Menees SB, Zochowski MK, et al. Economic cost of fecal incontinence. Dis Colon Rectum 2012;55:586–598. doi:10.1097/dcr.0b013e31823dfd6d.
  6. Ihnát P, Kozáková R, Vávra P, et al. Fekální inkontinence – závažný medicínský a společenský problem. Časopis lékařů českých 2016;155:135−140.
  7. Carrington E, Scott S, Bharucha A, et al. Advances in the evaluation of anorectal function. Nat Rev Gastroenterol Hepatol. 2018;15:309–323. doi:10.1038/nrgastro.2018.27.
  8. Liberman H, Faria J, Ternent ChA, et al. A prospective evaluation of the value of anorectal physiology in the management of fecal incontinence. Dis Colon Rectum 2001;44:1567–1574. doi: org/10.1007/BF02234373.
  9. Knowles CH, Thin N, Gill K, et al. Prospective randomized double-blind study of temporary sacral nerve stimulation in patients with rectal evacuatory dysfunction and rectal hyposensitivity. Ann Surg. 2012;255:643–649. doi:10.1097/SLA.0b013e318247d49f.
  10. Carrington EV, Heinrich H, Knowles CH, et al. Methods of anorectal manometry vary widely in clinical practice: Results from an international survey. Neurogastroenterol Motil. 2017. doi:10.1111/nmo.13016.
  11. Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum 1993;36:77–97. doi:10.1007/bf02050307.
  12. Sharma S, Agarwal BB. Scoring systems in evaluation of constipation and obstructed defecation syndrome (ODS). JIMSA 2012;25:57–9.
  13. Quander CR, Morris MC, Melson J, et al. Prevalence of and factors associated with fecal incontinence in a large community study of older individuals. Am J Gastroenterol. 2005;100:905–909. doi:10.1111/j.1572-0241.2005.30511.x.
  14. Alimohammadian, M, Ahmadi B, Jananiet L, al. Suffering in silence: a community-based study of fecal incontinence in women. Int J Colorectal Dis. 2014;29:401–406. doi: 10.1016/j.cgh.2010.06.031.
  15. Rao SS. Pathophysiology of adult fecal incontinence. Gastroenterology 2004;126:14–22. doi:10.1053/j.gastro.2003.10.013.
  16. Kim T, Chae G, Chung SS, et al. Faecal incontinence in male patients. Colorectal Dis. 2008;10:124–130. doi: org/10.1111/j.1463-1318.2007.01266.x.
  17. Rey E, Choung RS, Schleck CD, et al. Onset and risk factors for fecal incontinence in a US community. Am J Gastroenterol. 2010;105:412–419. doi:10.1038/ajg.2009.594.
  18. Nurko, S. & Scott, S. M. Coexistence of constipation and incontinence in children and adults. Best Pract Res Clin Gastroenterol. 2011;25:29–41. doi:10.1016/j.bpg.2010.12.002.
  19. Tantiphlachiva, K, Rao P, Attaluri A, et al. Digital rectal examination is a useful tool for identifying patients.with dyssynergia. Clin Gastroenterol Hepatol. 2010;8:955–960. doi:10.1016/j.cgh.2010.06.031.
  20. Norton C, Thomas L, Hill J, et al. Management of faecal incontinence in adults: summary of NICE guidance. BMJ 2007;334:1370–1371. doi:10.1136/bmj.39231.633275.AD.
  21. Bharucha AE, Pemberton JH, Locke GR 3rd,et al. American Gastroenterological Association medical position statement on constipation. Gastroenterology 2013;144:211–217. doi:10.1053/j.gastro.2012.10.029.
  22. Koželuhová J, Balihar MK, Janská E, et al. High-resolution anorektální manometrie-up date v diagnostice anorektálních poruch. Gastroenterologie a hepatologie 2014;68(4).
  23. Carrington EV, Heinrich H, Knowles CH et al. The international anorectal physiology working group (IAPWG) recommendations: Standardized testing protocol and the London Classification for disorders of anorectal function. Neurogastroenterol Motil. 2020;32(1):e13679. doi:10.1111/nmo.13679.
  24. Dinning PG, Carrington EV, Scott SM Colonic and anorectal motility testing in the high-resolution era. Curr Opin Gastroenterol 2016;32:44–48. doi:10.1097/MOG.0000000000000229.
  25. Ihnát P, Vávra P, Guňková P et al. 3D high resolution anorectal manometry in functional anorectal evaluation. Rozhl Chir. 2014;93(11):524−529.
  26. Rezaie A, Iriana S, Pimentel M, et al. Can 3D high resolution anorectal manometry detect anal sphincter defects in patients with faecal incontinence? Colorectal Dis. 2016;19:468–475. doi:10.1111/codi.13530.
  27. Vitton V, Amor WBH, Baumstarck K, et al. Comparison of three-dimensional high-resolution manometry and endoanal ultrasound in the diagnosis of anal sphincter defects. Colorectal Dis. 2013;15: e607–611. doi:10.1111/codi.12319.
  28. Felt-Bersma RJF, Vlietstra MS, Vollebregt PF, et al. 3D high-resolution anorectal manometry in patients with perianal fistulas: comparison with 3D-anal ultrasound. BMC Gastroenterol. 2018;18(1):44. doi:10.1186/s12876-018-0770-6.
  29. Benezech A, Cappiello M, Baumstarck K, et al. Rectal intussusception: can high resolution three-dimensional ano-rectal manometry compete with conventional defecography? Neurogastroenterol Motil. 2017;29(4). doi:10.1111/nmo.12978.
  30. Abdool Z, Sultan AH, Thakar R. Ultrasound imaging of the anal sphincter complex: a review. Br J Radiol. 2012;85:865–875. doi:10.1259/bjr/27314678.
  31. Hainsworth AJ, Solanki D, Hamad A, et al. Integrated total pelvic floor ultrasound in pelvic floor defaecatory dysfunction. Colorectal Dis. 2017;19:54–65. doi:10.1111/codi.13568.
  32. Bharucha AE. Update of tests of colon and rectal structure and function. J Clin Gastroenterol. 2006;40:96–103. doi:10.1097/01.mcg.0000196190.42296.a9.
  33. Rao SSC. Diagnosis and management of fecal incontinence. American College of Gastroenterology Practice Parameters Committee. Am J Gastroenterol. 2004;99(8):1585−604. doi:10.1111/j.1572-0241.2004.40105.x.
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Perspectives in Surgery

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