ReviewCurrent gastroenterology reports2013
High resolution and high definition anorectal manometry and pressure topography: diagnostic advance or a new kid on the block?
Review in Current gastroenterology reports, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
- Thirty years of paediatric colonic motility assessment modalities: a systematic review.Frontiers in pediatrics · 2026Pooled it
- Comparative Analysis of Directional Snare vs Cutting Seton for High Anal Fistula Treatment.Medical science monitor : international medical journal of experimental and clinical research · 2024Trial
- Trial
- Artificial Intelligence in High-resolution Anorectal Manometry: Current Applications and Future Directions.Current gastroenterology reports · 2026Review
- Dyssynergic Defecation: A Comprehensive Review on Diagnosis and Management.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023Review
- Predicting Responsiveness to Biofeedback Therapy Using High-resolution Anorectal Manometry With Integrated Pressurized Volume.Journal of neurogastroenterology and motility · 2022Article
- Preclinical applications of high-definition manometry system to investigate pelvic floor muscle contribution to continence mechanisms in a rabbit model.American journal of physiology. Gastrointestinal and liver physiology · 2022Article
- Differences in fatigability of muscles involved in fecal continence: Potential clinical ramifications.Physiological reports · 2021Article
- Anorectal Physiology Testing for Prolapse-What Tests are Necessary?Clinics in colon and rectal surgery · 2021Review
- Time-scheduled dotted and solid thread-ligating therapy combined with vacuum sealing drainage for treating high complex anal fistula.American journal of translational research · 2021Article
- Proceedings of the 2018 Advances In Motility and In NeuroGastroenterology: AIMING for the Future Single Topic Symposium.Journal of pediatric gastroenterology and nutrition · 2020Article
- Epidemiologic Trends and Diagnostic Evaluation of Fecal Incontinence.Gastroenterology & hepatology · 2020Article
- High-resolution colonic manometry and its clinical application in patients with colonic dysmotility: A review.World journal of clinical cases · 2019Review
- Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders.International journal of colorectal disease · 2019Article
- High-resolution Anorectal Manometry in the Diagnosis of Functional Defecation Disorder in Patients With Functional Constipation: A Retrospective Cohort Study.Journal of neurogastroenterology and motility · 2019Article
- Clinical and manometric characteristics of women with paradoxical puborectalis syndrome.United European gastroenterology journal · 2018Article
- New Metrics in High-Resolution and High-Definition Anorectal Manometry.Current gastroenterology reports · 2018Review
- Anorectal Manometry in Defecatory Disorders: A Comparative Analysis of High-resolution Pressure Topography and Waveform Manometry.Journal of neurogastroenterology and motility · 2018Article
- Surgical Management of Idiopathic Constipation in Pediatric Patients.Clinics in colon and rectal surgery · 2018Review
- Neuromodulation via Interferential Electrical Stimulation as a Novel Therapy in Gastrointestinal Motility Disorders.Journal of neurogastroenterology and motility · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The recent development of closely spaced circumferential solid state transducers has paved the way for novel technology that includes high resolution anorectal manometry and topography (HRAM) and 3-D high definition anorectal manometry (HDAM). These techniques are increasingly being used for the assessment of anorectal neuromuscular function. However, whether they constitute a diagnostic advantage or a mere refinement of an old technology is unknown. Unlike the traditional manometry that utilized 3 or 6 unidirectional sensors, the closely spaced circumferential arrangement facilitates superior spatiotemporal mapping of pressures at rest and during various dynamic maneuvers. HDAM can provide knowledge of the three muscles that govern the anal continence namely, the puborectalis, and the internal and external anal sphincters, and can show how they mediate the rectoanal inhibitory reflex and sensorimotor responses and the spatiotemporal orientation of these muscles. Also, anal sphincter defects can be mapped and readily detected using 3-D technology. Similarly, HRAM has facilitated confirmation and development of phenotypes of dyssynergic defecation. Recently, normative data have also been reported with HRAM and HDAM, together with the influence of age, gender, and test instructions. The greater yield of anatomical and functional information may supersede the limitations of costs, fragility, and shorter life-span associated with these new techniques. Thus, HDAM and HRAM are not just new gadgets but constitute a significant and novel diagnostic advance. However, more prospective studies are needed to better define anorectal disorders with these techniques and to confirm their superiority.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.