Evidence map›Paper›PMID 25537672›Full record

ArticleJournal of neurogastroenterology and motility2015

Comparison of High-resolution Anorectal Manometry With Water-perfused Anorectal Manometry.

Hye Ran Kang, Ji-Eun Lee, Joon Seong Lee, Tae Hee Lee, Su Jin Hong, Jin Oh Kim, Seong Ran Jeon, Hyun Gun Kim

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurogastroenterology and motility, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Article
  3. Management of fecal incontinence: what specialists need to know?Revista da Associacao Medica Brasileira (1992) · 2023
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Expert consensus document: Advances in the evaluation of anorectal function.Nature reviews. Gastroenterology & hepatology · 2018
    Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. How to Perform and Interpret a High-resolution Anorectal Manometry Test.Journal of neurogastroenterology and motility · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Hye Ran KangInstitute for Digestive Research, Soonchunhyang University, College of Medicien, Seoul, Korea.
Ji-Eun LeeInstitute for Digestive Research, Soonchunhyang University, College of Medicien, Seoul, Korea.
Joon Seong LeeInstitute for Digestive Research, Soonchunhyang University, College of Medicien, Seoul, Korea.
Tae Hee LeeInstitute for Digestive Research, Soonchunhyang University, College of Medicien, Seoul, Korea.
Su Jin HongInstitute for Digestive Research, Soonchunhyang University, College of Medicien, Seoul, Korea.
Jin Oh KimInstitute for Digestive Research, Soonchunhyang University, College of Medicien, Seoul, Korea.
Seong Ran JeonInstitute for Digestive Research, Soonchunhyang University, College of Medicien, Seoul, Korea.
Hyun Gun KimInstitute for Digestive Research, Soonchunhyang University, College of Medicien, Seoul, Korea.
Soonchunhyang University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsTo date, high-resolution manometry has been used mainly in the study of esophageal motility disorders and has been shown to provide more physiological information than conventional manometry, and is easier to interpret. This study aimed to evaluate the usefulness of high-resolution anorectal manometry (HRARM) compared to water-perfused anorectal manometry.

methodsPatients who complained of chronic constipation with/without fecal incontinence underwent both water-perfused anorectal manometry and HRARM in a random order on the same day. Resting and squeezing pressures of the anal sphincter, attempted defecation, rectoanal inhibitory reflex, rectoanal contractile reflex, Rao's type of dyssynergia during attempted defecation, anal canal length, defecation dynamic parameters and measurement times for each method were analyzed.

resultsOf 14 patients, 7 were female, and the median age was 59 years (range 35-77). Indications for manometry were constipation (n = 8) and constipation with fecal incontinence (n = 6). Resting and squeezing pressures showed that the two methods were strongly correlated (resting pressure: r = 0.746, P = 0.002; squeezing pressure: r = 0.921, P < 0.001). In attempted defection, one equivocal case with water-perfused anorectal manometry was diagnosed type I pelvic floor dyssynergia with HRARM providing detailed pressure changes in internal and external anal spincters, and puborectalis muscle which improved assessment of anorectal disorders. The measurement time for HRARM was significantly shorter than that for water-perfused anorectal manometry (11.3 vs. 23.0 minutes, P < 0.001).

conclusionsBoth water-perfused anorectal manometry and HRARM are well tolerated and reliable methods of evaluating defecation disorders of pelvic floor dysfunction. HRARM is likely to provide better physiological information and to require a shorter measurement time compared to water-perfused anorectal manometry.

Indexed as

ConstipationDefecationFecal incontinenceHigh resolution manometryManometry

Identifiers

PMID25537672
PMCPMC4288094
OpenAlexW2163479950

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.