Evidence map›Paper›PMID 31332501›Full record

ReviewAbdominal radiology (New York)2021

Imaging and clinical assessment of functional defecatory disorders with emphasis on defecography.

Neeraj Lalwani, Rania Farouk El Sayed, Amita Kamath, Sara Lewis, Hina Arif, Victoria Chernyak

Abstract readReview
PubMed Publisher
In one paragraph

Review in Abdominal radiology (New York), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Review
  5. Article
  6. Physiology of lower gastrointestinal tract.Alimentary pharmacology & therapeutics · 2024
    Review
  7. Review
  8. Reproducibility of the anorectal angle with transperineal ultrasound.Quantitative imaging in medicine and surgery · 2023
    Article
  9. Observational
  10. Review
  11. Article
  12. 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

6 authors at 5 institutions in 2 countries.

Neeraj LalwaniWake Forest University Baptist Medical Center, 1 Medical Center Boulevard, Winston-Salem, NC, 27157, USA. nlalwani@wakehealth.edu.ORCID http://orcid.org/0000-0001-5514-2805
Rania Farouk El SayedDepartment of Radiology, Cairo University Hospitals, Cairo, Egypt.
Amita KamathIcahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
Sara LewisIcahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
Hina ArifDepartment of Radiology, The University of Arizona, Tucson, AZ, 85721, USA.
Victoria ChernyakAlbert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, 10461, USA.
Icahn School of Medicine at Mount Sinai · USAlbert Einstein College of Medicine · USAtrium Health Wake Forest Baptist · USCairo University hospitals · EGUniversity of Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Functional defecation disorders (FDD) encompass causes of constipation associated with anorectal dysfunction, which include dyssynergia or inadequate defecatory propulsion. FDD are frequently encountered in clinical practice and may affect up to 33-50% of patients with chronic constipation. The etiology of FDD is unclear, however, it has been defined as an acquired, but subliminal behavioral disorder. Pathophysiologic mechanisms may include discoordination of rectoanal muscles, paradoxical contraction or insufficient relaxation of puborectalis and/or anal sphincter during defecation, and sluggish colonic transit. A combination of comprehensive clinical assessment, digital rectal examination and a battery of physiologic tests are needed to make an accurate diagnosis of FDD. Defecography may play a crucial role in the evaluation of FDD, especially when a balloon expulsion test (BET) and/or anorectal manometry (ARM) are equivocal or demonstrate contradictory results. In this review, we provide a thorough overview of the epidemiology, pathophysiology, diagnostic criteria, clinical and imaging evaluation, and treatment options for FDD, with an emphasis on available diagnostic imaging tools such as defecography and conventional fluoroscopic methods.

Indexed as

DefecationDefecographyAnal CanalConstipationHumansManometryConstipationDefecographyDyssynergiaFunctional defecatory disorderOutlet obstruction

Identifiers

PMID31332501
OpenAlexW2963782491

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.