ArticlePrzeglad gastroenterologiczny2020
Diagnostic value of the balloon expulsion test compared with anorectal manometry in Indian patients with dyssynergic defecation.
Article in Przeglad gastroenterologiczny, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- Diagnostic Accuracy of Anorectal Manometry in Identifying Dyssynergic Defecation among Chronic Constipation Patients.Annals of African medicine · 2026Observational
- A simple four symptom-based BEDS score to predict dyssynergic defecation in patients with chronic constipation.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025Observational
- Consensus Guidelines on Constipation in Adults in Pakistan.Pakistan journal of medical sciences · 2024Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDigital rectal examination (DRE) and balloon expulsion test (BET) are simple tests to diagnose dyssynergic defecation (DD).
aimTo determine differences in symptoms and manometry findings in patients with abnormal BET and normal BET. The secondary objective was to ascertain the sensitivity and specificity of BET and DRE + BET for the diagnosis of DD in an Indian setting using ARM findings as the gold standard. MATERIAL AND
methodsRetrospective analysis of patients with chronic constipation referred for anorectal manometry (ARM) between December 2012 and March 2019. DD was diagnosed using ARM. Findings on BET and, in a subset of cases, on DRE + BET were compared with ARM findings. The data were analyzed for sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV). Agreement of BET and DRE + BET with ARM was calculated using Cohen's κ coefficient. A
resultsA total of 1006 cases (734 males, 73%) formed the study cohort. Patients with abnormal BET more frequently reported digitation, bleeding per rectum, and straining (
conclusionsPatients with abnormal BET more frequently report digitation, straining, and bleeding per rectum, and have higher resting anal pressure. BET is a good screening test for DD in an Indian setting.
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