학술논문

Expert consensus document: Advances in the evaluation of anorectal function
Document Type
Report
Source
Nature Reviews Gastroenterology & Hepatology. May, 2018, Vol. 15 Issue 5, p309, 15 p.
Subject
Gastrointestinal system -- Physiological aspects -- Health aspects
Fecal incontinence -- Diagnosis -- Care and treatment
Medical research
Proctology -- Research
Language
English
ISSN
1759-5045
Abstract
Faecal incontinence and evacuation disorders are common, impair quality of life and incur substantial economic costs worldwide. As symptoms alone are poor predictors of underlying pathophysiology and aetiology, diagnostic tests of anorectal function could facilitate patient management in those cases that are refractory to conservative therapies. In the past decade, several major technological advances have improved our understanding of anorectal structure, coordination and sensorimotor function. This Consensus Statement provides the reader with an appraisal of the current indications, study performance characteristics, clinical utility, strengths and limitations of the most widely available tests of anorectal structure (ultrasonography and MRI) and function (anorectal manometry, neurophysiological investigations, rectal distension techniques and tests of evacuation, including defecography). Additionally, this article provides our consensus on the clinical relevance of these tests.
Author(s): Emma V. Carrington (corresponding author) [1]; S. Mark Scott [1]; Adil Bharucha [2]; François Mion [3]; Jose M. Remes-Troche [4]; Allison Malcolm [5]; Henriette Heinrich [1]; Mark Fox [6, [...]