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Perineal and Anal Sphincter Trauma pp 102–122Cite as

Investigations of Anorectal Function

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References

  1. Camilleri M, Talley NJ. Pathophysiology as a basis for understanding symptom complexes and therapeutic targets. Neurogastroenterol Motil 2004;16:135–42.

    PubMed  CAS  Google Scholar 

  2. Gearhart S, Hull T, Floruta C et al. Anal manometric parameters: predictors of outcome following anal sphincter repair? J Gastrointest Surg 2005; 9:115–20.

    PubMed  Google Scholar 

  3. Kamm MA. Obstetric damage and faecal incontinence. Lancet 1994;344:730–3.

    PubMed  CAS  Google Scholar 

  4. Rao SS. Diagnosis and management of fecal incontinence. Am J Gastroenterol 2004;99:1585–604.

    PubMed  Google Scholar 

  5. Madoff RD, Parker SC, Varma MG et al. Faecal incontinence in adults. Lancet 2004;364:621–32.

    PubMed  Google Scholar 

  6. Keating JP, Stewart PJ, Eyers AA et al. Are special investigations of value in the management of patients with fecal incontinence? Dis Colon Rectum 1997;40:896–901.

    PubMed  CAS  Google Scholar 

  7. Vaizey CJ, Kamm MA. Prospective assessment of the clinical value of anorectal investigations. Digestion 2000;61:207–14.

    PubMed  CAS  Google Scholar 

  8. Rao SS, Patel RS. How useful are manometric tests of anorectal function in the management of defecation disorders? Am J Gastroenterol 1997;92: 469–75.

    PubMed  CAS  Google Scholar 

  9. Liberman H, Faria J, Ternent CA et al. A prospective evaluation of the value of anorectal physiology in the management of fecal incontinence. Dis Colon Rectum 2001;44:1567–74.

    PubMed  CAS  Google Scholar 

  10. Corrazziari E. Anorectal manometry: a round table discussion. Gastroenterol Int 1989;2: 115–17.

    Google Scholar 

  11. Diamant NE, Kamm MA, Wald A et al. American Gastroenterological Association medical position statement on anorectal testing techniques. Gastroenterology 1999;116:732–60.

    Google Scholar 

  12. Azpiroz F, Enck P, Whitehead WE. Anorectal functional testing: review of collective experience. Am J Gastroenterol 2002;97:232–40.

    PubMed  Google Scholar 

  13. Rao SS, Azpiroz F, Diamant N et al. Minimum standards of anorectal manometry. Neurogastroenterol Motil 2002;14:553–9.

    PubMed  CAS  Google Scholar 

  14. Jorge JMN, Wexner SD. Anorectal manometry: techniques and clinical applications. Southern Med J 1993;86:924–31.

    CAS  PubMed  Google Scholar 

  15. Sun WM, Rao SSC. Manometric assessment of anorectal function. Gastroenterol Clin North Am 2001;30:15–32.

    PubMed  CAS  Google Scholar 

  16. Bharucha AE. Outcome measures for fecal incontinence: anorectal structure and function. Gastroenterology 2004;126(Suppl 1):S90–8.

    Google Scholar 

  17. Rasmussen OØ. Anorectal function. Dis Colon Rectum 1994;37:386–403.

    PubMed  CAS  Google Scholar 

  18. McHugh SM, Diamant NE. Anal canal pressure profi le: a reappraisal as determined by rapid pullthrough technique. Gut 1987;28:1234–41.

    PubMed  CAS  Google Scholar 

  19. Rao SSC, Hatfi eld R, Soffer E et al. Manometric tests of anorectal function in healthy adults. Am J Gastroenterol 1999;94:773–83.

    PubMed  CAS  Google Scholar 

  20. Read NW, Sun WM. Anorectal manometry. In: Henry MM, Swash M, eds. Coloproctology and the pelvic fl oor, 2nd edn. Oxford: Butterworth-Heinemann Ltd, 1992, pp 119–45.

    Google Scholar 

  21. Taylor BM, Beart RW, Phillips SF. Longitudinal and radial variations of pressure in the human anal sphincter. Gastroenterology 1984;86:693–7.

    PubMed  CAS  Google Scholar 

  22. Bharucha AE. Fecal incontinence. Gastroenterology 2003;124:1672–85.

    PubMed  Google Scholar 

  23. Nivatvongs S, Stern HS, Fryd DS. The length of the anal canal. Dis Colon Rectum 1981;24:600–1.

    PubMed  CAS  Google Scholar 

  24. Engel AF, Kamm MA, Bartram CI et al. Relationship of symptoms in faecal incontinence to specifi c sphincter abnormalities. Int J Colorect Dis 1995;10:152–5.

    CAS  Google Scholar 

  25. Lindsey I, Jones OM, Smilgin-Humphreys MM et al. Patterns of fecal incontinence after anal surgery. Dis Colon Rectum 2004;47:1643–9.

    PubMed  Google Scholar 

  26. Lunniss PJ, Gladman MA, Hetzer FH et al. Risk factors in acquired faecal incontinence. J R Soc Med 2004;97:111–16.

    PubMed  Google Scholar 

  27. Felt-Bersma RJ, van Baren R, Koorevaar M et al. Unsuspected sphincter defects shown by anal endosonography after anorectal surgery. A prospective study. Dis Colon Rectum 1995;38: 249–53.

    PubMed  CAS  Google Scholar 

  28. Vaizey CJ, Kamm MA, Bartram CI. Primary degeneration of the internal anal sphincter as a cause of passive faecal incontinence. Lancet 1997;349: 612–15.

    PubMed  CAS  Google Scholar 

  29. Chiarioni G, Scattolini C, Bonfante F et al. Liquid stool incontinence with severe urgency: anorectal function and effective biofeedback treatment. Gut 1993;34:1576–80.

    PubMed  CAS  Google Scholar 

  30. Telford KJ, Ali AS, Lymer K et al. Fatigability of the external anal sphincter in anal incontinence. Dis Colon Rectum 2004;47:746–52.

    PubMed  CAS  Google Scholar 

  31. Sun WM, Donnelly TC, Read NW. Utility of a combined test of anorectal manometry, electromyography, and sensation in determining the mechanism of ‘idiopathic’ faecal incontinence. Gut 1992;33:807–13.

    PubMed  CAS  Google Scholar 

  32. Siproudhis L, Bellissant E, Pagenault M et al. Fecal incontinence with normal anal canal pressures: where is the pitfall? Am J Gastroenterol 1999;94: 1556–63.

    PubMed  CAS  Google Scholar 

  33. Bharucha AE, Seide B, Fox JC et al. Day-to-day reproducibility of anorectal sensorimotor assessments in healthy subjects. Neurogastroenterol Motil 2004;16:241–50.

    PubMed  CAS  Google Scholar 

  34. Gowers WR. The automatic action of the sphincter ani. Proc R Soc Lond 1877;26:77–84.

    Google Scholar 

  35. Sun WM, Read NW, Miner PB. Relation between rectal sensation and anal function in normal subjects and patients with faecal incontinence. Gut 1990;31:1056–61.

    PubMed  CAS  Google Scholar 

  36. Sangwan YP, Coller JA, Schoetz DJ et al. Spectrum of abnormal rectoanal refl ex patterns in patients with fecal incontinence. Dis Colon Rectum 1996; 39:59–65.

    PubMed  CAS  Google Scholar 

  37. Kaur G, Gardiner A, Duthie GS. Rectoanal refl ex parameters in incontinence and constipation. Dis Colon Rectum 2002;45:928–33.

    PubMed  Google Scholar 

  38. Farthing MJG, Lennard-Jones JE. Sensibility of the rectum to distension and the anorectal distension refl ex in ulcerative colitis. Gut 1978;19:64–9.

    PubMed  CAS  Google Scholar 

  39. Sun WM, Read NW, Prior A et al. Sensory and motor responses to rectal distention vary according to rate and pattern of balloon infl ation. Gastroenterology 1990;99:1008–15.

    PubMed  CAS  Google Scholar 

  40. Whitehead WE, Schuster MM. Anorectal physiology and pathophysiology. Am J Gastroenterol 1987;82:487–97.

    PubMed  CAS  Google Scholar 

  41. Keighley MRB, Henry MM, Bartolo DCC et al. Anorectal physiology measurement: report of a working party. Br J Surg 1989;76:356–7.

    PubMed  CAS  Google Scholar 

  42. Varma JS, Smith AN. Reproducibility of the proctometrogram. Gut 1986;27:288–92.

    PubMed  CAS  Google Scholar 

  43. Chan CL, Scott SM, Birch MJ et al. Rectal heat thresholds: a novel test of the sensory afferent pathway. Dis Colon Rectum 2003;46:590–5.

    PubMed  Google Scholar 

  44. Gladman MA, Scott SM, Williams NS. Assessing the patient with fecal incontinence. An overview. In: Zbar AP, Pescatori M, Wexner SD, eds. Complex anorectal disorders–investigation and management. London: Springer-Verlag London Ltd, 2005, pp 547–94.

    Google Scholar 

  45. Williams NS, Ogunbiyi OA, Scott SM et al. Rectal augmentation and stimulated gracilis anal neosphincter: a new approach in the management of fecal urgency and incontinence. Dis Colon Rectum 2001;44:192–8.

    PubMed  CAS  Google Scholar 

  46. Chan CL, Scott SM, Williams NS et al. Rectal hypersensitivity worsens stool frequency, urgency, and lifestyle in patients with urge faecal incontinence. Dis Colon Rectum 2005;48:134–40.

    PubMed  Google Scholar 

  47. Gladman MA, Scott SM, Chan CL et al. Rectal hyposensitivity: prevalence and clinical impact in patients with intractable constipation and fecal incontinence. Dis Colon Rectum 2003;46:238–46.

    PubMed  Google Scholar 

  48. Rao SS, Ozturk R, Stessman M. Investigation of the pathophysiology of fecal seepage. Am J Gastroenterol 2004;99:2204–9.

    PubMed  Google Scholar 

  49. Lubowski DZ, Nicholls RJ. Faecal incontinence associated with reduced pelvic sensation. Br J Surg 1988;75:1086–8.

    PubMed  CAS  Google Scholar 

  50. Hoffmann BA, Timmcke AE, Gathright JB Jr et al. Fecal seepage and soiling: a problem of rectal sensation. Dis Colon Rectum 1995;38:746–8.

    PubMed  CAS  Google Scholar 

  51. Whitehead WE, Delvaux M, The Working Team. Standardization of barostat procedures for testing smooth muscle tone and sensory thresholds in the gastrointestinal tract. Dig Dis Sci 1997;42:223–41.

    PubMed  CAS  Google Scholar 

  52. Meunier PD, Gallavardin D. Anorectal manometry: the state of the art. Dig Dis 1993;11:252–64.

    PubMed  CAS  Google Scholar 

  53. Stendal C. Practical guide to gastrointestinal function testing. Oxford: Blackwell Science, 1997, pp 214–24.

    Google Scholar 

  54. Read NW, Timms JM, Barfi eld LJ et al. Impairment of defecation in young women with severe constipation. Gastroenterology 1986;90:53–60.

    PubMed  CAS  Google Scholar 

  55. Schouten WR, Briel JW, Auwerda JJ et al. Anismus: fact or fi ction? Dis Colon Rectum 1997;40:1033–41.

    PubMed  CAS  Google Scholar 

  56. Voderholzer WA, Neuhaus DA, Klauser AG et al. Paradoxical sphincter contraction is rarely indicative of anismus. Gut 1997;41:258–62.

    PubMed  CAS  Google Scholar 

  57. Haynes WG, Read NW. Ano-rectal activity in man during rectal infusion of saline: a dynamic assessment of the anal continence mechanism. J Physiol 1982;330:45–56.

    PubMed  CAS  Google Scholar 

  58. Read NW, Haynes WG, Bartolo DCC et al. Use of anorectal manometry during rectal infusion of saline to investigate sphincter function in incontinent patients. Gastroenterology 1983;85:105–13.

    PubMed  CAS  Google Scholar 

  59. Rao SSC, Read NW, Stobhart JAH et al. Anorectal contractility under basal conditions and during rectal infusion of saline in ulcerative colitis. Gut 1988;29:769–77.

    PubMed  CAS  Google Scholar 

  60. Azpiroz F, Malagelada JR. Physiological variations in canine gastric tone measured by an electronic barostat. Am J Physiol 1985;248:G229–37.

    PubMed  CAS  Google Scholar 

  61. van der Schaar PJ, Lamers CBHW, Masclee AAM. The role of the barostat in human research and clinical practice. Scand J Gastroenterol 1999; 34(Suppl 230):52–63.

    Google Scholar 

  62. Spetalen S, Jacobsen MB, Vatn MH et al. Visceral sensitivity in irritable bowel syndrome and healthy volunteers: reproducibility of the rectal barostat. Dig Dis Sci 2004;49:1259–64.

    PubMed  Google Scholar 

  63. Gladman MA, Dvorkin LS, Lunniss PJ et al. Rectal hyposensitivity: a disorder of the rectal wall or the afferent pathway? An assessment using the barostat. Am J Gastroenterol 2005;100:106–14.

    PubMed  Google Scholar 

  64. Ashraf W, Park F, Lof J et al. An examination of the reliability of reported stool frequency in the diagnosis of idiopathic constipation. Am J Gastroenterol 1996;91:26–32.

    PubMed  CAS  Google Scholar 

  65. Hinton JM, Lennard-Jones JE, Young AC. A new method for studying gut transit times using radioopaque markers. Gut 1969;10:842–7.

    PubMed  CAS  Google Scholar 

  66. Arhan P, Devroede G, Jehannin B et al. Segmental colonic transit time. Dis Colon Rectum 1981;24: 625–9.

    PubMed  CAS  Google Scholar 

  67. Metcalf AM, Phillips SF, Zinsmeister AR et al. Simplifi ed assessment of segmental colonic transit. Gastroenterology 1987;92:40–7.

    PubMed  CAS  Google Scholar 

  68. Roberts JP, Newell MS, Deeks JJ et al. Oral [111In]DTPA scintigraphic assessment of colonic transit in constipated subjects. Dig Dis Sci 1993; 38:1032–9.

    PubMed  CAS  Google Scholar 

  69. Bassotti G, Chiarioni G, Vantini I et al. Anorectal manometric abnormalities and colonic propulsive impairment in patients with severe chronic idiopathic constipation. Dig Dis Sci 1994;39: 1558–64.

    PubMed  CAS  Google Scholar 

  70. Krevsky B, Malmud LS, D’Ercole F et al. Colonic transit scintigraphy. A physiologic approach to the quantitative measurement of colonic transit in humans. Gastroenterology 1986;91:1102–12.

    PubMed  CAS  Google Scholar 

  71. Scott SM, Knowles CH, Lunniss PJ et al. Scintigraphic assessment of colonic transit in patients with slow transit constipation arising de novo (chronic idiopathic) and following pelvic surgery or childbirth. Br J Surg 2001;88:405–11.

    PubMed  CAS  Google Scholar 

  72. Lennard-Jones JE. Transit studies. In: Kamm MA, Lennard-Jones JE, eds. Constipation. Petersfi eld: Wrightson Biomedical Publishing Ltd, 1994, pp 125–36.

    Google Scholar 

  73. Parkman HP, Miller MA, Fisher RS. Role of nuclear medicine in evaluating patients with suspected gastrointestinal motility disorders. Semin Nucl Med 1995;25:289–305.

    PubMed  CAS  Google Scholar 

  74. Cooper ZR, Rose S. Fecal incontinence: a clinical approach. Mt Sinai J Med 2000;67:96–105.

    PubMed  CAS  Google Scholar 

  75. Bouchoucha M, Devroede G, Faye A et al. Importance of colonic transit evaluation in the management of fecal incontinence. Int J Colorectal Dis 2002;17:412–17.

    PubMed  Google Scholar 

  76. Bonapace ES, Maurer AH, Davidoff S et al. Whole gut transit scintigraphy in the clinical evaluation of patients with upper and lower gastrointestinal symptoms. Am J Gastroenterol 2000;95: 2838–47.

    PubMed  CAS  Google Scholar 

  77. Kiff ES, Swash M. Slowed conduction in the pudendal nerves in idiopathic (neurogenic) faecal incontinence. Br J Surg 1984;71:614–16.

    PubMed  CAS  Google Scholar 

  78. Kamm MA. Faecal incontinence. BMJ 1998;316: 528–32.

    PubMed  CAS  Google Scholar 

  79. Nielsen MB, Hauge C, Pedersen JF et al. Endosonographic evaluation of patients with anal incontinence: fi ndings and infl uence on surgical management. Am J Roentgenol 1993;160:771–5.

    CAS  Google Scholar 

  80. Vaizey CJ, Kamm MA, Nicholls RJ. Recent advances in the surgical treatment of faecal incontinence. Br J Surg 1998;85:596–603.

    PubMed  CAS  Google Scholar 

  81. Snooks SJ, Swash M, Henry MM et al. Risk factors in childbirth causing damage to the pelvic fl oor innervation. Int J Colorectal Dis 1986;1: 20–4.

    PubMed  CAS  Google Scholar 

  82. Sultan AH, Kamm MA, Hudson CN. Pudendal nerve damage during labour: prospective study before and after childbirth. Br J Obstet Gynaecol 1994;101:22–8.

    PubMed  CAS  Google Scholar 

  83. Tetzschner T, Sorensen M, Jonsson L et al. Delivery and pudendal nerve function. Acta Obstet Gynecol Scand 1997;76:324–31.

    PubMed  CAS  Google Scholar 

  84. Jones PN, Lubowski DZ, Swash M et al. Relation between perineal descent and pudendal nerve damage in idiopathic faecal incontinence. Int J Colorectal Dis 1987;2:93–5.

    PubMed  CAS  Google Scholar 

  85. Snooks SJ, Barnes PR, Swash M et al. Damage to the innervation of the pelvic fl oor musculature in chronic constipation. Gastroenterology 1985;89: 977–81.

    PubMed  CAS  Google Scholar 

  86. Pfeifer J, Salanga VD, Agachan F et al. Variation in pudendal nerve terminal motor latency according to disease. Dis Colon Rectum 1997; 40:79–83.

    PubMed  CAS  Google Scholar 

  87. Pinna Pintor M, Zara GP, Falletto E et al. Pudendal neuropathy in diabetic patients with faecal incontinence. Int J Colorectal Dis 1994;9:105–9.

    PubMed  CAS  Google Scholar 

  88. Hill J, Hosker G, Kiff ES. Pudendal nerve terminal motor latency measurements: what they do and do not tell us. Br J Surg 2002;89:1268–9.

    PubMed  CAS  Google Scholar 

  89. Wexner SD, Marchetti F, Salanga VD et al. Neurophysiologic assessment of the anal sphincters. Dis Colon Rectum 1991;34:606–12.

    PubMed  CAS  Google Scholar 

  90. Cheong DM, Vaccaro CA, Salanga VD et al. Electrodiagnostic evaluation of fecal incontinence. Muscle Nerve 1995;18:612–19.

    PubMed  CAS  Google Scholar 

  91. Rasmussen OO, Christiansen J, Tetzschner T et al. Pudendal nerve function in idiopathic fecal incontinence. Dis Colon Rectum 2000;43:633–6.

    PubMed  CAS  Google Scholar 

  92. Hamdy S, Enck P, Aziz Q et al. Laterality effects of human pudendal nerve stimulation on corticoanal pathways: evidence for functional asymmetry. Gut 1999;45:58–63.

    PubMed  CAS  Google Scholar 

  93. Swash M. Electromyography in pelvic fl oor disorders. In: Henry MM, Swash M, eds. Coloproctology and the pelvic fl oor, 2nd edn. Oxford: Butterworth-Heinemann Ltd, 1992, pp 184–95.

    Google Scholar 

  94. Womack NR, Williams NS, Holmfi eld JH et al. New method for the dynamic assessment of anorectal function in constipation. Br J Surg 1985;72:994–8.

    PubMed  CAS  Google Scholar 

  95. Neill ME, Swash M. Increased motor unit fi bre density in the external anal sphincter muscle in ano-rectal incontinence: a single fi bre EMG study. J Neurol Neurosurg Psychiatry 1980;43: 343–7.

    Article  PubMed  CAS  Google Scholar 

  96. Rogers J, Laurberg S, Misiewicz JJ et al. Anorectal physiology validated: a repeatability study of the motor and sensory tests of anorectal function. Br J Surg 1989;76:607–9.

    PubMed  CAS  Google Scholar 

  97. Osterberg A, Graf W, Edebol Eeg-Olofsson K et al. Results of neurophysiologic evaluation in fecal incontinence. Dis Colon Rectum 2000;43:1256–61.

    PubMed  CAS  Google Scholar 

  98. Thomas C, Lefaucheur JP, Galula G et al. Respective value of pudendal nerve terminal motor latency and anal sphincter electromyography in neurogenic fecal incontinence. Neurophysiol Clin 2002;32:85–90.

    PubMed  Google Scholar 

  99. Gregory WT, Lou JS, Stuyvesant A et al. Quantitative electromyography of the anal sphincter after uncomplicated vaginal delivery. Obstet Gynecol 2004;104:327–35.

    PubMed  Google Scholar 

  100. Telford KJ, Faulkner G, Hosker GL et al. The strength duration test: a novel tool in the identifi - cation of occult neuropathy in women with pelvic fl oor dysfunction. Colorectal Dis 2004; 6:442–5.

    PubMed  CAS  Google Scholar 

  101. Pelliccioni G, Scarpino O, Piloni V. Motor evoked potentials recorded from external anal sphincter by cortical and lumbo-sacral magnetic stimulation: normative data. J Neurol Sci 1997;149:69–72.

    PubMed  CAS  Google Scholar 

  102. Speakman CT, Kamm MA, Swash M. Rectal sensory evoked potentials: an assessment of their clinical value. Int J Colorectal Dis 1993;8: 23–8.

    PubMed  CAS  Google Scholar 

  103. Duthie HL, Gairns FW. Sensory nerve-endings and sensation in the anal region of man. Br J Surg 1960;47:585–95.

    PubMed  CAS  Google Scholar 

  104. Roe AM, Bartolo DC, Mortensen NJ. New method for assessment of anal sensation in various anorectal disorders. Br J Surg 1986;73: 310–12.

    PubMed  CAS  Google Scholar 

  105. Rogers J, Henry MM, Misiewicz JJ. Combined sensory and motor defi cit in primary neuropathic faecal incontinence. Gut 1988;29:5–9.

    PubMed  CAS  Google Scholar 

  106. Felt-Bersma RJ, Poen AC, Cuesta MA et al. Anal sensitivity test: what does it measure and do we need it? Cause or derivative of anorectal complaints. Dis Colon Rectum 1997;40: 811–16.

    PubMed  CAS  Google Scholar 

  107. Cornes H, Bartolo DC, Stirrat GM. Changes in anal canal sensation after childbirth. Br J Surg 1991;78: 74–7.

    PubMed  CAS  Google Scholar 

  108. Miller R, Bartolo DC, Cervero F et al. Anorectal temperature sensation: a comparison of normal and incontinent patients. Br J Surg 1987;74: 511–15.

    PubMed  CAS  Google Scholar 

  109. Kamm MA, Lennard-Jones JE. Rectal mucosal electrosensory testing–evidence for a rectal sensory neuropathy in idiopathic constipation. Dis Colon Rectum 1990;33:419–23.

    PubMed  CAS  Google Scholar 

  110. Meagher AP, Kennedy ML, Lubowski DZ. Rectal mucosal electrosensitivity–what is being tested? Int J Colorectal Dis 1996;11:29–33.

    PubMed  CAS  Google Scholar 

  111. Rex DK, Lappas JC. Combined anorectal manometry and defecography in 50 consecutive adults with fecal incontinence. Dis Colon Rectum 1992; 35:1040–5.

    PubMed  CAS  Google Scholar 

  112. Mellgren A, Bremmer S, Johansson C et al. Defecography. Results of investigations in 2,816 patients. Dis Colon Rectum 1994;37:1133–41.

    PubMed  CAS  Google Scholar 

  113. Agachan F, Pfeifer J, Wexner SD. Defecography and proctography. Results of 744 patients. Dis Colon Rectum 1996;39:899–905.

    PubMed  CAS  Google Scholar 

  114. Wald A. Outlet dysfunction constipation. Curr Treat Options Gastroenterol 2001;4:293–7.

    PubMed  Google Scholar 

  115. Mander BJ, Wexner SD, Williams NS et al. Preliminary results of a multicentre trial of the electrically stimulated gracilis neoanal sphincter. Br J Surg 1999;86:1543–8.

    PubMed  CAS  Google Scholar 

  116. Malouf AJ, Norton CS, Engel AF et al. Long-term results of overlapping anterior anal-sphincter repair for obstetric trauma. Lancet 2000;355: 260–5.

    PubMed  CAS  Google Scholar 

  117. Altomare DF, Dodi G, La Torre F et al. Multicentre retrospective analysis of the outcome of artifi cial anal sphincter implantation for severe faecal incontinence. Br J Surg 2001;88:1481–6.

    PubMed  CAS  Google Scholar 

  118. Mahieu P, Pringot J, Bodart P. Defecography: I. Description of a new procedure and results in normal patients. Gastrointest Radiol 1984;9: 247–51.

    PubMed  CAS  Google Scholar 

  119. Chan CL, Scott SM, Knowles CH et al. Exaggerated rectal adaptation–another cause of outlet obstruction. Colorectal Dis 2001;3:141–2.

    PubMed  CAS  Google Scholar 

  120. Muller-Lissner SA, Bartolo DC, Christiansen J et al. Interobserver agreement in defecography–an international study. Z Gastroenterol 1998;36: 273–9.

    PubMed  CAS  Google Scholar 

  121. Shorvon PJ, McHugh S, Diamant NE et al. Defecography in normal volunteers: results and implications. Gut 1989;30:1737–49.

    PubMed  CAS  Google Scholar 

  122. Freimanis MG, Wald A, Caruana B et al. Evacuation proctography in normal volunteers. Invest Radiol 1991;26:581–5.

    PubMed  CAS  Google Scholar 

  123. Papachrysostomou M, Stevenson AJ, Ferrington C et al. Evaluation of isotope proctography in constipated subjects. Int J Colorectal Dis 1993;8: 18–22.

    PubMed  CAS  Google Scholar 

  124. Hutchinson R, Mostafa AB, Grant EA et al. Scintigraphic defecography: quantitative and dynamic assessment of anorectal function. Dis Colon Rectum 1993;36:1132–8.

    PubMed  CAS  Google Scholar 

  125. Henry MM, Parks AG, Swash M. The pelvic fl oor musculature in the descending perineum syndrome. Br J Surg 1982;69:470–2.

    PubMed  CAS  Google Scholar 

  126. Oettle GJ, Roe AM, Bartolo DC et al. What is the best way of measuring perineal descent? A comparison of radiographic and clinical methods. Br J Surg 1985;72:999–1001.

    PubMed  CAS  Google Scholar 

  127. Fernandez-Fraga X, Azpiroz F, Malagelada JR. Signifi cance of pelvic fl oor muscles in anal incontinence. Gastroenterology 2002;123:1441–50.

    PubMed  Google Scholar 

  128. Fitzpatrick M, O’Brien C, O’Connell PR et al. Patterns of abnormal pudendal nerve function that are associated with postpartum fecal incontinence. Am J Obstet Gynecol 2003;189:730–5.

    PubMed  Google Scholar 

  129. Wester C, FitzGerald MP, Brubaker L et al. Validation of the clinical bulbocavernosus refl ex. Neurourol Urodyn 2003;22:589–91.

    PubMed  CAS  Google Scholar 

  130. Scott SM. Manometric techniques for the evaluation of colonic motor activity: current status. Neurogastroenterol Motil 2003:15:483–513.

    PubMed  CAS  Google Scholar 

  131. Chan CLH, Lunniss PJ, Wang D et al. Rectal sensorimotor dysfunction in patients with urge fecal incontinence: evidence from prolonged manometric studies. Gut 2005;54:1263–72.

    PubMed  CAS  Google Scholar 

  132. Rao SS, Welcher K. Periodic rectal motor activity: the intrinsic colonic gatekeeper? Am J Gastroenterol 1996;91:890–7.

    PubMed  CAS  Google Scholar 

  133. Santoro GA, Eitan BZ, Pryde A et al. Open study of low-dose amitriptyline in the treatment of patients with idiopathic fecal incontinence. Dis Colon Rectum 2000;43:1676–81.

    PubMed  CAS  Google Scholar 

  134. Cook IJ, Furukawa Y, Panagopoulos V et al. Relationships between spatial patterns of colonic pressure and individual movements of content. Am J Physiol Gastrointest Liver Physiol 2000;278: G329–41.

    PubMed  CAS  Google Scholar 

  135. Bampton PA, Dinning PG, Kennedy ML et al. Spatial and temporal organization of pressure patterns throughout the unprepared colon during spontaneous defecation. Am J Gastroenterol 2000;95:1027–35.

    PubMed  CAS  Google Scholar 

  136. Hagger R, Kumar D, Benson M et al. Periodic colonic motor activity identifi ed by 24-h pancolonic ambulatory manometry in humans. Neurogastroenterol Motil 2002;14:271–8.

    PubMed  CAS  Google Scholar 

  137. Roberts JP, Williams NS. The role and technique of ambulatory anal manometry. Baillieres Clin Gastroenterol 1992;6:163–78.

    PubMed  CAS  Google Scholar 

  138. Herbst F, Kamm MA, Morris GP et al. Gastrointestinal transit and prolonged ambulatory colonic motility in health and faecal incontinence. Gut 1997;41:381–9.

    Article  PubMed  CAS  Google Scholar 

  139. Perry RE, Blatchford GJ, Christensen MA et al. Manometric diagnosis of anal sphincter injuries. Am J Surg 1990;159:112–16.

    PubMed  CAS  Google Scholar 

  140. Rao SSC. Manometric evaluation of defecation disorders: part II. Fecal incontinence. The Gastroenterologist 1997;5:99–111.

    PubMed  CAS  Google Scholar 

  141. Zbar AP, Kmiot WA, Aslam M et al. Use of vector volume manometry and endoanal magnetic resonance imaging in the adult female for assessment of anal sphincter dysfunction. Dis Colon Rectum 1999;42:1411–18.

    PubMed  CAS  Google Scholar 

  142. Williams N, Barlow J, Hobson A et al. Manometric asymmetry in the anal canal in controls and patients with fecal incontinence. Dis Colon Rectum 1995;38:1275–80.

    PubMed  CAS  Google Scholar 

  143. Jorge JM, Habr-Gama A. The value of sphincter asymmetry index in anal incontinence. Int J Colorectal Dis 2000;15:303–10.

    PubMed  CAS  Google Scholar 

  144. Dall FH, Jorgensen CS, Houe D et al. Biomechanical wall properties of the human rectum. A study with impedance planimetry. Gut 1993;34:1581–6.

    PubMed  CAS  Google Scholar 

  145. Krogh K, Mosdal C, Gregersen H et al. Rectal wall properties in patients with acute and chronic spinal cord lesions. Dis Colon Rectum 2002;45: 641–9.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Centre for Academic Surgery and GI Physiology Unit, Barts and The London Queen Mary’s School of Medicine and Dentistry The Royal London Hospital, London, UK

    S. Mark Scott & Peter J. Lunniss

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  1. S. Mark Scott
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  2. Peter J. Lunniss
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Editors and Affiliations

  1. Consultant Obstetrician and Gynaecologist, Mayday University Hospital, Croydon, UK

    Abdul H. Sultan

  2. Consultant Obstetrician and Urogynaecologist, Mayday University Hospital, Croydon, UK

    Ranee Thakar

  3. Furlong Professor of Women’s Health Director of Gynecology Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA

    Dee E. Fenner

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© 2009 Springer-Verlag London Limited

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Scott, S.M., Lunniss, P.J. (2009). Investigations of Anorectal Function. In: Sultan, A.H., Thakar, R., Fenner, D.E. (eds) Perineal and Anal Sphincter Trauma. Springer, London. https://doi.org/10.1007/978-1-84628-503-5_9

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  • DOI: https://doi.org/10.1007/978-1-84628-503-5_9

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-926-5

  • Online ISBN: 978-1-84628-503-5

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