Skip to main content
SpringerLink
Log in
Book cover

Proktologische Diagnostik pp 23–28Cite as

Anorektale Manometrie

  • Chapter

  • 2176 Accesses

Zusammenfassung

Die anorektale Manometrie kann bei Erwachsenen einen relevanten Bestandteil der Diagnostik einer Stuhlinkontinenz oder Entleerungsstörung darstellen. Mit der anorektalen Manometrie sollten folgende Parameter bestimmt werden: Ruhedruck, maximaler Kneifdruck, der rektoanale Inhibitionsreflex (»RAIR«) sowie die sensorischen Schwellenwerte der Rektumdehnung und die rektale Compliance. Weitere Messparameter gehören nicht zur manometrischen Routinediagnostik und bleiben speziellen Fragestellungen vorbehalten. Sowohl klinische Relevanz als auch therapeutische Konsequenzen der Manometrie im Rahmen der proktologischen Diagnostik bleiben kontrovers.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Literatur

  • Azpiroz F, Enck P, Whitehead WE (2002) Anorectal functional testing: review of collective experience. Am J Gastroenterol 97(2):232–240

    PubMed  Google Scholar 

  • Deen KI, Seneviratne SL, de Silva HJ (1999) Anorectal physiology and transit in patients with disorders of thyroid metabolism. J Gastroenterol Hepatol 14(4):384–387

    PubMed  Google Scholar 

  • Denny-Brown D, Robertson EG (2004) »An investigation of the nervous control of defecation« by Denny-Brown and Robertson: a classic paper revisited. 1935. Colorectal Dis Off J Assoc Coloproctology G B Irel 6(5):376–383

    Google Scholar 

  • Felt-Bersma RJ, Klinkenberg-Knol EC, Meuwissen SG (1990) Anorectal function investigations in incontinent and continent patients. Differences and discriminatory value. Dis Colon Rectum 33(6):479-485; discussion 485–486

    Article  Google Scholar 

  • Florisson JMG, Coolen JCG, Bissett IP, Plank LD, Parry BR, Menzi E et al (2006) A novel model used to compare water-perfused and solidstate anorectal manometry. Tech Coloproctology 10(1):17–20

    Article  Google Scholar 

  • Hancock BD (1976) Measurement of anal pressure and motility. Gut 17(8):645–651

    Article  PubMed  PubMed Central  Google Scholar 

  • Jones MP, Post J, Crowell MD (2007) High-resolution manometry in the evaluation of anorectal disorders: a simultaneous comparison with water-perfused manometry. Am J Gastroenterol 102(4): 850–855

    Article  PubMed  Google Scholar 

  • Kaur G, Gardiner A, Duthie GS (2006) A new method of assessing anal sphincter integrity using inverted vectormanometry. Dis Colon Rectum 49(8):1160–1166

    Article  PubMed  Google Scholar 

  • Loening-Baucke V, Anuras S (1985) Effects of age and sex on anorectal manometry. Am J Gastroenterol 80(1):50–53

    PubMed  Google Scholar 

  • McHugh SM, Diamant NE (1987) Effect of age, gender, and parity on anal canal pressures. Contribution of impaired anal sphincter function to fecal incontinence. Dig Dis Sci 32(7):726–736

    Article  PubMed  Google Scholar 

  • Merkel IS, Locher J, Burgio K, Towers A, Wald A (1993) Physiologic and psychologic characteristics of an elderly population with chronic constipation. Am J Gastroenterol 88(11):1854–1859

    PubMed  Google Scholar 

  • Meunier P (1986) Physiologic study of the terminal digestive tract in chronic painful constipation. Gut 27(9):1018–1024

    Article  PubMed  PubMed Central  Google Scholar 

  • Pedersen IK, Christiansen J (1989) A study of the physiological variation in anal manometry. Br J Surg 76(1):69–70

    Article  PubMed  Google Scholar 

  • Pehl C, Enck P, Franke A, Frieling T, Heitland W, Herold A et al (2007) Empfehlungen zur Anorektalen Manometrie im Erwachsenenalter. Z Gastroenterol 45(5):397–417

    Article  PubMed  Google Scholar 

  • Rao SSC (2003) Constipation: evaluation and treatment. Gastroenterol Clin North Am 32(2):659–683

    Article  PubMed  Google Scholar 

  • Rao SS, Welcher KD, Leistikow JS (1998) Obstructive defecation: a failure of rectoanal coordination. Am J Gastroenterol 93(7): 1042–1050

    Article  PubMed  Google Scholar 

  • Simpson RR, Kennedy ML, Nguyen MH, Dinning PG, Lubowski DZ (2006) Anal manometry: a comparison of techniques. Dis Colon Rectum 49(7):1033–1038

    Article  PubMed  Google Scholar 

  • Speakman CT, Kamm MA (1993) Abnormal visceral autonomic innervation in neurogenic faecal incontinence. Gut 34(2):215–221

    Article  PubMed  PubMed Central  Google Scholar 

  • Sun WM, Rao SS (2001) Manometric assessment of anorectal function. Gastroenterol Clin North Am 30(1):15–32

    Article  PubMed  Google Scholar 

  • Sun WM, Donnelly TC, Read NW (1992) Utility of a combined test of anorectal manometry, electromyography, and sensation in determining the mechanism of »idiopathic« faecal incontinence. Gut 33(6):807–813

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Allgemeine, Viszeral- und Minimal-Invasive Chirurgie, AGAPLESION Diakonieklinikum Hamburg gGmbH, Hohe Weide 17, 20259, Hamburg

    PD Dr. Dr. med. U. J. Roblick & Dr. med. K. F. Meyer

Authors
  1. PD Dr. Dr. med. U. J. Roblick
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dr. med. K. F. Meyer
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Abteilung für Proktologie, Krankenhaus Barmherzige Brüder, Regensburg, Germany

    Oliver Schwandner

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Roblick, U., Meyer, K. (2016). Anorektale Manometrie. In: Schwandner, O. (eds) Proktologische Diagnostik. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47262-0_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-47262-0_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47261-3

  • Online ISBN: 978-3-662-47262-0

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation