Reappraising Anorectal Manometry  in Patients With Fecal Incontinence

Posted by Clark Love on Mar 27, 2018 4:05:03 PM

 canstockphoto38128481-1Anorectal function tests are usually performed in patients with fecal incontinence who have failed typical, conservative treatment. This study, which we are going to discuss right now, was aimed to determine the additive value of performing anorectal function tests in such patients in selecting them for surgery.

Introduction

Fecal incontinence is the inability to voluntarily control bowel movements causing stool to leak from the rectum, unexpectedly. It is a very disabling condition with a prevalence of roughly 6% in the adult population. Causes of FI are:

  • Disruption of the anal sphincters secondary to obstetric or surgical trauma;
  • Neuropathy such as multiple sclerosis diabetes mellitus;
  • Neurologic deterioration related to nervus pudendus injury due to chronic straining during chronic constipation or delivery
  • Decreased rectal capacity due to inflammatory bowel disease, radiation proctitis and/or irritable bowel syndrome, diarrhea, the physical inability to reach toilet facilities, and highly reduced mental awareness.
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Topics: Anorectal Manometry Testing, Anorectal Manometry

How to Interpret Conventional Anorectal Manometry

Posted by Clark Love on Feb 5, 2018 8:04:00 AM
Anorectal Manometry

Anorectal manometry is a widely-available, economical and precise test for establishing the functional competency of the rectum and the anal canal. It plays an essential role in the diagnosis of functional defecatory disorders such as constipation, fecal incontinence and Hirschsprung disease in children.

This test involves the assessment of two major functions of the anorectal system. The resistive system – continence; and the capacitive system – defecation. Continence and defecation are the two most important roles played by the anorectal system. Quantitative assessment of the anal sphincter tone by anorectal manometry helps find the etiology of anorectal disorders. In the following article, we are going to discuss briefly how to interpret conventional anorectal manometry.

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Topics: Anorectal Manometry

When should Anorectal Manometry (ARM) Typically Be Prescribed

Posted by Clark Love on Oct 27, 2017 2:31:21 PM

Anorectal manometry is a diagnostic technique that is intended to test how well the rectum and anal sphincter are functioning. In the blog post below, when this test is commonly prescribed, as well as an explanation of the procedure, will be described.


What is Anorectal Manometry?

Anorectal manometry is a minimally invasive diagnostic procedure that is simple to perform, but it requires complex equipment and well trained nursing staff. This test is used to measure the patient’s contractility in his or her anus and rectum. A catheter with a balloon attached is inserted directly into the patient’s rectum. The balloon is inflated, and pressure readings from the sphincter and rectum are recorded. One purpose of anorectal manometry is to test the ability of the muscles and tissues surrounding the balloon is to relax in response to pressure. For instance, if rectal muscles and sphincter do not relax when the balloon is inflated, paralysis of the colon could be to blame.

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Topics: Anorectal Manometry Testing, Anorectal Manometry

Should ObGyn Physicians Offer Anorectal Manometry (ARM)

Posted by Clark Love on Aug 8, 2017 10:28:53 AM

When it comes to bowel disorders, there is significant overlap among various medical fields. Anorectal manometry (ARM) is a diagnostic tool used in the determination of bowel disorders such as chronic constipation and fecal incontinence. Gastroenterologists commonly administer ARM tests, but should OBGYN physicians offer anorectal manometry as well?

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Topics: Anorectal Manometry, ObGyn Practices

Care Paths That Leverage Anorectal Manometry (ARM)

Posted by Clark Love on Jun 21, 2017 10:15:55 AM

Anorectal manometry (ARM) is a common diagnostic tool for fecal incontinence and constipation. However, it can also be used within care pathways for a number of disorders, which will be described here.

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Topics: Anorectal Manometry Testing, Anorectal Manometry

Anorectal Manometry in Irritable Bowel Syndrome

Posted by Clark Love on Jun 7, 2017 10:19:37 AM

Irritable Bowel Syndrome Anorectal ManometryIrritable bowel syndrome is a prevalent disorder, affecting approximately 25 million – 45 million people in the United States alone. To begin treatment, a proper diagnosis of irritable bowel syndrome is important. Here, anorectal manometry as a diagnostic tool1 for irritable bowel syndrome will be discussed.

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Topics: Anorectal Manometry, Irritable Bowel Syndrome

Anorectal Manometry and Hirschsprung Disease

Posted by Clark Love on May 12, 2017 6:45:35 PM

Disorders of the bowels require specific investigative techniques that are preferably non-invasive for accurate disease diagnosis. Here, the use of anorectal manometry for the diagnosis of Hirschsprung’s disease1 will be discussed.

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Topics: Anorectal Manometry, Hirschsprung Disease

Interstim, Urodynamics, and Anorectal Manometry: How They Fit Together

Posted by Clark Love on Mar 23, 2017 3:01:20 PM

Urodynamics are a series of tests that measure the functionality of the lower urinary tract. Urodynamics testing1 may be ordered for a number of symptoms, including pain, incontinence, and changes in a patient’s normal urinary or fecal routine. 

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Topics: Anorectal Manometry, urodynamics, InterStim

Brighter Health Network, LLC Acquires Urodynamic Testing Specialists

Posted by Clark Love on Sep 22, 2016 9:04:53 AM

Acquisition Highlights:

  • Significantly increases BHN’s size and profitability
  • Further expands BHN’s geographic footprint into the New England states and Florida
  • Expands BHN’s diagnostic services offering
  • Increases the depth of BHN’s clinical teams
  • Immediately accretive to earnings

See PRNewsWire Press Release here.  

Flowood, MS – Brighter Health Network, LLC (BHN), which offers medical diagnostic solutions such as urodynamic testing services, today announced it has acquired Urodynamic Testing Specialists (UTS) for an undisclosed amount.  The acquisition is expected to be immediately accretive to earnings and will significantly increase BHN’s top and bottom lines.

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Topics: Urodynamics Testing, BHN, Anorectal Manometry, urodynamics

Brighter Health Network and Medspira Announce National Partnership

Posted by Clark Love on Mar 31, 2016 9:47:22 AM

Brighter Health Network (BHN), a leading medical diagnostics services company, and Medspira, a leading medical device maker, today announced a national partnership between the two companies to further market, distribute, and service Medspira’s mcompass anorectal manometry system.  BHN provides turn-key, on-site medical diagnostics that include equipment, staff, software, and supplies required to perform multiple types of diagnostic testing such as anorectal manometry.  As part of this partnership BHN will use Medspira’s equipment and supplies to service clinics and hospitals across the country that desire to offer anorectal manometry.  This partnership will enable these clinics and hospitals to offer anorectal manometry testing to their patients without having to purchase expensive equipment, train staff, or incur the other challenges encountered when providing a new service.  This will make it extremely easy for the clinics and hospitals to leverage anorectal manometry, which will in turn allow them to better diagnose and treat patients suffering from fecal incontinence, chronic constipation, and other lower gastrointestinal problems.  

 

 

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Topics: Anorectal Manometry Testing, Anorectal Manometry

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