Assessing Anorectal Function in Constipation and Fecal Incontinence

被引：17

作者：

Jiang, Alice C. ^{[1
]}

Panara, Ami ^{[2
]}

Yan, Yun ^{[3
]}

Rao, Satish S. C. ^{[4
]}

机构：

[1] Rush Univ, Med Ctr, Dept Internal Med, Div Gastroenterol, 600 S Paulina St, Chicago, IL 60612 USA

[2] Univ Miami, Leonard M Miller Sch Med, Div Gastroenterol, Dept Internal Med, 1601 NW 12th Ave, Miami, FL USA

[3] Augusta Univ, Dept Internal Med, Div Gastroenterol & Hepatol, Augusta, GA 30912 USA

[4] Augusta Univ, Med Ctr, Div Gastroenterol & Hepatol, 1120 15th St,AD 2226, Augusta, GA 30912 USA

来源：

GASTROENTEROLOGY CLINICS OF NORTH AMERICA | 2020年 / 49卷 / 03期

关键词：

Translumbosacral anorectal magnetic stimulation; Anorectal function; Constipation; Fecal incontinence; Digital rectal examination; EXTERNAL ANAL-SPHINCTER; TERMINAL MOTOR LATENCY; NEUROPHYSIOLOGIC EVALUATION; DYSSYNERGIC DEFECATION; RECTAL HYPOSENSITIVITY; PREDICTIVE-VALUE; NORMAL VALUES; MANOMETRY; ENDOSONOGRAPHY; ELECTROMYOGRAPHY;

D O I：

10.1016/j.gtc.2020.04.011

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Constipation and fecal incontinence are commonly encountered complaints in the gastrointestinal clinic. Assessment of anorectal function includes comprehensive history, rectal examination, and prospective stool diary or electronic App diary that accurately captures bowel symptoms, evaluation of severity, and quality of life of measure. Evaluation of a suspected patient with dyssynergic constipation includes anorectal manometry, balloon expulsion test, and defecography. Investigation of a suspected patient with fecal incontinence includes high-resolution anorectal manometry; anal ultrasound or MRI; and neurophysiology tests, such as translumbosacral anorectal magnetic stimulation or pudendal nerve latency. This article provides an approach to the assessment of anorectal function.

引用

页码：589 / +

页数：19

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