Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation

Research output: Contribution to journalReview article

82 Citations (Scopus)

Abstract

Disorders of the anorectum and pelvic floor affect approximately 25% of the population. Their evaluation and treatment have been hindered by a lack of understanding of underlying mechanism(s) and a working knowledge of the diagnostic advances in this field. A meticulous evaluation of anorectal structure and its function can provide invaluable insights to the practicing gastroenterologist regarding the pathogenic mechanism(s) of these disorders. Also, significant new knowledge has emerged over the past decade that includes the development of newer diagnostic tools such as high-resolution manometry and magnetic resonance defecography as well as a better delineation of the clinical and pathophysiologic subtypes of constipation and incontinence. This article provides an up-to-date review on the role of diagnostic tests in the evaluation of fecal incontinence and constipation with dyssynergic defecation.

Original languageEnglish (US)
JournalClinical Gastroenterology and Hepatology
Volume8
Issue number11
DOIs
StatePublished - Jan 1 2010
Externally publishedYes

Fingerprint

Fecal Incontinence
Defecation
Constipation
Pelvic Floor Disorders
Defecography
Manometry
Routine Diagnostic Tests
Magnetic Resonance Spectroscopy
Population
Therapeutics

Keywords

  • Anal Ultrasound
  • Anorectal Manometry
  • Rectal Compliance
  • Rectal Sensation
  • Wireless Motility Capsule

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

@article{4d1006b6e009474bb6fbddb90c452136,
title = "Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation",
abstract = "Disorders of the anorectum and pelvic floor affect approximately 25{\%} of the population. Their evaluation and treatment have been hindered by a lack of understanding of underlying mechanism(s) and a working knowledge of the diagnostic advances in this field. A meticulous evaluation of anorectal structure and its function can provide invaluable insights to the practicing gastroenterologist regarding the pathogenic mechanism(s) of these disorders. Also, significant new knowledge has emerged over the past decade that includes the development of newer diagnostic tools such as high-resolution manometry and magnetic resonance defecography as well as a better delineation of the clinical and pathophysiologic subtypes of constipation and incontinence. This article provides an up-to-date review on the role of diagnostic tests in the evaluation of fecal incontinence and constipation with dyssynergic defecation.",
keywords = "Anal Ultrasound, Anorectal Manometry, Rectal Compliance, Rectal Sensation, Wireless Motility Capsule",
author = "Rao, {Satish Sanku Chander}",
year = "2010",
month = "1",
day = "1",
doi = "10.1016/j.cgh.2010.06.004",
language = "English (US)",
volume = "8",
journal = "Clinical Gastroenterology and Hepatology",
issn = "1542-3565",
publisher = "W.B. Saunders Ltd",
number = "11",

}

TY - JOUR

T1 - Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation

AU - Rao, Satish Sanku Chander

PY - 2010/1/1

Y1 - 2010/1/1

N2 - Disorders of the anorectum and pelvic floor affect approximately 25% of the population. Their evaluation and treatment have been hindered by a lack of understanding of underlying mechanism(s) and a working knowledge of the diagnostic advances in this field. A meticulous evaluation of anorectal structure and its function can provide invaluable insights to the practicing gastroenterologist regarding the pathogenic mechanism(s) of these disorders. Also, significant new knowledge has emerged over the past decade that includes the development of newer diagnostic tools such as high-resolution manometry and magnetic resonance defecography as well as a better delineation of the clinical and pathophysiologic subtypes of constipation and incontinence. This article provides an up-to-date review on the role of diagnostic tests in the evaluation of fecal incontinence and constipation with dyssynergic defecation.

AB - Disorders of the anorectum and pelvic floor affect approximately 25% of the population. Their evaluation and treatment have been hindered by a lack of understanding of underlying mechanism(s) and a working knowledge of the diagnostic advances in this field. A meticulous evaluation of anorectal structure and its function can provide invaluable insights to the practicing gastroenterologist regarding the pathogenic mechanism(s) of these disorders. Also, significant new knowledge has emerged over the past decade that includes the development of newer diagnostic tools such as high-resolution manometry and magnetic resonance defecography as well as a better delineation of the clinical and pathophysiologic subtypes of constipation and incontinence. This article provides an up-to-date review on the role of diagnostic tests in the evaluation of fecal incontinence and constipation with dyssynergic defecation.

KW - Anal Ultrasound

KW - Anorectal Manometry

KW - Rectal Compliance

KW - Rectal Sensation

KW - Wireless Motility Capsule

UR - http://www.scopus.com/inward/record.url?scp=77958484565&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77958484565&partnerID=8YFLogxK

U2 - 10.1016/j.cgh.2010.06.004

DO - 10.1016/j.cgh.2010.06.004

M3 - Review article

VL - 8

JO - Clinical Gastroenterology and Hepatology

JF - Clinical Gastroenterology and Hepatology

SN - 1542-3565

IS - 11

ER -