Abstract
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.
Original language | English (US) |
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Pages (from-to) | 589-606 |
Number of pages | 18 |
Journal | Gastroenterology Clinics of North America |
Volume | 49 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2020 |
Keywords
- Anorectal function
- Constipation
- Digital rectal examination
- Fecal incontinence
- Translumbosacral anorectal magnetic stimulation
ASJC Scopus subject areas
- Gastroenterology