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Comparative evaluation of the effect of sustained inflation and rapid inflation/deflation of the intrarectal balloon upon rectoanal inhibitory reflex parameters in asymptomatic subjects

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Abstract

Purpose

The effects of rapid sustained inflation versus rapid inflation/deflation of the intrarectal balloon upon rectoanal inhibitory reflex (RAIR) parameters were evaluated in asymptomatic subjects.

Methods

Forty asymptomatic adults were submitted to anorectal manometry with rapid or sustained inflation with 30 and 60 mL air. The average age was 27.4 years (range, 20–40). The subjects were divided into Group I (20 men) and Group II (20 women) for analysis. RAIR parameters were registered in order to compare the inflation patterns within each group, and Groups I and II were compared for each inflation pattern with regard to RAIR parameters.

Results

Sustained inflation significantly increased IAS relaxation time and duration of the reflex in both groups, and IAS tone recovery time in Group I.

Conclusions

RAIR parameters are influenced by the choice of inflation pattern. Further studies are required to establish a standard intrarectal balloon inflation pattern.

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Correspondence to F. J. R. Monteiro.

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Monteiro, F.J.R., Regadas, F.S.P., Murad-Regadas, S.M. et al. Comparative evaluation of the effect of sustained inflation and rapid inflation/deflation of the intrarectal balloon upon rectoanal inhibitory reflex parameters in asymptomatic subjects. Tech Coloproctol 11, 323–326 (2007). https://doi.org/10.1007/s10151-007-0374-6

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  • DOI: https://doi.org/10.1007/s10151-007-0374-6

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