High Resolution and High Definition Anorectal Manometry

  • Massimo Bellini

Table of contents

  1. Front Matter
    Pages i-x
  2. Filippo Pucciani
    Pages 1-10
  3. Paola Iovino, Maria Cristina Neri, Antonella Santonicola, Giuseppe Chiarioni
    Pages 17-40
  4. Irene Martinucci, Nicola de Bortoli, Santino Marchi, Dario Gambaccini
    Pages 41-47
  5. Francesco Torresan, Daniele Mandolesi, Sebastiano Bonventre, Paolo Usai-Satta
    Pages 49-68
  6. Claudio Londoni, Salvatore Tolone, Andrea Pancetti, Lorenzo Bertani
    Pages 69-77
  7. Edda Battaglia, Lucia D’Alba, Antonella La Brocca, Francesco Torresan
    Pages 79-96
  8. Teresa Di Chio, Marcella Pesce, Diego Peroni, Osvaldo Borrelli
    Pages 97-109
  9. Sebastiano Bonventre, Gabriele Barletta, Salvatore Tolone, Massimo Bellini
    Pages 111-131
  10. Renato Bocchini, Michela Zari, Pasquale Talento, Andrea Pancetti
    Pages 133-139

About this book


The book provides a comprehensive overview of high resolution and high definition anorectal manometry (HRAM/HDAM), showing the possible benefits of a wider use of these techniques in clinical practice, as well as their limitations. Although these techniques provide fresh insights into anorectal function and offer a new perspective on the pathophysiologic mechanisms of many defecation disturbances, there is a need to clarify whether their use has beneficial effects on clinical management compared to conventional manometry. There is still a considerable way to go to gain the clinical diffusion of esophageal HRM, which has become the gold standard in studying esophageal motility. Indeed, many gastroenterologists and surgeons are convinced that further studies are necessary in order to be able to recommend HRAM and HDAM over and above conventional anorectal manometry. The first part of the book presents anorectal anatomy and pathophysiology, highlighting the indications and limitations of conventional anorectal manometry. The second part then focuses on the general concepts of high resolution manometry and the difference between conventional anorectal manometry and HRAM/HDAM, including technical aspects and different equipment. The third part explains how to perform, analyze and interpret HRAM and HDAM recordings, and describes the parameters study protocol, normal values and how to formulate a particular diagnosis. Lastly, the fourth part includes a collection of normal and pathological images with a glossary of the most frequently terms. Written by experts in the field of anorectal manometry and defecation disorders, this book is of interest to specialists and residents dealing with these conditions.


Defecation disorders constipation fecal incontinence functional digestive disorders anorectal pathophysiology

Editors and affiliations

  • Massimo Bellini
    • 1
  1. 1.Gastrointestinal Unit, Department of Gastroenterology Unit, Department of Translational Research and New Technologies in Medicine and SurgeryUniversity of PisaItaly

Bibliographic information

  • DOI
  • Copyright Information Springer Nature Switzerland AG 2020
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-030-32418-6
  • Online ISBN 978-3-030-32419-3
  • Buy this book on publisher's site