Skip to main content
SpringerLink
Log in
Book cover

Gastrointestinal Motility pp 71–82Cite as

Colonic Transit and Anorectal Manometry

  • Chapter

Abstract

Disorders of colonic and anorectal function affect 10-20% of the population (1). Over the last two decades the development of several new tests has facilitated better diagnostic approaches and treatment of these problems. This article provides an overview of the tests used for assessing colonic and anorectal function.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Drossman, D.A., Zhiming, L., Andruzzi, E., Temple, R.D., Talley, N.J., Thompson, W.G., Whitehead, W.E., Janssens, J., Funch-Jensen, P., Corazziari, E., Richter, J.E. and Koch, G.G. US householder survey of functional gastrointestinal disorders: Prevalence, sociodemography, and health impact. Dig Dis Sci, 1993;38:1569–1580.

    Article  PubMed  CAS  Google Scholar 

  2. Manning AP, Wyman JB, Heaton KW. How trustworthy are bowel histories? Comparison of recalled and recorded information. BMJ 1976; 2:213–214.

    Article  PubMed  CAS  Google Scholar 

  3. Ashraf W, Park F, Quigley EMM, Lof J. An examination of the reliability of reported stool frequency in the diagnosis of idiopathic constipation. Am J Gastroenterol 1996;91:26–32.

    PubMed  CAS  Google Scholar 

  4. Wald A. Colonic and anorectal motility testing in clinical practice. Am J Gastroenterol 1994;89:2109–2115.

    PubMed  CAS  Google Scholar 

  5. Evans RC, Kamm MA, Hinton JM, Lennard-Jones JE. The normal range and a simple diagram for recording whole gut transit time. Intl Colorectal Dis 1992;7:15–17.

    Article  CAS  Google Scholar 

  6. Metcalf AM, Phillips SF, Zinsmeister AR, McCarty RL, Beart BW, Wolfe BG. Simplified asessment of segmental colonic transit. Gastroenterology 1987; 92: 40–47.

    PubMed  CAS  Google Scholar 

  7. Rao SSC, Read NW, Brown C, Bruce C, and Holdsworth CD: Studies on the mechanism of bowel disturbance in ulcerative colitis. Gastroenterology 1987; 93:934–940.

    PubMed  CAS  Google Scholar 

  8. Arhan P, Devroede G, Jehannin B, et al. Segmental Colonic transit time. Dis Colon Rectum 1981;24:625–9.

    Article  PubMed  CAS  Google Scholar 

  9. Rao SSC. Manometric evaluation of constipation-Part 1. The Gastroenterologist 1996; 4: 145–154.

    PubMed  CAS  Google Scholar 

  10. Sasaki Y, Munakata A. High viscous lumina) content causes different manometric outcomes between methodologies. Gastroenterolog 1995;108:A683 (abstract).

    Article  Google Scholar 

  11. . Pelsang, R.E., Rao, S.S.C. and Welcher, K. Video flurodefecometry: A new technique for studying defacatory disorders. Gastroenterology 1996;110:A733.

    Article  Google Scholar 

  12. Rao, S.S.C., Hayek, B. and Summers, R.W., Impedance planimetry: An integrated approach for assessing sensory, active and passive biomechanical properties of the esophagus. Am. J Gastroenterol 1995;90:431–438.

    PubMed  CAS  Google Scholar 

  13. Loening Bauchke, V. and Yamada, T. Is the aberent pathway from the rectum impaired in children with chronic constipation and encopresis? Gastroenterology 1995;109:397–403.

    Article  Google Scholar 

  14. Rao, S.S.C. and Welcher, K. Periodic rectal motor activity: The intrinsic colonic gatekeeper. Am. J Gastroenterol 1996;91:890–897.

    PubMed  CAS  Google Scholar 

  15. Kumar, D., Williams, N.S., Waldron, D., Wingate, D.L. Prolonged manometric recording of anorectal motor activity in ambulant human subjects: Evidence of periodic activity. Gut 1989;30:1007–1011.

    Article  PubMed  CAS  Google Scholar 

  16. Orkin, B.A., Hanson, R.B., Kelly, K.A., Phillips, S.F., and Dent, J. Human anal motility while fasting, after feeding, and during sleep. Gastroenterology 1991;100:1016–1023.

    PubMed  CAS  Google Scholar 

  17. Sun, W.M., Donnelly,T.C. and Read, N.W. Anorectal function in normal human subjects: Effect of gender. Int. J Colorect Dis 1989;4:188–196.

    Article  CAS  Google Scholar 

  18. Sun, W.M., Read, N.W., Prior, A., Daly, J.A., Cheah, S.K. and Grundy, D. Sensory and motor responses to rectal distention vary according to rate and pattern of balloon inflation. Gastroenterology 1990;99:1008–1015.

    PubMed  CAS  Google Scholar 

  19. Rao, S.S.C., Hatfield, R., Soffer,E., Rao S, Leistikow J, Conklin, F.J.. Manometric tests of anorectal function in healthy adults. Am J Gastroenterol 1999;94:773–783.

    Article  PubMed  CAS  Google Scholar 

  20. McHugh, S.M. and Diamant, N.E. The effects of age, gender and parity on anal canal pressure: Contribution of impaired anal sphincter function to fecal incontinence. Dig Di.s Sci 1987;32:726–736.

    Article  CAS  Google Scholar 

  21. Bannister, J.J., Abouzekry,L. and Read, N.W. Effect of aging on anorectal function. Gut 1987;37:183–186.

    Google Scholar 

  22. Coller, J.A. 1990, Computerized anal sphincter manometry performance and analysis; in Smith LE (ed): Practical Guide to Anorectal Testing. New York, lgaku-Shoin, pp65–1 11.

    Google Scholar 

  23. Rao SSC, Patel RS. How useful are manometric tests of anorectal function in the management of defecation disorders. Am J Gastroenterol 1997;92: 469–475.

    PubMed  CAS  Google Scholar 

  24. Preston DM, Lennard-Jones JE. Anismus in chronic constipation. Dig Dis Sci 1985;30:413–418.

    Article  PubMed  CAS  Google Scholar 

  25. Rao SSC, Welcer KD, Leistikow J. Obstructive Defecation (O.D.): A failure of recto-anal coordination. Am J Gastroenterol 1998;93:1042–1050.

    Article  PubMed  CAS  Google Scholar 

  26. Prior A, Fearn UJ, Read NW. Intermittent rectal motor activity: a rectal motor complex? Gut 1991;32:1360–1363.

    Article  PubMed  CAS  Google Scholar 

  27. Rao SSC, Welcher KD, Leistikow J. Altered periodic rectal motor activity. A mechanism for slow transit constipation. Am JGastroenterol 1997; 92: A1686.

    Google Scholar 

  28. Miner, Jr., P.B. Fecal incontinence: Issues, assessment, and management. Gastrointestinal Diseases Today 1993;2:10–18.

    Google Scholar 

  29. MacDonagh, R., Sun,W.M., Thomas, D.G., Smallwood, R., Read, N.W. Anorectal function in patients with complete supraconal spinal cord lesions. Gut 1992;33:1532–1538.

    Article  PubMed  CAS  Google Scholar 

  30. Bannister, J.J., Davison, P., Timms, J.M., Gibbons, C. and Read, N.W. Effect of stool size and consistency on defecation. Gut 1987;28:1246–1250.

    Article  PubMed  CAS  Google Scholar 

  31. Rao, S.S.C., Rao, S., Hatfield, R. and Chamberlain, M. Is the stimulated defecation test influenced by position, presence of artificial stool and its consistency? Gastroenterology 1996;110:A741.

    Article  Google Scholar 

  32. Haynes, W.G. and Read, N.W. Ano-rectal activity in man during rectal infusion of saline: A dynamic assessment of the anal continence mechanism. J Physiol. 1982;330:45–56.

    PubMed  CAS  Google Scholar 

  33. Allen ML, Orr WC, Robinson MG. Anorectal functioning in fecal incontinence. Dig Dis Sci 1988; 33: 36–40.

    Article  PubMed  CAS  Google Scholar 

  34. Sun WM, Donnelly TC, Read NW. Utility of a combined test of anorectal manometry, electromyography, and sensation in determining the mechanism of idiopathic fecal incontinence. Gut 1992;33:807–813.

    Article  PubMed  CAS  Google Scholar 

  35. Rao SCC, Read NW, Davison P, Bannister JJ and Holdsworth CD: Anorectal sensitivity and responses to rectal distension in patients with ulcerative colities. Gastroenterology 1987; 93:1020–1026.

    Google Scholar 

  36. Rao SSC, Welcher KD, Happel J. Can biofeedback therapy improve anorectal function in fecal incontinenece? Am J Gastroenterol 1996; 91:2360–2366.

    PubMed  CAS  Google Scholar 

  37. Henry, M.M., Parks, A.G. and Swash, M. Investigation of disorders of the anorectum and colon. Ann. Roy. Coll Surg. (Engl . ) 1992;33:807–813.

    Google Scholar 

  38. Sultan, A.H., Kamm, M.A., Hudson, C.N., Bartram, CA. Third degree obstetric anal sphincter tears: Risk factors and outcome of primary repair. BMJ 1994;308:887–891.

    Article  PubMed  CAS  Google Scholar 

  39. Kiff, E.S. and Swash, M. Normal proximal and delayed distal conduction in the pudendal nerves of patients with idiopathic (neurogenic) fecal incontinence. J Neurol Neurosurg Psychiatry 1984;47:1269–1273.

    Article  Google Scholar 

  40. Jorge, J.M.N., Wexner, S.D., Ehrenpreis, E.D., Nogueras, J.J. and Jagelman, D.G. Does perineal descent correlate with pudendal neuropathy? Dis Colon Rectum 1993;36:475–483.

    Article  PubMed  CAS  Google Scholar 

  41. Wexner, S.D. and Jorge, J.M.N. Colorectal physiological tests: Use or abuse of technology? Eur: J Surg 1994:160:167–174.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Internal Medicine, University of Iowa College of Medicine, Iowa, USA

    Satish S C. Rao

Authors
  1. Satish S C. Rao
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. University of Iowa College of Medicine, Iowa City, Iowa, USA

    Satish S. C. Rao

  2. Mayo Clinic, Rochester, Minnesota, USA

    Joseph A. Murray

  3. University of Iowa College of Medicine, Iowa City, Iowa, USA

    Jeffrey L. Conklin , Frederick C. Johlin , Konrad S. Schulze-Delrieu  & Robert W. Summers , ,  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer Science+Business Media New York

About this chapter

Cite this chapter

Rao, S.S.C. (1999). Colonic Transit and Anorectal Manometry. In: Rao, S.S.C., Conklin, J.L., Johlin, F.C., Murray, J.A., Schulze-Delrieu, K.S., Summers, R.W. (eds) Gastrointestinal Motility. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-4803-4_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-4803-4_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7176-2

  • Online ISBN: 978-1-4615-4803-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation