TY - JOUR
T1 - Expert consensus document
T2 - Advances in the evaluation of anorectal function
AU - on behalf of the International Anorectal Physiology Working Group and the International Working Group for Disorders of Gastrointestinal Motility and Function
AU - Carrington, Emma V.
AU - Scott, S. Mark
AU - Bharucha, Adil
AU - Mion, François
AU - Remes-Troche, Jose M.
AU - Malcolm, Allison
AU - Heinrich, Henriette
AU - Fox, Mark
AU - Rao, Satish S.
N1 - Publisher Copyright:
© 2018 Macmillan Publishers Limited, part of Springer Nature.
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Faecal incontinence and evacuation disorders are common, impair quality of life and incur substantial economic costs worldwide. As symptoms alone are poor predictors of underlying pathophysiology and aetiology, diagnostic tests of anorectal function could facilitate patient management in those cases that are refractory to conservative therapies. In the past decade, several major technological advances have improved our understanding of anorectal structure, coordination and sensorimotor function. This Consensus Statement provides the reader with an appraisal of the current indications, study performance characteristics, clinical utility, strengths and limitations of the most widely available tests of anorectal structure (ultrasonography and MRI) and function (anorectal manometry, neurophysiological investigations, rectal distension techniques and tests of evacuation, including defecography). Additionally, this article provides our consensus on the clinical relevance of these tests.
AB - Faecal incontinence and evacuation disorders are common, impair quality of life and incur substantial economic costs worldwide. As symptoms alone are poor predictors of underlying pathophysiology and aetiology, diagnostic tests of anorectal function could facilitate patient management in those cases that are refractory to conservative therapies. In the past decade, several major technological advances have improved our understanding of anorectal structure, coordination and sensorimotor function. This Consensus Statement provides the reader with an appraisal of the current indications, study performance characteristics, clinical utility, strengths and limitations of the most widely available tests of anorectal structure (ultrasonography and MRI) and function (anorectal manometry, neurophysiological investigations, rectal distension techniques and tests of evacuation, including defecography). Additionally, this article provides our consensus on the clinical relevance of these tests.
UR - http://www.scopus.com/inward/record.url?scp=85045905940&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85045905940&partnerID=8YFLogxK
U2 - 10.1038/nrgastro.2018.27
DO - 10.1038/nrgastro.2018.27
M3 - Review article
C2 - 29636555
AN - SCOPUS:85045905940
SN - 1759-5045
VL - 15
SP - 309
EP - 325
JO - Nature Reviews Gastroenterology and Hepatology
JF - Nature Reviews Gastroenterology and Hepatology
IS - 5
ER -