Clinical utility of balloon expulsion test for functional defecation disorders

Annals of Surgical Treatment and Research
Moo-Kyung Seong

Abstract

I investigated the diagnostic accuracy of balloon expulsion test (BET) with various techniques to find out the most appropriate method, and tried to confirm its clinical utility in diagnosing functional defecation disorders (FDD) in constipated patients. Eighty-seven patients constituted the study population. FDD was defined when patients had at least two positive findings in defecography, manometry, and electromyography. BET was done 4 times in each patient with 2 different positions and 2 different volumes. The positions were seated position (SP) and left lateral decubitus position (LDP). The volumes were fixed volume (FV) of 60 mL and individualized volume with which patient felt a constant desire to defecate (CDV). The results of BETs with 4 different settings (LDP-FV, LDP-CDV, SP-FV, and SP-CDV) were statistically compared and analyzed. Of 87 patients, 23 patients (26.4%) had at least two positive findings in 3 tests and thus were diagnosed to have FDD. On receiver operating characteristic curve analysis, area under curve was highest in BET with SP-FV. With a cutoff value of 30 seconds, the specificity of BET with SP-FV was 86.0%, sensitivity was 73.9%, negative predictive value was 89.8%, positive predictive value was 65....Continue Reading

References

Jul 1, 1986·International Journal of Colorectal Disease·J J BannisterN W Read
Oct 1, 1985·Gut·P R Barnes, J E Lennard-Jones
Feb 6, 1999·The American Journal of Gastroenterology·R E PelsangK Welcher
Feb 25, 1999·Gastroenterology·N E DiamantW E Whitehead
Jun 8, 2001·Gastroenterology Clinics of North America·S S Rao
Oct 27, 2004·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S S C RaoB Zimmerman
Jun 30, 2005·The American Journal of Gastroenterology·Satish S C RaoLoren Laine
Aug 4, 2010·Journal of Clinical Gastroenterology·Satish S C Rao, Siddharth Singh
May 15, 2012·The Journal of Pediatrics·Rosa BurgersMarc A Benninga
Aug 1, 2012·Journal of Pediatric Gastroenterology and Nutrition·Jaime Belkind-GersonBraden Kuo
Apr 12, 2013·Journal of the Korean Surgical Society·Moo-Kyung Seong, Tae-Won Kim
Aug 21, 2013·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S RatuapliA R Zinsmeister
Mar 29, 2014·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Giuseppe ChiarioniWilliam E Whitehead

❮ Previous
Next ❯

Citations

Feb 1, 2019·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Yoav MazorAllison Malcolm
Oct 9, 2019·Journal of Clinical Gastroenterology·Ya JiangLin Lin
Oct 25, 2017·Current Opinion in Gastroenterology·Leila Neshatian

❮ Previous
Next ❯

Software Mentioned

SP
FV

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society
S RatuapliA R Zinsmeister
The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology
Mehmet ArhanMehmet İbiş
© 2022 Meta ULC. All rights reserved