Correlation of three dimensional anorectal manometry and three dimensional endoanal ultrasound findings in primi gravida: a cross sectional study

BMC Research Notes
D P WickramasingheD N Samarasekera

Abstract

3-dimensional anorectal manometry (3DARM) and 3-dimensional endoanal ultrasound (3DEAUS) have not been used to assess the anal sphincter complex (ASC) in primi gravida. This study was conducted to identify any correlation that may exist between 3DARM and 3DEAUS. We analyzed 3DARM and 3DEAUS data of 101 consecutive primi mothers assessed in the late second trimester or early 3rd trimester. 3DARM was performed using the Given Imaging(®) Manoscan system and 3DEAUS was performed with the Olympus(®) RU 12M-R1 probe and EU-ME1 ultrasound system. The mean age was 24.7 (SD-5.1) years. All patients had a normal Cleveland Clinic Incontinence Score. The mean resting pressure (RP) was 87.02 (SD-18.43) mmHg and the maximum squeeze pressure (SP) was 179.21 (SD-52.96) mmHg. The mean length of the high pressure zone was 3.67 (SD-0.52) cm. On 3DEAUS, there were three characteristic segments of the ASC that were identified; upper, middle and lower. Mean thicknesses for both internal anal sphincter (IAS) and external anal sphincter (EAS) were identified for primi gravida. IAS was thicker anteriorly and at 9 o' clock positions and EAS was thicker posteriorly. There was good correlation in the length of the ASC at each quadrant between 3DARM and 3D...Continue Reading

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Citations

Mar 3, 2017·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·F MionS Roman
Jan 20, 2017·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·E V CarringtonUNKNOWN International Anorectal Physiology Working Party Group (IAPWG)
Apr 14, 2017·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·F MionS Roman
Oct 23, 2018·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Constanza Ciriza de Los RíosGlòria Lacima

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Methods Mentioned

BETA
sedation

Software Mentioned

ManoScan
SPSS
3DARM
3DEAUS
Manoview AR

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