Digital rectal examination is a useful tool for identifying patients with dyssynergia

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
Kasaya TantiphlachivaSatish S C Rao

Abstract

Dyssynergic defecation is a common cause of chronic constipation; its diagnosis requires anorectal physiological tests that are not widely available. It is not known whether digital rectal examination (DRE) can be used to identify dyssynergia. We examined the diagnostic yield of DRE in patients with dyssynergic defecation. Consecutive patients with chronic constipation (Rome III criteria, n = 209) underwent DREs, anorectal manometry analyses, balloon expulsion tests, and colonic transit studies. In the DRE, dyssynergia was identified by 2 or more of the following features: impaired perineal descent, paradoxic anal contraction, or impaired push effort; diagnostic yields were compared with physiological test results. Of the patients included in the study, 187 (87%) had dyssynergic defecation, based on standard criteria; 134 (73%) of these were identified to have features of dyssynergia, based on DREs. The sensitivity and specificity of DRE for identifying dyssynergia in patients with chronic constipation were 75% and 87%, respectively; the positive predictive value was 97%. DRE was able to identify normal resting and normal squeeze pressure in 86% and 82% of dyssynergic patients, respectively. DRE appears to be a reliable tool fo...Continue Reading

References

Feb 1, 1978·Gut·J B WymanA C Wicks
Feb 1, 1992·International Journal of Colorectal Disease·R C EvansJ E Lennard-Jones
Sep 1, 1989·The British Journal of Surgery·R I HallanN S Williams
May 1, 1985·Digestive Diseases and Sciences·D M Preston, J E Lennard-Jones
May 1, 1994·Diseases of the Colon and Rectum·J HillE S Kiff
Jun 8, 2001·Gastroenterology Clinics of North America·S S Rao
Oct 3, 2002·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S S C RaoA Wald
Aug 21, 2004·Journal of Clinical Gastroenterology·Satish S C RaoMary Stessman
Oct 16, 2004·Diseases of the Colon and Rectum·Urban KarlbomLars Påhlman
Oct 27, 2004·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S S C RaoB Zimmerman
Apr 7, 2005·Diseases of the Colon and Rectum·Oliver M JonesNeil J McC Mortensen
Jan 6, 2006·Journal of Clinical Gastroenterology·Adil E Bharucha
May 9, 2006·Gastroenterology·George F LongstrethRobin C Spiller
May 9, 2006·Gastroenterology·Adil E BharuchaSatish Rao
Sep 14, 2006·Current Gastroenterology Reports·Jose M Remes-Troche, Satish S C Rao
Sep 19, 2009·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·C AmselemJ-R Malagelada

❮ Previous
Next ❯

Citations

May 4, 2011·Current Gastroenterology Reports·Adil E Bharucha
Jun 23, 2011·Therapeutic Advances in Gastroenterology·William E Whitehead, Giuseppe Chiarioni
Nov 16, 2012·Therapeutic Advances in Gastroenterology·Michael Camilleri
Jul 16, 2014·The American Journal of Gastroenterology·Arnold WaldWilliam E Whitehead
Nov 12, 2013·Gastroenterology·Adil E Bharucha, Satish S C Rao
Nov 28, 2013·Gastroenterology Clinics of North America·Julie Ann M Van Koughnett, Giovanna da Silva
Dec 25, 2012·Gastroenterology·Adil E BharuchaG Richard Locke
Oct 10, 2015·Current Gastroenterology Reports·Hani Sbahi, Brooks D Cash
Sep 8, 2015·Current Treatment Options in Gastroenterology·Kyle Staller
Feb 2, 2015·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Henriette HeinrichHeiko Fruehauf
May 28, 2014·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·B E LacyF Mearin
Jul 2, 2015·Journal of Neurogastroenterology and Motility·Kyung Ho Song
May 5, 2016·Gastroenterology·Fermín MearinRobin Spiller
May 28, 2016·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Fermín MearinJavier Júdez
May 27, 2016·Journal of Neurogastroenterology and Motility·Jeong Eun ShinUNKNOWN Clinical Management Guideline Group under the Korean Society of Neurogastroenterology and Motility
Jun 9, 2016·Journal of Neurogastroenterology and Motility·Satish S C Rao, Tanisa Patcharatrakul
Sep 17, 2008·Gastroenterology Clinics of North America·Satish S C Rao
Sep 27, 2016·Journal of Neurogastroenterology and Motility·Seon-Young ParkMichael Camilleri
Mar 5, 2017·Parkinsonism & Related Disorders·Andrew SuGeorge Triadafilopoulos
Feb 9, 2017·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·A D NelsonA R Zinsmeister
Mar 7, 2017·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S-Y ParkM Camilleri
Apr 11, 2018·Nature Reviews. Gastroenterology & Hepatology·Emma V CarringtonUNKNOWN International Anorectal Physiology Working Group and the International Working Group for Disorders of Gastrointestinal Motil
Oct 19, 2017·Journal of Pediatric Gastroenterology and Nutrition·Ilan J N KoppenMarc A Benninga
May 17, 2018·Medicine·Mojgan ForootanMohammad Darvishi
Dec 15, 2017·Nature Reviews. Disease Primers·Michael CamilleriLin Chang
Aug 22, 2012·The American Journal of Gastroenterology·Ron ScheySatish S C Rao
Aug 4, 2012·The American Journal of Gastroenterology·Reuben K WongShrikant Bangdiwala
Feb 18, 2018·The American Journal of Gastroenterology·Satish S C Rao
Oct 21, 2017·Gut and Liver·Tanisa Patcharatrakul, Satish S C Rao
Sep 25, 2018·Current Opinion in Obstetrics & Gynecology·Toya Pratt, Kavita Mishra
Nov 15, 2018·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Victor ChedidMichael Camilleri
Jan 9, 2019·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Uday C GhoshalJayanthi Venkataraman
Apr 2, 2016·Nature Reviews. Gastroenterology & Hepatology·Satish S C RaoTanisa Patcharatrakul
May 10, 2016·Nature Reviews. Disease Primers·Paul EnckRobin C Spiller
Apr 14, 2020·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Andy LiuMichael Camilleri
Aug 24, 2016·Journal of Clinical Gastroenterology·Neelam G GidwaneySita S Chokhavatia
Aug 11, 2020·Expert Review of Gastroenterology & Hepatology·Marzieh DanialiMohammad Abdollahi
Jul 19, 2011·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·F CremoniniA Lembo

❮ Previous
Next ❯

Related Concepts

Related Feeds

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Related Papers

Diseases of the Colon and Rectum
Bruce A OrkinPatricia C Lloyd
Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
Satish S C RaoKonrad Schulze
Diseases of the Colon and Rectum
A KochS A Müller-Lissner
Gastroenterology Clinics of North America
S S Rao
© 2021 Meta ULC. All rights reserved