Year 2018 / Volume 110 / Number 12
Review
High-resolution and high-definition anorectal manometry: rediscovering anorectal function

794-805

DOI: 10.17235/reed.2018.5705/2018

Constanza Ciriza de los Ríos, Miguel Mínguez, Jose María Remes-Troche, Glòria Lacima,

Abstract
Anorectal motor and functional disorders are common among the general population. Anorectal manometry allows the study of anorectal motor activity both at rest and mimicking different physiological situations. High-resolution anorectal manometry (HR-ARM) and high-definition anorectal manometry (HD-ARM) are increasingly used in clinical practice. In comparison with the conventional technique, HR-ARM and HD-ARM catheters provide a higher number of recording points because of their many, closely packed circumferential sensors. This allows time-space visualization (topographic or 2-3-plane mode) as spatially continuous measurements are obtained by interpolation between near sensors. HR-ARM and HD-ARM allow a more standardized, reproducible technique, and a better assessment and understanding of the functional anatomy of the sphincter complex. Newer specific parameters are now being developed for use with these systems. They are being currently assessed by multiple research teams, and many of them remain unavailable for clinical practice as of today. However, they provide highly relevant information, which is now prompting a redefinition of anorectal anatomy and physiology. The goal of the present review was to describe the currently available HR-ARM and HD-ARM techniques, to discuss the normal values so far reported, and to analyze the newer parameters that may be assessed with these techniques, and which will likely be highly useful for clinical practice in the upcoming future.
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02/08/2019 11:23:09
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References
1. Remes-Troche JM, Rao SS. Defecation disorders: neuromuscular aspects and treatment. Curr Gastroenterol Rep. 2006;8(4):291-99.
2. Whitehead WE, Wald A, Diamant NE , et al. Functional disorders of the anus and rectum. Gut. 1999;45 Suppl 2:II:55-9.
3. Diamant NE, Kamm M, Wald A , et al. AGA technical review on anorectal testing techniques. Gastroenterology. 1999;116(3):735-60.
4. Bharucha AE, Rao SS. An update on anorectal disorders for gastroenterologists. Gastroenterology. 2014; 146(1):37-45 e2.
5. Rao SS. Advances in diagnostic assessment of fecal incontinence and dyssynergic defecation. Clin Gastroenterol Hepatol. 2010; 8(11):910-9.
6. Amieva-Balmori M, Remes Troche J. Pruebas neurofisiológicas en trastornos anorrectales. Acta Gastroenterol Latinoam. 2015;45(3):252-62.
7. Lee YY, Erdogan A, Rao SS. High resolution and high definition anorectal manometry and pressure topography: diagnostic advance or a new kid on the block? Curr Gastroenterol Rep. 2013;15(12):360.
8. Vitton V, Ben Hadj Amor W, Baumstarck K, et al. Water-perfused manometry vs three-dimensional high-resolution manometry: a comparative study on a large patient population with anorectal disorders. Colorectal Dis. 2013;15(12):e726-31.
9. Benezech A, Behr M, Bouvier M, et al. Three-dimensional high-resolution anorectal manometry: does it allow automated analysis of sphincter defects? Colorectal Dis. 2015;17(10):O202-7.
10. Ciriza de los Ríos C, Ruiz de León A. Manometría anorrectal de alta resolución. In: Lacima G, Serra J, Mínguez M, Accarino A., editor. Tratado de Neurogastroenterología y Motilidad Digestiva. 1. Madrid: Panamericana; 2014. p. 624-35.
11. Mínguez Pérez M, Lacima Vidal G. Manometría anorrectal convencional In: Lacima G, Serra J, Mínguez M, Accarino A., editor. Tratado de Neurogastroenterología y Motilidad Digestiva. 3. Madrid: Panamericana; 2014. p. 613-23.
12. Sauter M, Heinrich H, Fox M, et al. Toward more accurate measurements of anorectal motor and sensory function in routine clinical practice: validation of high-resolution anorectal manometry and Rapid Barostat Bag measurements of rectal function. Neurogastroenterol Motil. 2014; 26(5):685-95.
13. Lee TH, Bharucha AE. How to Perform and Interpret a High-resolution Anorectal Manometry Test. J Neurogastroenterol Motil. 2016; 22(1):46-59.
14. Rasijeff AMP, Withers M, Burke JM, et al. High-resolution anorectal manometry: A comparison of solid-state and water-perfused catheters. Neurogastroenterol Motil. 2017;29(11). doi: 10.1111/nmo.13124
15. Chakraborty S, Feuerhak KJ, Zinsmeister AR, et al. Reproducibility of high-definition (3D) manometry and its agreement with high-resolution (2D) manometry in women with fecal incontinence. Neurogastroenterol Motil. 2017;29(3). doi: 10.1111/nmo.12950
16. Kang HR, Lee JE, Lee JS, et al. Comparison of High-resolution Anorectal Manometry With Water-perfused Anorectal Manometry. J Neurogastroenterol Motil. 2015;21(1):126-32.
17. Li Y, Yang X, Xu C, et al. Normal values and pressure morphology for three-dimensional high-resolution anorectal manometry of asymptomatic adults: a study in 110 subjects. Int J Colorectal Dis.2013; 28(8):1161-8.
18. Carrington EV, Scott SM, Bharucha A, et al. Advances in the evaluation of anorectal function. International Anorectal Physiology Working Group and the International Working Group for Disorders of Gastrointestinal Motility and Function. Expert consensus document : Advances in the evaluation of anorectal function. Nat Rev Gastroenterol Hepatol. 2018. Apr 11. doi: 10,1038/nrgastro.2018.27
19. Noelting J, Ratuapli SK, Bharucha AE, et al. Normal values for high-resolution anorectal manometry in healthy women: effects of age and significance of rectoanal gradient. Am J Gastroenterol. 2012; 107(10):1530-6.
20. Carrington EV, Brokjaer A, Craven H, et al. Traditional measures of normal anal sphincter function using high-resolution anorectal manometry (HRAM) in 115 healthy volunteers. Neurogastroenterol Motil. 2015; 26(5):625-35.
21. Coss-Adame E, Rao S, Valestin J, et al. Accuracy and Reproducibility of High-definition Anorectal Manometry and Pressure Topography Analyses in Healthy Subjects. Clin Gastroenterol Hepatol 2015;13(6):1143-50.
22. Lee HJ, Jung KW, Han S, et al. Normal values for high-resolution anorectal manometry/topography in a healthy Korean population and the effects of gender and body mass index. Neurogastroenterol Motil. 2014; 26(4):529-37.
23. Opazo A, Aguirre E, Saldana E, et al. Patterns of impaired internal anal sphincter activity in patients with anal fissure. Colorectal Dis. 2013; 15(4):492-9.
24. Prichard D, Harvey DM, Fletcher JG, et al. Relationship Among Anal Sphincter Injury, Patulous Anal Canal, and Anal Pressures in Patients With Anorectal Disorders. Clin Gastroenterol Hepatol. 2015; 13(10):1793-800 e1.
25. Grossi U, Carrington EV, Bharucha AE, et al. Diagnostic accuracy study of anorectal manometry for diagnosis of dyssynergic defecation. Gut 2016; 66: 447-55.
26. Rao SS, Kavlock R, Rao S. Influence of body position and stool characteristics on defecation in humans. Am J Gastroenterol. 2006;10(12):2790-6.
27. Ratuapli S, Bharucha AE, Harvey D, et al. Comparison of rectal balloon expulsion test in seated and left lateral positions. Neurogastroenterol Motil. 2013; 25(12):e813-20.
28. Rao SSC, Mudipalli RS, Stessman M, et al. Investigation of the utility of colorectal function tests and Rome II criteria in dyssynergic defecation (Anismus). Neurogastroenterol Motil. 2004;16:589-96.
29. Rao SS, Patcharatrakul T. Diagnosis and Treatment of Dyssynergic Defecation. J Neurogastroenterol Motil. 2016;22(3):423-35.
30. Lee YY, Erdogan A, Yu S, Dewitt A, et al. Anorectal Manometry in Defecatory Disorders: A Comparative Analysis of High-resolution Pressure Topography and Waveform Manometry. J Neurogastroenterol Motil. 2018;24(3):460-8.
31. Mion F, Garros A, Brochard C, et al. 3D High-definition anorectal manometry: Values obtained in asymptomatic volunteers, fecal incontinence and chronic constipation. Results of a prospective multicenter study (NOMAD). Neurogastroenterol Motil. 2017;29(8).
32. Vitton V, Ben Hadj Amor W, Baumstarck K, et al. Comparison of three-dimensional high-resolution manometry and endoanal ultrasound in the diagnosis of anal sphincter defects. Colorectal Dis. 2013; 15(10):e607-11.
33. Raizada V, Bhargava V, Karsten A, Mittal RK. Functional morphology of anal sphincter complex unveiled by high definition anal manometery and three dimensional ultrasound imaging. Neurogastroenterol Motil. 2011;23(11):1013-9.
34. Ambartsumyan L, Rodriguez L, Morera C, et al. Longitudinal and radial characteristics of intra-anal pressures in children using 3D high-definition anorectal manometry: new observations. Am J Gastroenterol. 2013; 108(12):1918-28.
35. Xu C, Zhao R, Conklin JL, et al. Three-dimensional high-resolution anorectal manometry in the diagnosis of paradoxical puborectalis syndrome compared with healthy adults: a retrospective study in 79 cases. Eur J Gastroenterol Hepatol. 2014;26(6):621-9.
36. Carrington EV, Hobson A, Knowles CH, et al. Characterization of Transient Anal Sphincter Relaxations (TASRs) Health Using High Resolution Anorectal Manometry: Redefining the Sampling Reflex? Gastroenterology. 2013;144 (suppl 1) S745.
37. Remes-Troche JM, Roesch FB, Azamar-Jacome A. Topography and Characterization of Anal Ultraslow Waves (AUSWs) in Patients With Proctalgia Fugax. a Study Using High-Definition Anorectal Manometry (HDM). . G astroenterology 2012;143(5 (suppl 1)):905.
38. Raja S, Okeke FC, Stein EM, et al. Three-Dimensional Anorectal Manometry Enhances Diagnostic Gain by Detecting Sphincter Defects and Puborectalis Pressure. Dig Dis Sci. 2017;62(12):3536-41.
39. Rezaie A, Iriana S, Pimentel M, et al. Can three-dimensional high-resolution anorectal manometry detect anal sphincter defects in patients with faecal incontinence? Colorectal Dis. 2017;19(5):468-75.
40. Vitton V, Grimaud JC, Bouvier M. Three-dimension High-resolution Anorectal Manometry Can Precisely Measure Perineal Descent. J Neurogastroenterol Motil. 2013;19(2):257-8.
41. Benezech A, Bouvier M, Grimaud JC, et al. Three-dimensional high-resolution anorectal manometry and diagnosis of excessive perineal descent: a comparative pilot study with defaecography. Colorectal Dis. 2014;16(5):O170-5.
42. Benezech A, Cappiello M, Baumstarck K, et al. Rectal intussusception: can high resolution three-dimensional ano-rectal manometry compete with conventional defecography? Neurogastroenterol Motil. 2017;29(4).
43. Heinrich H, Sauter M, Fox M, et al. Assessment of Obstructive Defecation by High-Resolution Anorectal Manometry Compared With Magnetic Resonance Defecography. Clin Gastroenterol Hepatol. 2015;13(7):1310-7.e1.
44. Prichard DO, Lee T, Parthasarathy G, et al. High-resolution Anorectal Manometry for Identifying Defecatory Disorders and Rectal Structural Abnormalities in Women. Clin Gastroenterol Hepatol. 2017;15(3):412-20.
45. Wickramasinghe DP, Perera CS, Senanayake H, et al. Correlation of three dimensional anorectal manometry and three dimensional endoanal ultrasound findings in primi gravida: a cross sectional study. BMC Res Notes. 2015;8:387-93.
46. Cheeney G, Nguyen M, Valestin J, et al. Topographic and manometric characterization of the recto-anal inhibitory reflex. Neurogastroenterol Motil. 2012;24(3):e147-54.
47. Dinning PG, Carrington EV, Scott SM. Colonic and anorectal motility testing in the high-resolution era. Curr Opin Gastroenterol. 2016; 32(1):44-8.
48. Basilisco G, Bharucha AE. High-resolution anorectal manometry: An expensive hobby or worth every penny? Neurogastroenterol Motil. 2017;29(8).
49. Vitton V, Benezech A, Bouvier M. High-resolution anorectal manometry may probably be worth every penny. Neurogastroenterol Motil. 2018;30(1).
50. Ratuapli SK, Bharucha AE, Noelting J, et al. Phenotypic identification and classification of functional defecatory disorders using high-resolution anorectal manometry. Gastroenterology. 2013;144(2):314-22.e2.
51. Carrington EV, Knowles CH, Grossi U, et al. High-resolution Anorectal Manometry Measures are More Accurate Than Conventional Measures in Detecting Anal Hypocontractility in Women With Fecal Incontinence. Clin Gastroenterol Hepatol. 2018 Jun 30. pii: S1542-3565(18)30694-3. doi: 10.1016/j.cgh.2018.06.037.
52. Remes Troche JM, Pérez Luna E, Reyes Huerta JU, et al. Development of New Parameters to Evaluate Anorectal Function Using High-Definition Anorectal Manometry (HDM). the Anal Contractile Integrated (ACI), the Post Squeeze Pressure (PSP), the Anal Integrated Relaxation Pressure (aIRP), and the Sliding Velocity in the Anal Canal (SVAC). Gastroenterology. 2013;144(5):S365.
53. Jung KW, Joo S, Yang DH, et al. A novel high-resolution anorectal manometry parameter based on a three-dimensional integrated pressurized volume of a spatiotemporal plot, for predicting balloon expulsion in asymptomatic normal individuals. Neurogastroenterol Motil.26(7):937-49.
54. Seo M, Joo S, Jung KW, et al . A high-resolution anorectal manometry parameter based on integrated pressurized volume: A study based on 204 male patients with constipation and 26 controls. Neurogastroenterol Motil. 2018;May 24:e13376. doi: 10.1111/nmo.13376
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Ciriza de los Ríos C, Mínguez M, Remes-Troche J, Lacima G. High-resolution and high-definition anorectal manometry: rediscovering anorectal function . 5705/2018


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Publication history

Received: 07/05/2018

Accepted: 11/09/2018

Online First: 22/10/2018

Published: 03/12/2018

Article revision time: 126 days

Article Online First time: 168 days

Article editing time: 210 days


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