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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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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