Effect of rectal distension on voluntary external anal sphincter function in healthy subjects

Colorectal Disease

Volumn 13, Issue 10, 2011, Pages 1173-1179

  Bajwa, A ^a,b   Thiruppathy, K ^a   Trivedi, P ^a,b   Boulos, P ^b   Emmanuel, Anton ^a  

^a UNIVERSITY COLLEGE HOSPITAL   (United Kingdom)

^b UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

Anorectal physiology; Barostat; External anal sphincter function; Faecal incontinence; Rectal distension

Indexed keywords

ADULT; ANAL CANAL MANOMETRY; ANAL MAXIMUM SQUEEZE PRESSURE; ANUS SPHINCTER; ARTICLE; BAROSTAT; CONTROLLED STUDY; DIGESTIVE FUNCTION; DIGESTIVE TRACT PARAMETERS; ENDOANAL ULTRASOUND; FEMALE; HUMAN; MALE; MANOMETRY; NORMAL HUMAN; PRESSURE; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; RECTUM DISTENSION; SEX DIFFERENCE; ULTRASOUND; VOLUNTARY EXTERNAL ANAL SPHINCTER FUNCTION;

ADULT; AGED; AGED, 80 AND OVER; ANAL CANAL; DEFECATION; FEMALE; HUMANS; MALE; MANOMETRY; MIDDLE AGED; PRESSURE; RECTUM; YOUNG ADULT;

EID: 80053073557     PISSN: 14628910     EISSN: 14631318     Source Type: Journal    
DOI: 10.1111/j.1463-1318.2010.02420.x     Document Type: Article

References (27)

1. Longo WE, Ballantyne GH, Modlin IM. The colon, anorectum, and spinal cord patient. A review of the functional alterations of the denervated hindgut. Dis Colon Rectum 1989; 32: 261-7.
2. Valles M, Vidal J, Clave P, Mearin F. Bowel dysfunction in patients with motor complete spinal cord injury: clinical, neurological, and pathophysiological associations. Am J Gastroenterol 2006; 101: 2290-9.
3. Chan CL, Lunniss PJ, Wang D, Williams NS, Scott SM. Rectal sensorimotor dysfunction in patients with urge faecal incontinence: evidence from prolonged manometric studies. Gut 2005; 54: 1263-72.
4. Chan CL, Scott SM, Williams NS, Lunniss PJ. Rectal hypersensitivity worsens stool frequency, urgency, and lifestyle in patients with urge fecal incontinence. Dis Colon Rectum 2005; 48: 134-40.
5. Bharucha AE, Fletcher JG, Harper CM et al. Relationship between symptoms and disordered continence mechanisms in women with idiopathic faecal incontinence. Gut 2005; 54: 546-55.
6. Rasmussen OO, Petersen IK, Christiansen J. Anorectal function following low anterior resection. Colorectal Dis 2003; 5: 258-61.
7. Engel AF, Kamm MA, Bartram CI, Nicholls RJ. Relationship of symptoms in faecal incontinence to specific sphincter abnormalities. Int J Colorectal Dis 1995; 10: 152-5.
8. Siproudhis L, Bellissant E, Pagenault M et al. Fecal incontinence with normal anal canal pressures: where is the pitfall? Am J Gastroenterol 1999; 94: 1556-63.
9. Siproudhis L, Bellissant E, Juguet F, Allain H, Bretagne JF, Gosselin M. Perception of and adaptation to rectal isobaric distension in patients with faecal incontinence. Gut 1999; 44: 687-92.
10. Kaur G, Gardiner A, Duthie GS. Rectoanal reflex parameters in incontinence and constipation. Dis Colon Rectum 2002; 45: 928-33.
11. Sangwan YP, Coller JA, Barrett RC, Murray JJ, Roberts PL, Schoetz DJ Jr. Distal rectoanal excitatory reflex: a reliable index of pudendal neuropathy? Dis Colon Rectum 1995; 38: 916-20.
12. Deutekom M, Dobben AC, Terra MP et al. Clinical presentation of fecal incontinence and anorectal function: what is the relationship? Am J Gastroenterol 2007; 102: 351-61.
13. Frenckner B. Function of the anal sphincters in spinal man. Gut 1975; 16: 638-44.
14. Shafik A, Mostafa RM, Shafik I, Ei-Sibai O, Shafik AA. Functional activity of the rectum: a conduit organ or a storage organ or both? World J Gastroenterol 2006; 12: 4549-52.
15. Kamm MA, Lennard-Jones JE. Rectal mucosal electrosensory testing - evidence for a rectal sensory neuropathy in idiopathic constipation. Dis Colon Rectum 1990; 33: 419-23.
16. Bell AM, Pemberton JH, Hanson RB, Zinsmeister AR. Variations in muscle tone of the human rectum: recordings with an electromechanical barostat. Am J Physiol 1991; 260(1 Pt 1): G17-25.
17. Bharucha AE, Camilleri M, Zinsmeister AR, Hanson RB. Adrenergic modulation of human colonic motor and sensory function. Am J Physiol 1997; 273(5 Pt 1): G997-1006.
18. Craggs MD, Balasubramaniam AV, Chung EA, Emmanuel AV. Aberrant reflexes and function of the pelvic organs following spinal cord injury in man. Auton Neurosci 2006; 126-127: 355-70.
19. Park JM, Bloom DA, McGuire EJ. The guarding reflex revisited. Br J Urol 1997; 80: 940-5.
20. Hammer HF, Phillips SF, Camilleri M, Hanson RB. Rectal tone, distensibility, and perception: reproducibility and response to different distensions. Am J Physiol 1998; 274(3 Pt 1): G584-90.
21. Whitehead WE, Delvaux M. Standardization of barostat procedures for testing smooth muscle tone and sensory thresholds in the gastrointestinal tract. The Working Team of Glaxo-Wellcome Research, UK. Dig Dis Sci 1997; 42: 223-41.
22. Pedersen IK, Christiansen J. A study of the physiological variation in anal manometry. Br J Surg 1989; 76: 69-70.
23. Frenckner B, Euler CV. Influence of pudendal block on the function of the anal sphincters. Gut 1975; 16: 482-9.
24. Sun WM, Read NW, Prior A, Daly JA, Cheah SK, Grundy D. Sensory and motor responses to rectal distention vary according to rate and pattern of balloon inflation. Gastroenterology 1990; 99: 1008-15.
25. Mularczyk A, Bianchi PA, Basilisco G. Effect of continuous rectal distention on anal resting pressure. Dis Colon Rectum 2001; 44: 672-6.
26. Guillemot F, Bouche B, Gower-Rousseau C et al. Biofeedback for the treatment of fecal incontinence. Long-term clinical results. Dis Colon Rectum 1995; 38: 393-7.
27. Matzel KE, Stadelmaier U, Hohenfellner M, Hohenberger W. Chronic sacral spinal nerve stimulation for fecal incontinence: long-term results with foramen and cuff electrodes. Dis Colon Rectum 2001; 44: 59-66.