Current and future perspectives on the utility of provocative tests of anal sphincter function: A state-of-the-art summary
| العنوان: | Current and future perspectives on the utility of provocative tests of anal sphincter function: A state-of-the-art summary |
|---|---|
| المؤلفون: | Alexander O'Connor, Caroline M. Byrne, Dipesh H. Vasant, Abhiram Sharma, Donghua Liao, Niels Klarskov, Edward S. Kiff, Karen Telford |
| المصدر: | O'Connor, A, Byrne, C M, Vasant, D H, Sharma, A, Liao, D, Klarskov, N, Kiff, E S & Telford, K 2022, ' Current and future perspectives on the utility of provocative tests of anal sphincter function : A state-of-the-art summary ', Neurogastroenterology and Motility . https://doi.org/10.1111/nmo.14496 O'Connor, A, Byrne, C M, Vasant, D H, Sharma, A, Liao, D, Klarskov, N, Kiff, E S & Telford, K 2023, ' Current and future perspectives on the utility of provocative tests of anal sphincter function : A state-of-the-art summary ', Neurogastroenterology and Motility, vol. 35, no. 7, e14496 . https://doi.org/10.1111/nmo.14496 |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | fecal incontinence, Endocrine and Autonomic Systems, Physiology, continence, Gastroenterology, anal canal, distensibility, proctology, defecation |
| الوصف: | BackgroundThe maintenance of fecal continence depends upon coordinated interactions between the pelvic floor, anorectum, and anal sphincter complex orchestrated by central and peripheral neural activities. The current techniques to objectively measure anorectal function rely on fixed diameter catheters placed inside the anal canal with a rectal balloon to obtain measurements of anal resting and squeeze function, and rectal compliance. Until recently it had not been possible to measure the distensibility of the anal canal, or in other words its ability to resist opening against an increasing pressure, which has been proposed as the main determinant of a biological sphincter's function. Anal acoustic reflectometry (AAR) and the functional lumen imaging probe (FLIP) are two novel, provocative techniques that dynamically assess the anal sphincter complex under volume-controlled distension. In doing so, both provide information on the viscoelastic properties of the anal canal and offer new insights into its function.PurposeThis review details the current and potential future applications of AAR and FLIP and highlights the unanswered questions relevant to these new technologies. |
| وصف الملف: | application/pdf |
| تدمد: | 1365-2982 |
| DOI: | 10.1111/nmo.14496 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::50dee461be75bc25d0c4fe234826482a https://pubmed.ncbi.nlm.nih.gov/36377815 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....50dee461be75bc25d0c4fe234826482a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13652982 |
|---|---|
| DOI: | 10.1111/nmo.14496 |