AutomedicationFrancoV1, Main, Exploration, bibRecord, 000390

Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders.

Identifieur interne : 000390 ( Main/Exploration ); précédent : 000389; suivant : 000391

Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders.

Auteurs : Charlotte Andrianjafy [France] ; Laure Luciano [France] ; Anderson Loundou [France] ; Michel Bouvier [France] ; Veronique Vitton [France]

Source :

International journal of colorectal disease [ 1432-1262 ] ; 2019.

RBID : pubmed:31044283

Descripteurs français

KwdFr :
- Adulte d'âge moyen (MeSH), Canal anal (imagerie diagnostique), Canal anal (physiopathologie), Défécation (physiologie), Endosonographie (MeSH), Femelle (MeSH), Humains (MeSH), Imagerie tridimensionnelle (MeSH), Manométrie (MeSH), Mâle (MeSH), Odds ratio (MeSH), Rectum (imagerie diagnostique), Rectum (physiopathologie), Rétroaction biologique (psychologie) (MeSH).
MESH :
- imagerie diagnostique : Canal anal, Rectum.
- physiologie : Défécation.
- physiopathologie : Canal anal, Rectum.
- Adulte d'âge moyen, Endosonographie, Femelle, Humains, Imagerie tridimensionnelle, Manométrie, Mâle, Odds ratio, Rétroaction biologique (psychologie).

English descriptors

KwdEn :
- Anal Canal (diagnostic imaging), Anal Canal (physiopathology), Biofeedback, Psychology (MeSH), Defecation (physiology), Endosonography (MeSH), Female (MeSH), Humans (MeSH), Imaging, Three-Dimensional (MeSH), Male (MeSH), Manometry (MeSH), Middle Aged (MeSH), Odds Ratio (MeSH), Rectum (diagnostic imaging), Rectum (physiopathology).
MESH :
- diagnostic imaging : Anal Canal, Rectum.
- physiology : Defecation.
- physiopathology : Anal Canal, Rectum.
- Biofeedback, Psychology, Endosonography, Female, Humans, Imaging, Three-Dimensional, Male, Manometry, Middle Aged, Odds Ratio.

Abstract

PURPOSE

Biofeedback therapy (BT) is a simple and effective technique for managing outlet constipation and fecal incontinence. Several clinical factors are known to predict BT response, but a 50% failure rate persists. Better selection of BT responsive patients is required. We aimed to determine whether the defecation disorder type per high-resolution manometry (HRM) was predictive of BT response.

METHODS

We analyzed clinical, manometric, and ultrasound endoscopic data from patients who underwent BT in our department between January 2015 and January 2016. Patients were classified into four groups per the following defecation disorder classification criteria: rectal pressure > 40 mmHg and anal paradoxical contraction (type I); rectal pressure < 40 mmHg and anal paradoxical contraction (type II); rectal pressure > 40 mmHg and incomplete anal relaxation (type III); and rectal pressure < 40 mmHg and incomplete anal relaxation (type IV). An experienced single operator conducted ten weekly 20-min sessions. Efficacy was evaluated with the visual analog scale.

RESULTS

Of 92 patients, 47 (50.5%) responded to BT. Type IV and type II defecation disorders were predictive of success (p = 0.03) (OR = 5.03 [1.02; 24.92]) and failure (p = 0.05) (OR = 0.41 [0.17; 0.99]), respectively. The KESS score severity before BT (p = 0.03) (OR = 0.9 [0.81; 0.99]) was also predictive of failure.

CONCLUSION

The manometry types identified according to the defecation disorder classification criteria were predictive of BT response. Our data confirm the role of three-dimensional HRM in the therapeutic management of anorectal functional disorders.

DOI: 10.1007/s00384-019-03297-z
PubMed: 31044283

Affiliations:

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Le document en format XML

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<term>Anal Canal (physiopathology)</term>
<term>Biofeedback, Psychology (MeSH)</term>
<term>Defecation (physiology)</term>
<term>Endosonography (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Imaging, Three-Dimensional (MeSH)</term>
<term>Male (MeSH)</term>
<term>Manometry (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Odds Ratio (MeSH)</term>
<term>Rectum (diagnostic imaging)</term>
<term>Rectum (physiopathology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Canal anal (imagerie diagnostique)</term>
<term>Canal anal (physiopathologie)</term>
<term>Défécation (physiologie)</term>
<term>Endosonographie (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Imagerie tridimensionnelle (MeSH)</term>
<term>Manométrie (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Odds ratio (MeSH)</term>
<term>Rectum (imagerie diagnostique)</term>
<term>Rectum (physiopathologie)</term>
<term>Rétroaction biologique (psychologie) (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Anal Canal</term>
<term>Rectum</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Canal anal</term>
<term>Rectum</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Défécation</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Defecation</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Canal anal</term>
<term>Rectum</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Anal Canal</term>
<term>Rectum</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Biofeedback, Psychology</term>
<term>Endosonography</term>
<term>Female</term>
<term>Humans</term>
<term>Imaging, Three-Dimensional</term>
<term>Male</term>
<term>Manometry</term>
<term>Middle Aged</term>
<term>Odds Ratio</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Endosonographie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Imagerie tridimensionnelle</term>
<term>Manométrie</term>
<term>Mâle</term>
<term>Odds ratio</term>
<term>Rétroaction biologique (psychologie)</term>
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<front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b>
</p>
<p>Biofeedback therapy (BT) is a simple and effective technique for managing outlet constipation and fecal incontinence. Several clinical factors are known to predict BT response, but a 50% failure rate persists. Better selection of BT responsive patients is required. We aimed to determine whether the defecation disorder type per high-resolution manometry (HRM) was predictive of BT response.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We analyzed clinical, manometric, and ultrasound endoscopic data from patients who underwent BT in our department between January 2015 and January 2016. Patients were classified into four groups per the following defecation disorder classification criteria: rectal pressure > 40 mmHg and anal paradoxical contraction (type I); rectal pressure < 40 mmHg and anal paradoxical contraction (type II); rectal pressure > 40 mmHg and incomplete anal relaxation (type III); and rectal pressure < 40 mmHg and incomplete anal relaxation (type IV). An experienced single operator conducted ten weekly 20-min sessions. Efficacy was evaluated with the visual analog scale.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Of 92 patients, 47 (50.5%) responded to BT. Type IV and type II defecation disorders were predictive of success (p = 0.03) (OR = 5.03 [1.02; 24.92]) and failure (p = 0.05) (OR = 0.41 [0.17; 0.99]), respectively. The KESS score severity before BT (p = 0.03) (OR = 0.9 [0.81; 0.99]) was also predictive of failure.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>The manometry types identified according to the defecation disorder classification criteria were predictive of BT response. Our data confirm the role of three-dimensional HRM in the therapeutic management of anorectal functional disorders.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31044283</PMID>
<DateCompleted><Year>2019</Year>
<Month>11</Month>
<Day>15</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>02</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1262</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>34</Volume>
<Issue>6</Issue>
<PubDate><Year>2019</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>International journal of colorectal disease</Title>
<ISOAbbreviation>Int J Colorectal Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders.</ArticleTitle>
<Pagination><MedlinePgn>1131-1140</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00384-019-03297-z</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Biofeedback therapy (BT) is a simple and effective technique for managing outlet constipation and fecal incontinence. Several clinical factors are known to predict BT response, but a 50% failure rate persists. Better selection of BT responsive patients is required. We aimed to determine whether the defecation disorder type per high-resolution manometry (HRM) was predictive of BT response.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We analyzed clinical, manometric, and ultrasound endoscopic data from patients who underwent BT in our department between January 2015 and January 2016. Patients were classified into four groups per the following defecation disorder classification criteria: rectal pressure > 40 mmHg and anal paradoxical contraction (type I); rectal pressure < 40 mmHg and anal paradoxical contraction (type II); rectal pressure > 40 mmHg and incomplete anal relaxation (type III); and rectal pressure < 40 mmHg and incomplete anal relaxation (type IV). An experienced single operator conducted ten weekly 20-min sessions. Efficacy was evaluated with the visual analog scale.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 92 patients, 47 (50.5%) responded to BT. Type IV and type II defecation disorders were predictive of success (p = 0.03) (OR = 5.03 [1.02; 24.92]) and failure (p = 0.05) (OR = 0.41 [0.17; 0.99]), respectively. The KESS score severity before BT (p = 0.03) (OR = 0.9 [0.81; 0.99]) was also predictive of failure.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The manometry types identified according to the defecation disorder classification criteria were predictive of BT response. Our data confirm the role of three-dimensional HRM in the therapeutic management of anorectal functional disorders.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Andrianjafy</LastName>
<ForeName>Charlotte</ForeName>
<Initials>C</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0001-7941-3024</Identifier>
<AffiliationInfo><Affiliation>Service de Gastroenterologie, CHU de Nancy, Vandoeuvre Lès Nancy, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Service de Gastroenterologie, Hôpital NORD, Assistance Publique Hôpitaux de Marseille, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Luciano</LastName>
<ForeName>Laure</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Service de Gastroenterologie, Hopital d'Instruction des Armées Laveran, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Loundou</LastName>
<ForeName>Anderson</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>EA3279, Self-Perceived Health Assessment Research Unit, Aix Marseille Université, Marseille, France.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Bouvier</LastName>
<ForeName>Michel</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Service de Gastroenterologie, Hôpital NORD, Assistance Publique Hôpitaux de Marseille, Marseille, France.</Affiliation>
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Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders.

Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders.

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