Anismus as a cause of functional constipation: Experience from Serbia
Backround/Aim. Anismus is paradoxal pressure increase or pressure decrease less than 20% of external anal sphincter during defecation straining. This study analyzed the presence of anismus as within a group of patients with the positive Rome III criteria for functional constipation. We used...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2015-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2015/0042-84501501009J.pdf |
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| Summary: | Backround/Aim. Anismus is paradoxal pressure increase or pressure decrease
less than 20% of external anal sphincter during defecation straining. This
study analyzed the presence of anismus as within a group of patients with the
positive Rome III criteria for functional constipation. We used anorectal
manometry as the determination method for anismus. Methods. We used anorectal
waterperfused manometry in 60 patients with obstructive defecation defined by
the Rome III criteria for functional constipation. We also analyzed anorectal
function in 30 healthy subjects. Results. The presence of anismus is more
frequent in the group of patients with obstructive defecation compared to the
control group (a highly statistically significant difference, p < 0.01).
Furthermore, we found that the Rome III criteria for functional constipation
showed 90% accuracy in predicting obstructive defecation. We analyzed the
correlation of anismus with the presence of weak external anal sphincter,
rectal sensibility disorders, enlarged piles, diverticular disease and
anatomic variations of colon. We found no correlation between them in any of
these cases. Conclusion. There is a significant correlation between anismus
and positive Rome III criteria for functional constipation. Anorectal
manometry should be performed in all patients with the positive Rome III
criteria for functional constipation. |
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| ISSN: | 0042-8450 |