ANORECTAL-MANOMETRY

Anorectal-manometry

Anorectal manometry is a test that measures how well the rectum and anal sphincters work together in co-ordination to eliminate stool (feces). It measures the force generated by rectal muscle along with the relaxation of anal sphincter during defecation so that the passage of stool is uninhibited.

The anal sphincter has an internal and external sphincter, or valve, which helps to control continence (passing) of stool. These valves are made of muscles that control the opening and closing of the anus.

Our area of clinical expertise include:

Indications

❖ Evaluation of refractory constipation
❖ Evaluation of fecal incontinence
❖ Biofeedback training for dyssynergic defecation
❖ Biofeedback training for fecal incontinence
❖ Pre-op evaluation before Anorectal surgery
❖ Pre-op evaluation for reversal of colostomy
❖ Diagnosis of Hirschsprung’s disease

Pre-procedure preparation:

❖ Do not eat anything during the two hours prior to the procedure.
❖ If you are diabetic, adjust the timing of your diabetic medications accordingly.
❖ You may take regular medications with small sips of water at least 2 hours prior to the study.
❖ You may be given enema if you are severely constipated and did not have bowel movement on the day of the procedure

Procedure
❖ A small water perfused catheter with a balloon attached to the end will be placed about four inches into your rectum. The catheter may be slowly pulled out and placed back in during the exam. ❖ You will be asked to do a series of squeezes, like holding in a bowel movement, followed by bear downs, like pushing out a bowel movement. ❖ The balloon at the end of the catheter will then be inflated and deflated a few times and you will be asked to inform when you feel a sensation in your rectum or when you feel the urge to have a bowel movement. You will be asked to expulse the inflated balloon as if you are defecating. ❖ The procedure takes approximately 15 minutes to complete. You can resume your routine work and diet immediately after the procedure.
Complications & Drawbacks:
❖ None.

DEPT OF MEDICAL GASTROENTEROLOGY

DR. K. K RAWAL (MD, DM – GASTRO)
DR. AVVAL . K SADIKOT (MD, DNB-GASTRO)
DR. CHINTAN H . KANSAGRA (MD,DNB – GASTRO)
DR. CHINTAN M . MORI (MD,DNB – GASTRO)