Abstract
Colonic manometry is being increasingly used in patients with severe constipation to assess colonic motility and to aid in surgical decisions. This procedure involves placement of a manometry catheter in the colon from the anus to the ascending colon. It is imperative, for proper manometric interpretation, to place the catheter without loops in the colon. However, most patients with long standing constipation have a very dilated and redundant sigmoid colon which makes proper placement of the catheter as well as the colonoscopy technically challenging.
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