EVALUATING EXPERIENCE WITH ANORECTAL MANOMETRY IN AN OUTPATIENT SETTING

Abstract

Purpose of the study: 1) Evaluating application of anorectal manometry in an outpatient setting. 2) Determination of reference manometric and point criteria for normal rectal sphincter indicators and Fecal Incontinence (FI) according to anorectal manometry data using a Peritron anal sensor. Materials and methods: The retrospective study was based on the results of anorectal manometry using Peritron equipment (Cardio Design Pty Ltd, Australia) on 1200 patients with various proctological diseases, who were examined and treated at the Center for Outpatient Proctology of the surgical department of Railway Clinical Hospital (Rostov-on-Don, Russia) from 2015 to 2020. All patients were divided into 4 groups in accordance with the clinical classification of Fecal Incontinence (FI) developed at the National Coloproctology Research Center and the obtained results. As a subjective assessment, the Cleveland Fecal Incontinence Scale (Wexner) was used, and objectively, the results of anorectal manometry using the Peritron sphinctometer. Results: Our manometric data enabled to develop a reliable indicator scale of normal sphincter function and various degrees of fecal incontinence according to the Peritron findings and allowed to recommend the device for a wider introduction into clinical practice, in particular in coloproctology, to perform anorectal manometry.