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Three-dimensional high-resolution anorectal manometry: A comparative pilot study with X-ray defaecography

Three-dimensional high-resolution anorectal manometry (3DHRAM) is a new technique that can explore anorectal disorders and provide interesting topographic data for the diagnosis of pelvic floor disorders such as paradoxical puborectalis syndrome (PPS). Our object was to evaluate whether 3DHRAM can r...

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Autores principales: Liu, Qihong, Fang, Wenyi, Zhao, Peilin, He, Yanqin, Gao, HaiHua, Ke, Xiao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771284/
https://www.ncbi.nlm.nih.gov/pubmed/36550796
http://dx.doi.org/10.1097/MD.0000000000031682
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author Liu, Qihong
Fang, Wenyi
Zhao, Peilin
He, Yanqin
Gao, HaiHua
Ke, Xiao
author_facet Liu, Qihong
Fang, Wenyi
Zhao, Peilin
He, Yanqin
Gao, HaiHua
Ke, Xiao
author_sort Liu, Qihong
collection PubMed
description Three-dimensional high-resolution anorectal manometry (3DHRAM) is a new technique that can explore anorectal disorders and provide interesting topographic data for the diagnosis of pelvic floor disorders such as paradoxical puborectalis syndrome (PPS). Our object was to evaluate whether 3DHRAM can reliably diagnose PPS already diagnosed with X-ray defaecography, which is considered to be the gold standard. All patients being tested in our department for dyschezia by 3D-HRAM and X-ray defecography were eligible for the study. The 3DHRAM results were compared with X-ray defecography. The sensitivity, specificity, and positive and negative predictive values were calculated for various 3DHRAM criteria to propose a diagnostic strategy for PPS. Twenty-three patients presented with PPS on X-ray defaecography. On 3DHRAM, according to our diagnostic strategy, the kappa value was 0.706, with a positive predictive value of 71.88% [95% CI, 53.02–85.60], a specificity of 80.43% [95% CI, 65.62–90.13], a sensibility of 95.83% [95% CI, 76.98–99.78], and area under curve value was 0.922. In this study, 3DHRAM was used to diagnose PPS with the same degree of reliability as X-ray defaecography, and we confirmed its use in the diagnosis of pelvic floor disorders. Further studies will be necessary to define classifications for these new anatomic data from 3DHRAM.
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spelling pubmed-97712842022-12-22 Three-dimensional high-resolution anorectal manometry: A comparative pilot study with X-ray defaecography Liu, Qihong Fang, Wenyi Zhao, Peilin He, Yanqin Gao, HaiHua Ke, Xiao Medicine (Baltimore) 4100 Three-dimensional high-resolution anorectal manometry (3DHRAM) is a new technique that can explore anorectal disorders and provide interesting topographic data for the diagnosis of pelvic floor disorders such as paradoxical puborectalis syndrome (PPS). Our object was to evaluate whether 3DHRAM can reliably diagnose PPS already diagnosed with X-ray defaecography, which is considered to be the gold standard. All patients being tested in our department for dyschezia by 3D-HRAM and X-ray defecography were eligible for the study. The 3DHRAM results were compared with X-ray defecography. The sensitivity, specificity, and positive and negative predictive values were calculated for various 3DHRAM criteria to propose a diagnostic strategy for PPS. Twenty-three patients presented with PPS on X-ray defaecography. On 3DHRAM, according to our diagnostic strategy, the kappa value was 0.706, with a positive predictive value of 71.88% [95% CI, 53.02–85.60], a specificity of 80.43% [95% CI, 65.62–90.13], a sensibility of 95.83% [95% CI, 76.98–99.78], and area under curve value was 0.922. In this study, 3DHRAM was used to diagnose PPS with the same degree of reliability as X-ray defaecography, and we confirmed its use in the diagnosis of pelvic floor disorders. Further studies will be necessary to define classifications for these new anatomic data from 3DHRAM. Lippincott Williams & Wilkins 2022-12-16 /pmc/articles/PMC9771284/ /pubmed/36550796 http://dx.doi.org/10.1097/MD.0000000000031682 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 4100
Liu, Qihong
Fang, Wenyi
Zhao, Peilin
He, Yanqin
Gao, HaiHua
Ke, Xiao
Three-dimensional high-resolution anorectal manometry: A comparative pilot study with X-ray defaecography
title Three-dimensional high-resolution anorectal manometry: A comparative pilot study with X-ray defaecography
title_full Three-dimensional high-resolution anorectal manometry: A comparative pilot study with X-ray defaecography
title_fullStr Three-dimensional high-resolution anorectal manometry: A comparative pilot study with X-ray defaecography
title_full_unstemmed Three-dimensional high-resolution anorectal manometry: A comparative pilot study with X-ray defaecography
title_short Three-dimensional high-resolution anorectal manometry: A comparative pilot study with X-ray defaecography
title_sort three-dimensional high-resolution anorectal manometry: a comparative pilot study with x-ray defaecography
topic 4100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9771284/
https://www.ncbi.nlm.nih.gov/pubmed/36550796
http://dx.doi.org/10.1097/MD.0000000000031682
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