The importance of ano-rectal manometry in irritable bowel syndrome

• Published in: Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi Vol. 104; no. 3; p. 43
• Main Authors: Drug, V L, Brădăţan, B, Taraşi, I, Ciochină, A D, Ionescu, D L, Filip, F, Stanciu, C
• Format: Journal Article
• Language: Romanian, Moldovan
• Published: Romania 01-07-2000
• Subjects: Adult; Aged; Anal Canal - physiopathology; Colonic Diseases, Functional - diagnosis; Colonic Diseases, Functional - physiopathology; Female; Humans; Male; Manometry - instrumentation; Middle Aged; Predictive Value of Tests; Rectum - physiopathology; Sensitivity and Specificity
• ISSN: 0048-7848

Irritable Bowel Syndrome (IBS) represents a frequent cause for gastroenterological referral. 50% of all gastroenterological consultations are for functional gastrointestinal disorders (IBS included). Multiple motility abnormalities were described in IBS. The AIM of the study was to evaluate the role of ano-rectal manometry in the diagnosis of IBS.
24 patients with IBS (mean age 50.8 +/- 15.4) and a control group of 10 subjects with no abdominal symptoms (mean age 48.1 +/- 12.3) had each an ano-rectal manometry examination.
After exclusion of constipation predominant IBS subjects, the IBS patients presented lower perception threshold (22.1 +/- 10.9 ml) than the control group (60.2 +/- 11.3 ml) (p < 0.05) and than the constipation predominant group (81.3 +/- 44.0) (p < 0.05). In 44% of constipation predominant IBS concomitant pathology, revealed by manometry, was present: megarectum or hemorrhoids (spasm).
Anorectal manometry could be a useful tool for the evaluation of IBS patients.