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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...

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In Vitro Characterization of the Electrophysiological Properties of Colonic Afferent Fibers in Rats
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Neurophysiological testing in anorectal disorders.

Jose M Remes-Troche1, Satish S C Rao

  • 1Department, Medical-Biological Research Institute, University of Veracruz, Veracruz, Mexico. joremes@uv.mx

Expert Review of Gastroenterology & Hepatology
|December 17, 2008
PubMed
Summary
This summary is machine-generated.

Neurophysiological tests assess anorectal function, aiding diagnosis of fecal incontinence and pelvic floor disorders. These evaluations offer crucial insights for improved patient management and understanding of brain-gut interactions.

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Area of Science:

  • Gastroenterology
  • Neurology
  • Pelvic Floor Medicine

Background:

  • Anorectal dysfunction, including fecal incontinence, pelvic floor disorders, and dyssynergic defecation, presents significant clinical challenges.
  • Understanding the neurophysiological underpinnings is crucial for effective diagnosis and management.

Purpose of the Study:

  • To review the indications and clinical utility of commonly performed neurophysiological tests for anorectal function.
  • To highlight how these tests provide insights into pathophysiological mechanisms.
  • To discuss the complementary role of neurophysiological testing with other diagnostic modalities.

Main Methods:

  • Review of established neurophysiological tests for anorectal function.
  • Discussion of patient selection criteria, typically for tertiary care referrals with refractory symptoms.
  • Integration of findings with complementary investigations like pelvic floor imaging.

Main Results:

  • Neurophysiological tests evaluate neuronal innervation and neuromuscular function, crucial for diagnosing anorectal disorders.
  • These evaluations offer new understanding of underlying mechanisms, guiding therapeutic strategies.
  • Tests are valuable for patients unresponsive to conventional treatments or with unclear diagnoses.

Conclusions:

  • Judicious application of neurophysiological tests enhances the understanding and management of anorectal functional disorders.
  • Evolving techniques promise further insights into brain-gut interactions relevant to these conditions.