Endoanal ultrasound compared to anorectal manometry for the evaluation of fecal incontinence: A study of the effect these tests have on clinical outcome

Keri Hill, Shane Fanning, M (Brian) Fennerty, Douglas O. Faigel

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Tests for evaluating incontinence include endoanal ultrasound (EUS) and anorectal manometry. We hypothesized that EUS would be superior to anorectal manometry in identifying the subset of patients with surgically correctable sphincter defects leading to an improvement in clinical outcome in these patients. The purpose of this study was to compare these 2 techniques to determine which is more predictive of outcome for fecal incontinence. Thirty-five unselected patients with fecal incontinence were prospectively studied with EUS and anorectal manometry to evaluate the internal anal sphincter (IAS) and external anal sphincter (EAS). EUS was performed with Olympus GFUM20 echoendoscope and a hypoechoic defect in the EAS or IAS was considered a positive test. Anorectal manometry was performed with a standard water-perfused catheter system. A peak voluntary squeeze pressure of

Original languageEnglish (US)
Pages (from-to)235-240
Number of pages6
JournalDigestive Diseases and Sciences
Volume51
Issue number2
DOIs
Publication statusPublished - Feb 2006

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Keywords

  • Anorectal manometry
  • Endoscopic ultrasound
  • Fecal incontinence
  • Sphincteroplasty

ASJC Scopus subject areas

  • Gastroenterology

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