Introduction of high-resolution anorectal manometry in Cuba. First outcomes
Introduction: High-resolution anorectal manometry has allowed a better understanding of the pathophysiology of motor and sensory damage in patients with pelvic floor dysfunction. Objective: To offer the outcomes of the introduction of the technique applied in a first group of patients in Cuba, as w...
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| Format: | Article |
| Language: | English |
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Universidad de Ciencias Médicas de La Habana
2021-09-01
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| Series: | Revista Habanera de Ciencias Médicas |
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| Online Access: | http://www.revhabanera.sld.cu/index.php/rhab/article/view/3857 |
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| author | Vivianne Anido Escobar Zunilda Díaz Drake Tatiana Amable Díaz Mildred Armenteros Torres Maydolis Labrada Sosa Jorge A, Ávila Anido |
| author_facet | Vivianne Anido Escobar Zunilda Díaz Drake Tatiana Amable Díaz Mildred Armenteros Torres Maydolis Labrada Sosa Jorge A, Ávila Anido |
| author_sort | Vivianne Anido Escobar |
| collection | DOAJ |
| description | Introduction: High-resolution anorectal manometry has allowed a better understanding of the pathophysiology of motor and sensory damage in patients with pelvic floor dysfunction.
Objective: To offer the outcomes of the introduction of the technique applied in a first group of patients in Cuba, as well as its characterization, the values obtained for the study parameters and the most frequent diagnoses.
Material and Methods: The high-resolution anorectal manometry records, which were performed at the CNCMA Motility Laboratory between September 2017 and June 2019, were reviewed. The record of the patients´ general data and specific discharge parameters were analyzed. The London Classification was applied for the diagnosis of the resulting type of anorectal dysfunction.
Results: A total of 159 patients were studied. There was a predominance of females over 60 years of age. The most common indication for the test was fecal incontinence, followed by constipation. Obstetric history or history of surgical intervention were frequent in women. Type III dyssynergia was the most frequent type of dyssynergic defection. The most frequent diagnoses of anorectal dysfunction were disorders of anal tone and contractility.
Conclusions: The introduction of the technique was successful. It allowed the identification of the damaged structures, which led to a faster and more timely therapeutic decision-making for the patient. The London Classification was used in the diagnosis of dysfunction. |
| first_indexed | 2024-04-11T15:03:10Z |
| format | Article |
| id | doaj.art-bd2c41b80c6947d2b250958cba278c98 |
| institution | Directory Open Access Journal |
| issn | 1729-519X |
| language | English |
| last_indexed | 2024-04-11T15:03:10Z |
| publishDate | 2021-09-01 |
| publisher | Universidad de Ciencias Médicas de La Habana |
| record_format | Article |
| series | Revista Habanera de Ciencias Médicas |
| spelling | doaj.art-bd2c41b80c6947d2b250958cba278c982022-12-22T04:16:54ZengUniversidad de Ciencias Médicas de La HabanaRevista Habanera de Ciencias Médicas1729-519X2021-09-01205e3857e38571835Introduction of high-resolution anorectal manometry in Cuba. First outcomesVivianne Anido Escobar0Zunilda Díaz Drake1Tatiana Amable Díaz2Mildred Armenteros Torres3Maydolis Labrada Sosa4Jorge A, Ávila Anido5Centro Nacional de Cirugía de Mínimo Acceso. Universidad de Ciencias Médicas de La Habana. La Habana-Centro Nacional de Cirugía de Mínimo Acceso. Universidad de Ciencias Médicas de La Habana. La Habana.Hospital Militar Central "Dr. Carlos J. Finlay". La Habana.Centro Nacional de Cirugía de Mínimo Acceso. Universidad de Ciencias Médicas de La Habana. La Habana.Universidad de Ciencias Médicas de La Habana. Hospital Clínico Quirúrgico Docente "Hermanos Ameijeiras". La Habana.Universidad de Ciencias Médicas de La Habana. La Habana.Introduction: High-resolution anorectal manometry has allowed a better understanding of the pathophysiology of motor and sensory damage in patients with pelvic floor dysfunction. Objective: To offer the outcomes of the introduction of the technique applied in a first group of patients in Cuba, as well as its characterization, the values obtained for the study parameters and the most frequent diagnoses. Material and Methods: The high-resolution anorectal manometry records, which were performed at the CNCMA Motility Laboratory between September 2017 and June 2019, were reviewed. The record of the patients´ general data and specific discharge parameters were analyzed. The London Classification was applied for the diagnosis of the resulting type of anorectal dysfunction. Results: A total of 159 patients were studied. There was a predominance of females over 60 years of age. The most common indication for the test was fecal incontinence, followed by constipation. Obstetric history or history of surgical intervention were frequent in women. Type III dyssynergia was the most frequent type of dyssynergic defection. The most frequent diagnoses of anorectal dysfunction were disorders of anal tone and contractility. Conclusions: The introduction of the technique was successful. It allowed the identification of the damaged structures, which led to a faster and more timely therapeutic decision-making for the patient. The London Classification was used in the diagnosis of dysfunction.http://www.revhabanera.sld.cu/index.php/rhab/article/view/3857manometría anorrectal de alta resolución, incontinencia fecal, estreñimiento, pediatría, clasificación de londres. |
| spellingShingle | Vivianne Anido Escobar Zunilda Díaz Drake Tatiana Amable Díaz Mildred Armenteros Torres Maydolis Labrada Sosa Jorge A, Ávila Anido Introduction of high-resolution anorectal manometry in Cuba. First outcomes Revista Habanera de Ciencias Médicas manometría anorrectal de alta resolución, incontinencia fecal, estreñimiento, pediatría, clasificación de londres. |
| title | Introduction of high-resolution anorectal manometry in Cuba. First outcomes |
| title_full | Introduction of high-resolution anorectal manometry in Cuba. First outcomes |
| title_fullStr | Introduction of high-resolution anorectal manometry in Cuba. First outcomes |
| title_full_unstemmed | Introduction of high-resolution anorectal manometry in Cuba. First outcomes |
| title_short | Introduction of high-resolution anorectal manometry in Cuba. First outcomes |
| title_sort | introduction of high resolution anorectal manometry in cuba first outcomes |
| topic | manometría anorrectal de alta resolución, incontinencia fecal, estreñimiento, pediatría, clasificación de londres. |
| url | http://www.revhabanera.sld.cu/index.php/rhab/article/view/3857 |
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