지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.6
- 발행연도
- 2018.6
- 수록면
- 330 - 336 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: The aim was to evaluate the discriminating accuracy of anorectal manometry (ARM) between nonconstipated (NC) subjects and functionally constipated (FC) subjects, and between FC subjects with and without functional defecation disorder (FDD).
Methods: Among female patients who visited anorectal physiology unit, those who could be grouped to following categories were included; FC group with FDD (+FDD subgroup), or without FDD (–FDD subgroup) and NC group. ARM was performed and interpreted not only with absolute pressure values, but also pattern classification and quantification of pressure changes in the rectum and anus during attempted defecation.
Results: There were 76 subjects in NC group and 75 in FC group. Among FC group, 63 subjects were in –FDD subgroup and 12 in +FDD subgroup. In pattern classification of pressure changes, type 0, as ‘normal’ response, was only slightly more prevalent in NC group than in FC group. When all ‘abnormal’ types (types 1–5) were considered together as positive findings, the sensitivity and specificity of pattern classification in diagnosing FC among all subjects were 89.3% and 22.7%. Those values in diagnosing FDD among FC group were 91.7% and 11.1%. Manometric defecation index (MDI) as a quantification parameter was significantly different between –FDD and +FDD subgroups. Other conventional absolute pressures were mostly comparable between the groups.
Conclusion: Among all parameters of ARM, MDI was useful to diagnose FDD in FC patients. Other parameters including the pattern classification were questionable in their ability to diagnose FDD.
Methods: Among female patients who visited anorectal physiology unit, those who could be grouped to following categories were included; FC group with FDD (+FDD subgroup), or without FDD (–FDD subgroup) and NC group. ARM was performed and interpreted not only with absolute pressure values, but also pattern classification and quantification of pressure changes in the rectum and anus during attempted defecation.
Results: There were 76 subjects in NC group and 75 in FC group. Among FC group, 63 subjects were in –FDD subgroup and 12 in +FDD subgroup. In pattern classification of pressure changes, type 0, as ‘normal’ response, was only slightly more prevalent in NC group than in FC group. When all ‘abnormal’ types (types 1–5) were considered together as positive findings, the sensitivity and specificity of pattern classification in diagnosing FC among all subjects were 89.3% and 22.7%. Those values in diagnosing FDD among FC group were 91.7% and 11.1%. Manometric defecation index (MDI) as a quantification parameter was significantly different between –FDD and +FDD subgroups. Other conventional absolute pressures were mostly comparable between the groups.
Conclusion: Among all parameters of ARM, MDI was useful to diagnose FDD in FC patients. Other parameters including the pattern classification were questionable in their ability to diagnose FDD.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
[인터넷자원] - Rome Foundation / 2015 / Rome III disorders and criteria [Internet]
[단행본] - Dixon T / 2011 / Pelvic floor disorders / Oxford University Press Inc : 57 ~
[학술지(정기간행물)] - Irvine EJ / 2002 / Health-related quality of life in functional GI disorders: focus on constipation and resource utilization / Am J Gastroenterol 97 : 1986 ~ 1993
[학술지(정기간행물)] - Heymen S / 2007 / Randomized, controlled trial shows biofeedback to be superior to alternative treatments for patients with pelvic floor dyssynergiatype constipation / Dis Colon Rectum 50 : 428 ~ 441
[학술지(정기간행물)] - Chiarioni G / 2006 / Biofeedback is superior to laxatives for normal transit constipation due to pelvic floor dyssynergia / Gastroenterology 130 : 657 ~ 664
[단행본] - Dixon T / 2011 / Pelvic floor disorders / Oxford University Press Inc : 57 ~
[학술지(정기간행물)] - Irvine EJ / 2002 / Health-related quality of life in functional GI disorders: focus on constipation and resource utilization / Am J Gastroenterol 97 : 1986 ~ 1993
[학술지(정기간행물)] - Heymen S / 2007 / Randomized, controlled trial shows biofeedback to be superior to alternative treatments for patients with pelvic floor dyssynergiatype constipation / Dis Colon Rectum 50 : 428 ~ 441
[학술지(정기간행물)] - Chiarioni G / 2006 / Biofeedback is superior to laxatives for normal transit constipation due to pelvic floor dyssynergia / Gastroenterology 130 : 657 ~ 664
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