Pehl C, Enck P, Franke A, Frieling T, Heitland W, Herold A, Hinninghofen H, Karaus M, Keller J, Krammer H-J, Kreis M, Kuhlbusch-Zicklam R, Mönnikes H, Münnich U, Schiedeck T, Schmidtmann M
Medizinische Klinik, Kreiskrankenhaus Vilsbiburg.
Z Gastroenterol. 2007 May;45(5):397-417. doi: 10.1055/s-2007-963099.
This document contains the guidelines of the German Societies of Neurogastroenterology and Motility, Gastroenterology (committee for proctology), Abdominal Surgery (coloproctology working group), and Coloproctology for anorectal manometry in adults. Recommendations are given about technical notes, study preparation (equipment; patient), technique for performing manometry and data analysis, reproducibility, and indications. Minimum standards for anorectal manometry are measurement of resting and squeeze pressure, testing of rectoanal inhibitory reflex, determination of rectal sensation (first perception and urge), and calculation of rectal compliance. Anorectal manometry is indicated in patients with fecal incontinence and constipation in the context of a structured programme.
本文档包含德国神经胃肠病学与动力学会、胃肠病学(直肠病学委员会)、腹部外科学会(结肠直肠外科学工作组)以及结肠直肠外科学会关于成人肛门直肠测压的指南。针对技术要点、研究准备(设备;患者)、测压操作技术及数据分析、可重复性和适应症给出了建议。肛门直肠测压的最低标准包括静息压和挤压压测量、直肠肛管抑制反射测试、直肠感觉测定(首次感知和便意)以及直肠顺应性计算。在有组织的项目背景下,肛门直肠测压适用于大便失禁和便秘患者。