The London Classification: Improving Characterization and Classification of Anorectal Function with Anorectal Manometry.

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Abstrakt

Tytuł:: The London Classification: Improving Characterization and Classification of Anorectal Function with Anorectal Manometry.
Autorzy:: Scott SM; Neurogastroenterology Group and GI Physiology Unit, Centre for Neuroscience, Surgery & Trauma, Blizard Institute, Queen Mary University London, London, UK. .
Carrington EV; Neurogastroenterology Group and GI Physiology Unit, Centre for Neuroscience, Surgery & Trauma, Blizard Institute, Queen Mary University London, London, UK.; Surgical Professorial Unit, St Vincent's University Hospital, Dublin, Ireland.
Źródło:: Current gastroenterology reports [Curr Gastroenterol Rep] 2020 Sep 15; Vol. 22 (11), pp. 55. Date of Electronic Publication: 2020 Sep 15.
Typ publikacji:: Journal Article; Review
Język:: English
Imprint Name(s):: Original Publication: Philadelphia, PA : Current Science Inc., c1999-
MeSH Terms:: Manometry*/instrumentation
Anal Canal/*physiology
Anus Diseases/*classification
Anus Diseases/*physiopathology
Rectal Diseases/*classification
Rectal Diseases/*physiopathology
Humans ; Terminology as Topic
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Contributed Indexing:: Keywords: Anorectal manometry; Constipation; Evacuation disorder; Faecal incontinence; IAPWG protocol; London Classification
Entry Date(s):: Date Created: 20200916 Date Completed: 20210727 Latest Revision: 20240329
Update Code:: 20240329
PubMed Central ID:: PMC7497505
DOI:: 10.1007/s11894-020-00793-z
PMID:: 32935278
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Purpose of Review: Objective measurement of anorectal sensorimotor function is a requisite component in the clinical evaluation of patients with intractable symptoms of anorectal dysfunction. Regrettably, the utility of the most established and widely employed investigations for such measurement (anorectal manometry (ARM), rectal sensory testing and the balloon expulsion test) has been limited by wide variations in clinical practice.
Recent Findings: This article summarizes the recently published International Anorectal Physiology Working Group (IAPWG) consensus and London Classification of anorectal disorders, together with relevant allied literature, to provide guidance on the indications for, equipment, protocol, measurement definitions and results interpretation for ARM, rectal sensory testing and the balloon expulsion test. The London Classification is a standardized method and nomenclature for description of alterations in anorectal motor and sensory function using office-based investigations, adoption of which should bring much needed harmonization of practice.

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