Analyzing, and Interpreting HRAM and HDAM Recordings
1. Continue medications 2. Fasting is not necessary 3. Cleaning enema at least 30 min before the test 7.1.2 Patient Preparation Patients may continue with their routine medications but the…
GASTROENTEROLOGY
Manometry: Does It Improve the Pathophysiology Knowledge?
Function Investigation Clinical use (utility) Anus Motor Anorectal manometry (conventional) ++++ Anorectal manometry (high resolution) ++++ Anorectal manometry (3D) +++ Electromyography +++ Pudendal nerve terminal motor latency + Structure Endoanal…
Aspects and Equipment
HRAM and HDAM Non-HRM Number of sensors Closely spaced more sensors Fewer sensors at wider intervals Display Color contour and line plot Line plot Techniques Stationary examination Pull-through examination…
Anorectal Manometry and 3D High-Definition Anorectal Manometry in Pediatric Settings
Fig. 8.1 Normal RAIR. White and black arrows point rectal balloon insufflation and deflation, respectively. The balloon inflation induces an increase in the rectal pressure, shown in the figure as…
and Development of HRM: The Way It Works
Fig. 4.1 In the conventional manometry intraluminal pressures are recorded from widely spaced sensors (3- to 5-cm). (a) In this two-dimensional display pressure is on the y-axis, time is on…
Functional Anatomy and Pathophysiology
Fig. 2.1 Representative manometric tracing showing an increase in the number of high-amplitude propagated contractions, spanning the colon and preceding the anal sphincter opening that leads to defecation. Abbreviations: T…
Functional Anatomy
Fig. 1.1 Rectum and anal canal. From Zutshi [1] The submucosal layer of anal canal contains hemorrhoidal tissue that is arranged on the whole circumference (360°) of the anal wall…
Gastric Motility
Fig. 1.1 Gastric electrical activity recorded from electrodes on the serosa at various positions from the fundus to the antrum (A–D). Slow waves are generated in the pacemaker region along…
Management of Gastroparesis
Fig. 5.1 Injection of dye in order to create a submucosal bleb Fig. 5.2 Creation of a mucosotomy Fig. 5.3 Creation of a submucosal tunnel Fig. 5.4 Division of the…
Pyloroplasty
Fig. 7.1 Port setup for laparoscopic pyloroplasty The Heineke-Mikulicz technique is the most straightforward approach for pyloroplasty. Because the pylorus itself is not inflamed in patients with gastroparesis, there is…
