Can the balloon expulsion test be used to exclude the diagnosis of'"dyssynergic defecation"?

Sebastiano Bonventre, Angela Inviati, Domenico Schifano, Silvia Di Giovanni

Risultato della ricerca: Article

1 Citazione (Scopus)

Abstract

BACKGROUND: Fimctional constipation (FC) is a common disorder, particularly frequent m women. The aim of our study was to compare the results of balloon expulsion test with the manometry and defecography findings to exclude dyssynergic defecation (DD) in patients with chronic constipation. METHODS: From January 2005 to December 2011, 127 patients with the diagnosis of functional constipation were recruited retrospectively. They were divided into three groups: 24 with DD, 54 with descending perineum syndrome (PDS), 49 without DD/PDS. Diagnosis of DD was established by manometnc and defecographic fmdmgs according to Rome EH criteria. RESULTS: The balloon expulsion test was abnormal m 11 out of 24 patients with DD, 19 out of 54 with PDS and 13 of 49 without both. Hie specificity and negative predictive value of the test for excluding dyssynergic defecation were 73% and 77%, respectively. There was no statistically significant association between the balloon expulsion test and findings in defecografy (P=0.31). There was a relevant association between mean resting pressure (MRP) and balloon expulsion test (P=0.002) on anorectal manometry. CONCLUSIONS: The balloon expulsion test is a simple and useful screening procedure to identify constipated patients who do not have DD. However, the balloon expulsion test cannot be used alone as a golden standard for the diagnosis of "dyssynergic defecation" and should be integrated with other anorectal tests mamly with anorectal manometry and secondly defecography. (Cite this article as: Inviati A, Scerrino G, Sckifano D, Di Giovanni S, Lo Greco V, Bonventre S. Can the balloon expulsion test be used to exclude the diagnosis of "dyssynergic defecation'? Gazz Med Ital - Arch Sci Med 2016;175:59-67).
Lingua originaleEnglish
pagine (da-a)59-67
Numero di pagine9
RivistaDefault journal
Volume175
Stato di pubblicazionePublished - 2016

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Defecation
Manometry
Constipation
Defecography
Predictive Value of Tests
Perineum
Pressure

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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Can the balloon expulsion test be used to exclude the diagnosis of'"dyssynergic defecation"? / Bonventre, Sebastiano; Inviati, Angela; Schifano, Domenico; Di Giovanni, Silvia.

In: Default journal, Vol. 175, 2016, pag. 59-67.

Risultato della ricerca: Article

Bonventre, Sebastiano ; Inviati, Angela ; Schifano, Domenico ; Di Giovanni, Silvia. / Can the balloon expulsion test be used to exclude the diagnosis of'"dyssynergic defecation"?. In: Default journal. 2016 ; Vol. 175. pagg. 59-67.
@article{17c882cec8ec4ee3b47b1a3ebe10779f,
title = "Can the balloon expulsion test be used to exclude the diagnosis of'{"}dyssynergic defecation{"}?",
abstract = "BACKGROUND: Fimctional constipation (FC) is a common disorder, particularly frequent m women. The aim of our study was to compare the results of balloon expulsion test with the manometry and defecography findings to exclude dyssynergic defecation (DD) in patients with chronic constipation. METHODS: From January 2005 to December 2011, 127 patients with the diagnosis of functional constipation were recruited retrospectively. They were divided into three groups: 24 with DD, 54 with descending perineum syndrome (PDS), 49 without DD/PDS. Diagnosis of DD was established by manometnc and defecographic fmdmgs according to Rome EH criteria. RESULTS: The balloon expulsion test was abnormal m 11 out of 24 patients with DD, 19 out of 54 with PDS and 13 of 49 without both. Hie specificity and negative predictive value of the test for excluding dyssynergic defecation were 73{\%} and 77{\%}, respectively. There was no statistically significant association between the balloon expulsion test and findings in defecografy (P=0.31). There was a relevant association between mean resting pressure (MRP) and balloon expulsion test (P=0.002) on anorectal manometry. CONCLUSIONS: The balloon expulsion test is a simple and useful screening procedure to identify constipated patients who do not have DD. However, the balloon expulsion test cannot be used alone as a golden standard for the diagnosis of {"}dyssynergic defecation{"} and should be integrated with other anorectal tests mamly with anorectal manometry and secondly defecography. (Cite this article as: Inviati A, Scerrino G, Sckifano D, Di Giovanni S, Lo Greco V, Bonventre S. Can the balloon expulsion test be used to exclude the diagnosis of {"}dyssynergic defecation'? Gazz Med Ital - Arch Sci Med 2016;175:59-67).",
author = "Sebastiano Bonventre and Angela Inviati and Domenico Schifano and {Di Giovanni}, Silvia",
year = "2016",
language = "English",
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T1 - Can the balloon expulsion test be used to exclude the diagnosis of'"dyssynergic defecation"?

AU - Bonventre, Sebastiano

AU - Inviati, Angela

AU - Schifano, Domenico

AU - Di Giovanni, Silvia

PY - 2016

Y1 - 2016

N2 - BACKGROUND: Fimctional constipation (FC) is a common disorder, particularly frequent m women. The aim of our study was to compare the results of balloon expulsion test with the manometry and defecography findings to exclude dyssynergic defecation (DD) in patients with chronic constipation. METHODS: From January 2005 to December 2011, 127 patients with the diagnosis of functional constipation were recruited retrospectively. They were divided into three groups: 24 with DD, 54 with descending perineum syndrome (PDS), 49 without DD/PDS. Diagnosis of DD was established by manometnc and defecographic fmdmgs according to Rome EH criteria. RESULTS: The balloon expulsion test was abnormal m 11 out of 24 patients with DD, 19 out of 54 with PDS and 13 of 49 without both. Hie specificity and negative predictive value of the test for excluding dyssynergic defecation were 73% and 77%, respectively. There was no statistically significant association between the balloon expulsion test and findings in defecografy (P=0.31). There was a relevant association between mean resting pressure (MRP) and balloon expulsion test (P=0.002) on anorectal manometry. CONCLUSIONS: The balloon expulsion test is a simple and useful screening procedure to identify constipated patients who do not have DD. However, the balloon expulsion test cannot be used alone as a golden standard for the diagnosis of "dyssynergic defecation" and should be integrated with other anorectal tests mamly with anorectal manometry and secondly defecography. (Cite this article as: Inviati A, Scerrino G, Sckifano D, Di Giovanni S, Lo Greco V, Bonventre S. Can the balloon expulsion test be used to exclude the diagnosis of "dyssynergic defecation'? Gazz Med Ital - Arch Sci Med 2016;175:59-67).

AB - BACKGROUND: Fimctional constipation (FC) is a common disorder, particularly frequent m women. The aim of our study was to compare the results of balloon expulsion test with the manometry and defecography findings to exclude dyssynergic defecation (DD) in patients with chronic constipation. METHODS: From January 2005 to December 2011, 127 patients with the diagnosis of functional constipation were recruited retrospectively. They were divided into three groups: 24 with DD, 54 with descending perineum syndrome (PDS), 49 without DD/PDS. Diagnosis of DD was established by manometnc and defecographic fmdmgs according to Rome EH criteria. RESULTS: The balloon expulsion test was abnormal m 11 out of 24 patients with DD, 19 out of 54 with PDS and 13 of 49 without both. Hie specificity and negative predictive value of the test for excluding dyssynergic defecation were 73% and 77%, respectively. There was no statistically significant association between the balloon expulsion test and findings in defecografy (P=0.31). There was a relevant association between mean resting pressure (MRP) and balloon expulsion test (P=0.002) on anorectal manometry. CONCLUSIONS: The balloon expulsion test is a simple and useful screening procedure to identify constipated patients who do not have DD. However, the balloon expulsion test cannot be used alone as a golden standard for the diagnosis of "dyssynergic defecation" and should be integrated with other anorectal tests mamly with anorectal manometry and secondly defecography. (Cite this article as: Inviati A, Scerrino G, Sckifano D, Di Giovanni S, Lo Greco V, Bonventre S. Can the balloon expulsion test be used to exclude the diagnosis of "dyssynergic defecation'? Gazz Med Ital - Arch Sci Med 2016;175:59-67).

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