Recommendations for the Protocol of functional examination of the anorectal zone and disorders classification: the International Anorectal Physiology Working Group consensus and Russian real-world practice
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1. | Title | Title of document | Recommendations for the Protocol of functional examination of the anorectal zone and disorders classification: the International Anorectal Physiology Working Group consensus and Russian real-world practice |
2. | Creator | Author's name, affiliation, country | O. Yu. Fomenko; Ryzhikh National Medical Research Centre for Coloproctology; Russian Federation |
2. | Creator | Author's name, affiliation, country | S. V. Morozov; Federal Research Center of Nutrition and Biotechnology; Russian Federation |
2. | Creator | Author's name, affiliation, country | S. Mark Scott; Barts and the London School of Medicine and Dentistry, Queen Mary University of London; United Kingdom |
2. | Creator | Author's name, affiliation, country | H. Charles Knowles; Barts and the London School of Medicine and Dentistry, Queen Mary University of London; United Kingdom |
2. | Creator | Author's name, affiliation, country | D. A. Morozov; Sechenov First Moscow State Medical University (Sechenov University); Russian Federation |
2. | Creator | Author's name, affiliation, country | Yu. A. Shelygin; Ryzhikh National Medical Research Centre for Coloproctology; Russian Federation |
2. | Creator | Author's name, affiliation, country | I. V. Maev; Yevdokimov Moscow State University of Medicine and Dentistry; Russian Federation |
2. | Creator | Author's name, affiliation, country | D. B. Nikityuk; Federal Research Center of Nutrition and Biotechnology; Sechenov First Moscow State Medical University (Sechenov University); Russian Federation |
2. | Creator | Author's name, affiliation, country | A. S. Shkoda; Vorokhobov City Clinical Hospital №67; Russian Federation |
2. | Creator | Author's name, affiliation, country | V. N. Kashnikov; Ryzhikh National Medical Research Centre for Coloproctology; Russian Federation |
2. | Creator | Author's name, affiliation, country | D. S. Bordin; Yevdokimov Moscow State University of Medicine and Dentistry; Loginov Moscow Clinical Research Center; Tver State Medical University; Russian Federation |
2. | Creator | Author's name, affiliation, country | V. A. Isakov; Federal Research Center of Nutrition and Biotechnology; Russian Federation |
2. | Creator | Author's name, affiliation, country | O. M. Biryukov; Ryzhikh National Medical Research Centre for Coloproctology; Russian Federation |
2. | Creator | Author's name, affiliation, country | S. V. Belousova; Ryzhikh National Medical Research Centre for Coloproctology; Russian Federation |
2. | Creator | Author's name, affiliation, country | E. S. Pimenova; Sechenov First Moscow State Medical University (Sechenov University); Russian Federation |
2. | Creator | Author's name, affiliation, country | A. S. Rumiantsev; Vorokhobov City Clinical Hospital №67; Russian Federation |
2. | Creator | Author's name, affiliation, country | E. D. Fedorov; Pirogov Russian National Research Medical University; Russian Federation |
2. | Creator | Author's name, affiliation, country | M. Yu. Gvozdev; Yevdokimov Moscow State University of Medicine and Dentistry; Russian Federation |
2. | Creator | Author's name, affiliation, country | A. S. Trukhmanov; Sechenov First Moscow State Medical University (Sechenov University); Russian Federation |
2. | Creator | Author's name, affiliation, country | O. A. Storonova; Sechenov First Moscow State Medical University (Sechenov University); Russian Federation |
2. | Creator | Author's name, affiliation, country | L. H. Indeykina; Loginov Moscow Clinical Research Center; Research Institute of Health Care Organization and Medical Management |
2. | Creator | Author's name, affiliation, country | M. G. Biryukova; Federal Research Center of Nutrition and Biotechnology; Russian Federation |
2. | Creator | Author's name, affiliation, country | D. N. Andreev; Yevdokimov Moscow State University of Medicine and Dentistry; Russian Federation |
2. | Creator | Author's name, affiliation, country | Yu. A. Kucheryavyy; Yevdokimov Moscow State University of Medicine and Dentistry; Ilyinsky Hospital; Russian Federation |
2. | Creator | Author's name, affiliation, country | S. I. Achkasov; Ryzhikh National Medical Research Centre for Coloproctology; Russian Federation |
3. | Subject | Discipline(s) | |
3. | Subject | Keyword(s) | |
4. | Description | Abstract | This manuscript summarizes consensus reached by the International Anorectal Physiology Working Group (IAPWG) for the performance, terminology used, and interpretation of anorectal function testing including anorectal manometry (focused on high-resolution manometry), the rectal sensory test, and the balloon expulsion test. Based on these measurements, a classification system for disorders of anorectal function is proposed. Aim – to provide information about methods of diagnosis and new classification of functional anorectal disorders to a wide range of specialists – general practitioners, therapists, gastroenterologists, coloproctologists – all who face the manifestations of these diseases in everyday practice and determine the diagnostic and therapeutic algorithm. Current paper provides agreed statements of IAPWG Consensus and comments (in italics) of Russian experts on real-world practice, mainly on methodology of examination. These comments in no way intended to detract from the provisions agreed by the international group of experts. We hope that these comments will help to improve the quality of examination based on the systematization of local experience with the use of the methods discussed and the results obtained. Key recommendations: the International Anorectal Physiology Working Group protocol for the performance of anorectal function testing recommends a standardized sequence of maneuvers to test rectoanal reflexes, anal tone and contractility, rectoanal coordination, and rectal sensation. Major findings not seen in healthy controls defined by the classification are as follows: rectoanal areflexia, anal hypotension and hypocontractility, rectal hyposensitivity, and hypersensitivity. Minor and inconclusive findings that can be present in health and require additional information prior to diagnosis include anal hypertension and dyssynergia. |
5. | Publisher | Organizing agency, location | LLC Obyedinennaya Redaktsiya |
6. | Contributor | Sponsor(s) | anorectal manometry; high-resolution anorectal manometry; balloon expulsion test; push test; functional defecatory disorders; rectal sensatory test; consensus |
7. | Date | (DD-MM-YYYY) | 15.12.2020 |
8. | Type | Status & genre | Peer-reviewed Article |
8. | Type | Type | Research Article |
9. | Format | File format | |
10. | Identifier | Uniform Resource Identifier | https://ter-arkhiv.ru/0040-3660/article/view/60267 |
10. | Identifier | Digital Object Identifier (DOI) | 10.26442/00403660.2020.12.200472 |
11. | Source | Title; vol., no. (year) | Terapevticheskii arkhiv; Vol 92, No 12 (2020) |
12. | Language | English=en | ru |
13. | Relation | Supp. Files |
Figure: 1. The layout of the probe for the AWP. (115KB) Figure: 2. Scheme of the examination of the patient using functional methods for assessing the anorectal zone. Note. The given timelines differ from the original ones (the total duration of the survey in the original document is 12 minutes), since the sum of the time intervals required for the individual stages of the survey is greater than the one given by the authors of the international consensus. (175KB) Figure: 3. London classification, part 1 (violation of RAIR) and part 2 (violation of tone and contractility of the anus muscles). (412KB) Figure: 4. London classification, part 3 (rectal-anal coordination disorders) and part 4 (rectal sensation disorders). (583KB) |
14. | Coverage | Geo-spatial location, chronological period, research sample (gender, age, etc.) | |
15. | Rights | Copyright and permissions |
Copyright (c) 2020 Consilium Medicum![]() This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. |