[The importance of ano-rectal manometry in irritable bowel syndrome].
Irritable Bowel Syndrome (IBS) represents a frequent cause for gastroenterological referral. 50% of all gastroenterological consultations are for functional gastrointestinal disorders (IBS included). Multiple motility abnormalities were described in IBS. The AIM of the study was to evaluate the role of ano-rectal manometry in the diagnosis of IBS.


METHODS
24 patients with IBS (mean age 50.8 +/- 15.4) and a control group of 10 subjects with no abdominal symptoms (mean age 48.1 +/- 12.3) had each an ano-rectal manometry examination.


RESULTS
After exclusion of constipation predominant IBS subjects, the IBS patients presented lower perception threshold (22.1 +/- 10.9 ml) than the control group (60.2 +/- 11.3 ml) (p < 0.05) and than the constipation predominant group (81.3 +/- 44.0) (p < 0.05). In 44% of constipation predominant IBS concomitant pathology, revealed by manometry, was present: megarectum or hemorrhoids (spasm).


CONCLUSIONS
Anorectal manometry could be a useful tool for the evaluation of IBS patients.
Drug
V L
VL
Facultatea de Medicină, Clinica II-a Medicală Gastroenterologie, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.
Brădăţan
B
B
Taraşi
I
I
Ciochină
A D
AD
Ionescu
D L
DL
Filip
F
F
Stanciu
C
C
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000503:physiopathology*; D003109:Colonic Diseases, Functional / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry / Q000295:instrumentation; D008875:Middle Aged; D011237:Predictive Value of Tests; D012007:Rectum / Q000503:physiopathology*; D012680:Sensitivity and Specificity