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03-01-2024 | Constipation | Original Article

Digital Rectal Exams Are Infrequently Performed Prior to Anorectal Manometry

Authors: Joseph A. Menand, Robinderpal Sandhu, Yonatan Israel, Emma Reford, Ahmun Zafar, Priyanka Singh, Kimberly Cavaliere, Jean Saleh, Michael S. Smith, Daniela Jodorkovsky, Yuying Luo

Published in: Digestive Diseases and Sciences | Issue 3/2024

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Abstract

Background

Digital rectal examination should be performed prior to anorectal manometry; however, real-world data is lacking.

Aims

Characterize real world rates of digital rectal and their sensitivity for detecting dyssynergia compared to anorectal manometry and balloon expulsion test.

Methods

A retrospective single-center study was conducted to examine all patients who underwent anorectal manometry for chronic constipation between 2021 and 2022 at one tertiary center with motility expertise. Primary outcomes consisted of the rate of digital rectal exam prior to anorectal manometry; and secondary outcomes included the sensitivity of digital rectal exam for dyssynergic defecation.

Results

Only 42.3% of 142 patients had digital rectal examinations prior to anorectal manometry. Overall sensitivity for detecting dyssynergic defecation was 46.4%, but significantly higher for gastroenterology providers (p = .004), and highest for gastroenterology attendings (82.6%).

Conclusions

Digital rectal examination is infrequently performed when indicated for chronic constipation. Sensitivity for detecting dyssynergic defecation may be impacted by discipline and level of training.
Literature
17.
Metadata
Title
Digital Rectal Exams Are Infrequently Performed Prior to Anorectal Manometry
Authors
Joseph A. Menand
Robinderpal Sandhu
Yonatan Israel
Emma Reford
Ahmun Zafar
Priyanka Singh
Kimberly Cavaliere
Jean Saleh
Michael S. Smith
Daniela Jodorkovsky
Yuying Luo
Publication date
03-01-2024
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 3/2024
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-023-08243-2

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