Evaluating lleal Pouch Anal Anastomosis Function: Time to Expand Our ARM-amentarium.

ABSTRACT:

Background

Total proctocolectomy with ileal pouch anal anastomosis (IPAA) for medically refractory ulcerative colitis or dysplasia may be associated with structural and inflammatory complications. However, even in their absence, defecatory symptoms secondary to dyssynergic defecation or fecal incontinence may occur. Although anorectal manometry is well established as the diagnostic test of choice for defecatory symptoms, its utility in the assessment of patients with IPAA is less established. In this systematic review, we critically evaluate the existing evidence for anopouch manometry (APM).

Methods

A total of 393 studies were identified, of which 6 studies met all inclusion criteria. Studies were not pooled given different modalities of testing with varying outcome measure

SUBMITTER: Luo Y 

PROVIDER: S-EPMC11007395 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature