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Ghislain Devroede - One of the best experts on this subject based on the ideXlab platform.

  • Anismus: a marker of multi-site functional disorders?
    International journal of colorectal disease, 2004
    Co-Authors: Michel Bouchoucha, Ghislain Devroede, Michel Arsac
    Abstract:

    Purpose This study was undertaken to assess the clinical significance of Anismus in patients who complain of constipation.

  • Does water-perfused catheter overdiagnose Anismus compared to balloon probe?
    Scandinavian journal of gastroenterology, 2002
    Co-Authors: G. Savoye, A M Leroi, Ghislain Devroede, P. Bertot-sassigneux, J. Y. Touchais, Philippe Denis
    Abstract:

    Increased EMG activity in the external anal sphincter in the midst of the rectoanal inhibitory ree ex (P < 0.001) and during straining for defecation (P < 0.001) was more frequently observed with the perfused system than with the balloon probe. There was a discrepancy between the EMG activity of the external anal sphincter and the anal pressures during straining recorded with the perfused system. Duration of the ree ex elicited by rectal distension with 10 and 20 ml of air was signiecantly greater with the rectosphincteric balloon than with the perfused catheter (P = 0.02 and P = 0.05, respectively). Conclusion: Water instilled in the anal canal by the perfused system induces artifacts in EMG recording and active anal contractions. These artifacts and induced contractions could lead to an erroneous diagnosis of Anismus, particularly if pelvic eoor EMG is only taken into account for the diagnosis of Anismus.

  • Anismus as a marker of sexual abuse consequences of abuse on anorectal motility
    Digestive Diseases and Sciences, 1995
    Co-Authors: A M Leroi, Isabelle Berkelmans, Philippe Denis, Monique Hemond, Ghislain Devroede
    Abstract:

    Anorectal manometry was performed in 40 women, who consulted for functional disorders of the lower gastrointestinal tract and had been sexually abused. Anismus, defined as a rise in anal pressure during straining, was observed in 39 of 40 abused women, but in only six of 20 healthy control women (P<0.0001). Other parameters of anorectal manometry were compared with those observed in another control group composed of 31 nonabused women but with Anismus, as well as the group of healthy controls. A decreased amplitude of anal voluntary contraction and an increased threshold volume in perception of rectal distension were observed in both abused and nonabused patients. A decreased amplitude of rectoanal inhibitory reflex, little rise in rectal pressure upon straining, frequent absence of initial contraction during rectal distension, and increased resting pressure at the lower part of the anal canal were observed in abused but not in nonabused patients, suggesting that these abnormalities, in association with Anismus, suggest a pattern of motor activity in the anal canal that could be indicative of sexual abuse.

  • Anismus as a marker of sexual abuse
    Digestive Diseases and Sciences, 1995
    Co-Authors: A M Leroi, Isabelle Berkelmans, Philippe Denis, Monique Hemond, Ghislain Devroede
    Abstract:

    Anorectal manometry was performed in 40 women, who consulted for functional disorders of the lower gastrointestinal tract and had been sexually abused. Anismus, defined as a rise in anal pressure during straining, was observed in 39 of 40 abused women, but in only six of 20 healthy control women ( P

  • Anismus as a marker of sexual abuse. Consequences of abuse on anorectal motility.
    Digestive diseases and sciences, 1995
    Co-Authors: Isabelle Berkelmans, Philippe Denis, Monique Hemond, Ghislain Devroede
    Abstract:

    Anorectal manometry was performed in 40 women, who consulted for functional disorders of the lower gastrointestinal tract and had been sexually abused. Anismus, defined as a rise in anal pressure during straining, was observed in 39 of 40 abused women, but in only six of 20 healthy control women (P

Xian-dong Zeng - One of the best experts on this subject based on the ideXlab platform.

  • Botulinum toxin type-A injection to treat patients with intractable Anismus unresponsive to simple biofeedback training
    World journal of gastroenterology, 2014
    Co-Authors: Yong Zhang, Zhenning Wang, Ge Gao, Qing Zhai, Zhi-tao Yin, Xian-dong Zeng
    Abstract:

    To evaluate the efficacy of botulinum toxin type A injection to the puborectalis and external sphincter muscle in the treatment of patients with Anismus unresponsive to simple biofeedback training. This retrospective study included 31 patients suffering from Anismus who were unresponsive to simple biofeedback training. Diagnosis was made by anorectal manometry, balloon expulsion test, surface electromyography of the pelvic floor muscle, and defecography. Patients were given botulinum toxin type A (BTX-A) injection and pelvic floor biofeedback training. Follow-up was conducted before the paper was written. Improvement was evaluated using the chronic constipation scoring system. BTX-A injection combined with pelvic floor biofeedback training achieved success in 24 patients, with 23 maintaining persistent satisfaction during a mean period of 8.4 mo. BTX-A injection combined with pelvic floor biofeedback training seems to be successful for intractable Anismus.

  • botulinum toxin type a injection to treat patients with intractable Anismus unresponsive to simple biofeedback training
    World Journal of Gastroenterology, 2014
    Co-Authors: Yong Zhang, Zhenning Wang, Ge Gao, Qing Zhai, Zhi-tao Yin, Xian-dong Zeng
    Abstract:

    AIM: To evaluate the efficacy of botulinum toxin type A injection to the puborectalis and external sphincter muscle in the treatment of patients with Anismus unresponsive to simple biofeedback training. METHODS: This retrospective study included 31 patients suffering from Anismus who were unresponsive to simple biofeedback training. Diagnosis was made by anorectal manometry, balloon expulsion test, surface electromyography of the pelvic floor muscle, and defecography. Patients were given botulinum toxin type A (BTX-A) injection and pelvic floor biofeedback training. Follow-up was conducted before the paper was written. Improvement was evaluated using the chronic constipation scoring system. RESULTS: BTX-A injection combined with pelvic floor biofeedback training achieved success in 24 patients, with 23 maintaining persistent satisfaction during a mean period of 8.4 mo. CONCLUSION: BTX-A injection combined with pelvic floor biofeedback training seems to be successful for intractable Anismus.

A M Leroi - One of the best experts on this subject based on the ideXlab platform.

  • Does Water-Perfused Catheter Overdiagnose Anismus Compared to Balloon Probe?
    2015
    Co-Authors: G. Savoye, A M Leroi, P. Bertot-sassigneux, J. Y. Touchais, G. Devroede, P. Denis
    Abstract:

    catheter overdiagnos e Anismus compared to balloon probe? Scand J Gastroentero l 2002;37:1411 –1416. Background: The purpose of this study was to compare the manometric assessment of straining effort as if to defecate and rectoanal inhibitory re ex obtained with a rectosphincteri c balloon probe and with a water-perfused catheter in the same subject. Methods: Twelve healthy volunteer s underwent two manometric assessments of anal sphincter function and electromyographi c (EMG) surface recordings, one with a rectosphincteri c balloon and one with a water-perfused catheter, 7 days apart in random order. Results: Increased EMG activity in the external anal sphincter in the midst of the rectoanal inhibitory re ex (P< 0.001) and during straining for defecation (P< 0.001) was more frequently observed with the perfused system than with the balloon probe. There was a discrepancy between the EMG activity of the external anal sphincter and the anal pressures during straining recorded with the perfused system. Duration of the re ex elicited by rectal distension with 10 and 20 ml of air was signi cantly greater with the rectosphincteri c balloon than with the perfused catheter (P = 0.02 and P = 0.05, respectively).Conclusion: Water instilled in the anal canal by the perfused system induces artifacts in EMG recording and active anal contractions. These artifacts and induced contraction s could lead to an erroneous diagnosis of Anismus, particularl y if pelvic oor EMG is only taken into account for the diagnosis of Anismus. Key words: Anismus; anorecta l manometr

  • Does water-perfused catheter overdiagnose Anismus compared to balloon probe?
    Scandinavian journal of gastroenterology, 2002
    Co-Authors: G. Savoye, A M Leroi, Ghislain Devroede, P. Bertot-sassigneux, J. Y. Touchais, Philippe Denis
    Abstract:

    Increased EMG activity in the external anal sphincter in the midst of the rectoanal inhibitory ree ex (P < 0.001) and during straining for defecation (P < 0.001) was more frequently observed with the perfused system than with the balloon probe. There was a discrepancy between the EMG activity of the external anal sphincter and the anal pressures during straining recorded with the perfused system. Duration of the ree ex elicited by rectal distension with 10 and 20 ml of air was signiecantly greater with the rectosphincteric balloon than with the perfused catheter (P = 0.02 and P = 0.05, respectively). Conclusion: Water instilled in the anal canal by the perfused system induces artifacts in EMG recording and active anal contractions. These artifacts and induced contractions could lead to an erroneous diagnosis of Anismus, particularly if pelvic eoor EMG is only taken into account for the diagnosis of Anismus.

  • Biofeedback for Anismus in 15 sexually abused women
    International journal of colorectal disease, 1996
    Co-Authors: A M Leroi, Isabelle Berkelmans, V Duval, C Roussignol, P Peninque, Ph. Denis
    Abstract:

    This work aimed to see whether (1) biofeedback is useful and (2) whether it needs to be combined with psychotherapy in sexually abused patients with Anismus. Fifteen women aged 41.2±4.1 years who had experienced sexual abuse in childhood (9 cases) or adulthood (6 cases) and complained of symptoms of irritable bowel disease were studied. Anismus was recorded during anorectal manometry in all cases. Patients were free to choose biofeedback and/or group psychotherapy and/or individual psychotherapy. When necessary, psychoactive drugs were prescribed after a psychiatric evaluation. Initially all the patients chose biofeedback and none accepted psychotherapy. Eight patients accepted psychotherapy after several weeks of biofeedback. Thirteen patients completed the study: 5 treated by biofeedback alone, 5 with biofeedback and group therapy, and 3 with biofeedback and individual psychotherapy. Eight women recovered completely from their symptoms, only two of whom had had biofeedback without psychotherapy. Conclusion: Biofeedback alone was not always sufficient to cure abused patients, but was chosen initially by all the patients. It could initially be a middle path between somatic treatment and psychotherapy, at a time when patients are not yet ready to undertake the latter.

  • Anismus as a marker of sexual abuse consequences of abuse on anorectal motility
    Digestive Diseases and Sciences, 1995
    Co-Authors: A M Leroi, Isabelle Berkelmans, Philippe Denis, Monique Hemond, Ghislain Devroede
    Abstract:

    Anorectal manometry was performed in 40 women, who consulted for functional disorders of the lower gastrointestinal tract and had been sexually abused. Anismus, defined as a rise in anal pressure during straining, was observed in 39 of 40 abused women, but in only six of 20 healthy control women (P<0.0001). Other parameters of anorectal manometry were compared with those observed in another control group composed of 31 nonabused women but with Anismus, as well as the group of healthy controls. A decreased amplitude of anal voluntary contraction and an increased threshold volume in perception of rectal distension were observed in both abused and nonabused patients. A decreased amplitude of rectoanal inhibitory reflex, little rise in rectal pressure upon straining, frequent absence of initial contraction during rectal distension, and increased resting pressure at the lower part of the anal canal were observed in abused but not in nonabused patients, suggesting that these abnormalities, in association with Anismus, suggest a pattern of motor activity in the anal canal that could be indicative of sexual abuse.

  • Anismus as a marker of sexual abuse
    Digestive Diseases and Sciences, 1995
    Co-Authors: A M Leroi, Isabelle Berkelmans, Philippe Denis, Monique Hemond, Ghislain Devroede
    Abstract:

    Anorectal manometry was performed in 40 women, who consulted for functional disorders of the lower gastrointestinal tract and had been sexually abused. Anismus, defined as a rise in anal pressure during straining, was observed in 39 of 40 abused women, but in only six of 20 healthy control women ( P

Philippe Denis - One of the best experts on this subject based on the ideXlab platform.

  • Does water-perfused catheter overdiagnose Anismus compared to balloon probe?
    Scandinavian journal of gastroenterology, 2002
    Co-Authors: G. Savoye, A M Leroi, Ghislain Devroede, P. Bertot-sassigneux, J. Y. Touchais, Philippe Denis
    Abstract:

    Increased EMG activity in the external anal sphincter in the midst of the rectoanal inhibitory ree ex (P < 0.001) and during straining for defecation (P < 0.001) was more frequently observed with the perfused system than with the balloon probe. There was a discrepancy between the EMG activity of the external anal sphincter and the anal pressures during straining recorded with the perfused system. Duration of the ree ex elicited by rectal distension with 10 and 20 ml of air was signiecantly greater with the rectosphincteric balloon than with the perfused catheter (P = 0.02 and P = 0.05, respectively). Conclusion: Water instilled in the anal canal by the perfused system induces artifacts in EMG recording and active anal contractions. These artifacts and induced contractions could lead to an erroneous diagnosis of Anismus, particularly if pelvic eoor EMG is only taken into account for the diagnosis of Anismus.

  • Anismus as a marker of sexual abuse consequences of abuse on anorectal motility
    Digestive Diseases and Sciences, 1995
    Co-Authors: A M Leroi, Isabelle Berkelmans, Philippe Denis, Monique Hemond, Ghislain Devroede
    Abstract:

    Anorectal manometry was performed in 40 women, who consulted for functional disorders of the lower gastrointestinal tract and had been sexually abused. Anismus, defined as a rise in anal pressure during straining, was observed in 39 of 40 abused women, but in only six of 20 healthy control women (P<0.0001). Other parameters of anorectal manometry were compared with those observed in another control group composed of 31 nonabused women but with Anismus, as well as the group of healthy controls. A decreased amplitude of anal voluntary contraction and an increased threshold volume in perception of rectal distension were observed in both abused and nonabused patients. A decreased amplitude of rectoanal inhibitory reflex, little rise in rectal pressure upon straining, frequent absence of initial contraction during rectal distension, and increased resting pressure at the lower part of the anal canal were observed in abused but not in nonabused patients, suggesting that these abnormalities, in association with Anismus, suggest a pattern of motor activity in the anal canal that could be indicative of sexual abuse.

  • Anismus as a marker of sexual abuse
    Digestive Diseases and Sciences, 1995
    Co-Authors: A M Leroi, Isabelle Berkelmans, Philippe Denis, Monique Hemond, Ghislain Devroede
    Abstract:

    Anorectal manometry was performed in 40 women, who consulted for functional disorders of the lower gastrointestinal tract and had been sexually abused. Anismus, defined as a rise in anal pressure during straining, was observed in 39 of 40 abused women, but in only six of 20 healthy control women ( P

  • Anismus as a marker of sexual abuse. Consequences of abuse on anorectal motility.
    Digestive diseases and sciences, 1995
    Co-Authors: Isabelle Berkelmans, Philippe Denis, Monique Hemond, Ghislain Devroede
    Abstract:

    Anorectal manometry was performed in 40 women, who consulted for functional disorders of the lower gastrointestinal tract and had been sexually abused. Anismus, defined as a rise in anal pressure during straining, was observed in 39 of 40 abused women, but in only six of 20 healthy control women (P

Yong Zhang - One of the best experts on this subject based on the ideXlab platform.

  • Botulinum toxin type-A injection to treat patients with intractable Anismus unresponsive to simple biofeedback training
    World journal of gastroenterology, 2014
    Co-Authors: Yong Zhang, Zhenning Wang, Ge Gao, Qing Zhai, Zhi-tao Yin, Xian-dong Zeng
    Abstract:

    To evaluate the efficacy of botulinum toxin type A injection to the puborectalis and external sphincter muscle in the treatment of patients with Anismus unresponsive to simple biofeedback training. This retrospective study included 31 patients suffering from Anismus who were unresponsive to simple biofeedback training. Diagnosis was made by anorectal manometry, balloon expulsion test, surface electromyography of the pelvic floor muscle, and defecography. Patients were given botulinum toxin type A (BTX-A) injection and pelvic floor biofeedback training. Follow-up was conducted before the paper was written. Improvement was evaluated using the chronic constipation scoring system. BTX-A injection combined with pelvic floor biofeedback training achieved success in 24 patients, with 23 maintaining persistent satisfaction during a mean period of 8.4 mo. BTX-A injection combined with pelvic floor biofeedback training seems to be successful for intractable Anismus.

  • botulinum toxin type a injection to treat patients with intractable Anismus unresponsive to simple biofeedback training
    World Journal of Gastroenterology, 2014
    Co-Authors: Yong Zhang, Zhenning Wang, Ge Gao, Qing Zhai, Zhi-tao Yin, Xian-dong Zeng
    Abstract:

    AIM: To evaluate the efficacy of botulinum toxin type A injection to the puborectalis and external sphincter muscle in the treatment of patients with Anismus unresponsive to simple biofeedback training. METHODS: This retrospective study included 31 patients suffering from Anismus who were unresponsive to simple biofeedback training. Diagnosis was made by anorectal manometry, balloon expulsion test, surface electromyography of the pelvic floor muscle, and defecography. Patients were given botulinum toxin type A (BTX-A) injection and pelvic floor biofeedback training. Follow-up was conducted before the paper was written. Improvement was evaluated using the chronic constipation scoring system. RESULTS: BTX-A injection combined with pelvic floor biofeedback training achieved success in 24 patients, with 23 maintaining persistent satisfaction during a mean period of 8.4 mo. CONCLUSION: BTX-A injection combined with pelvic floor biofeedback training seems to be successful for intractable Anismus.