지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.90 No.2
- 발행연도
- 2016.1
- 수록면
- 89 - 94 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: I investigated the diagnostic accuracy of balloon expulsion test (BET) with various techniques to find out the most appropriate method, and tried to confirm its clinical utility in diagnosing functional defecation disorders (FDD) in constipated patients.
Methods: Eighty-seven patients constituted the study population. FDD was defined when patients had at least two positive findings in defecography, manometry, and electromyography. BET was done 4 times in each patient with 2 different positions and 2 different volumes. The positions were seated position (SP) and left lateral decubitus position (LDP). The volumes were fixed volume (FV) of 60 mL and individualized volume with which patient felt a constant desire to defecate (CDV). The results of BETs with 4 different settings (LDP-FV, LDP-CDV, SP-FV, and SP-CDV) were statistically compared and analyzed.
Results: Of 87 patients, 23 patients (26.4%) had at least two positive findings in 3 tests and thus were diagnosed to have FDD. On receiver operating characteristic curve analysis, area under curve was highest in BET with SP-FV. With a cutoff value of 30 seconds, the specificity of BET with SP-FV was 86.0%, sensitivity was 73.9%, negative predictive value was 89.8%, positive predictive value was 65.4%, and accuracy rate was 82.8% for diagnosing FDD.
Conclusion: SP-FV is the most appropriate method for BET. In this setting, BET has a diagnostic accuracy sufficient to identify constipated patients who do not have FDD. Patients with negative results in BET with SP-FV may not need other onerous tests to exclude FDD.
Methods: Eighty-seven patients constituted the study population. FDD was defined when patients had at least two positive findings in defecography, manometry, and electromyography. BET was done 4 times in each patient with 2 different positions and 2 different volumes. The positions were seated position (SP) and left lateral decubitus position (LDP). The volumes were fixed volume (FV) of 60 mL and individualized volume with which patient felt a constant desire to defecate (CDV). The results of BETs with 4 different settings (LDP-FV, LDP-CDV, SP-FV, and SP-CDV) were statistically compared and analyzed.
Results: Of 87 patients, 23 patients (26.4%) had at least two positive findings in 3 tests and thus were diagnosed to have FDD. On receiver operating characteristic curve analysis, area under curve was highest in BET with SP-FV. With a cutoff value of 30 seconds, the specificity of BET with SP-FV was 86.0%, sensitivity was 73.9%, negative predictive value was 89.8%, positive predictive value was 65.4%, and accuracy rate was 82.8% for diagnosing FDD.
Conclusion: SP-FV is the most appropriate method for BET. In this setting, BET has a diagnostic accuracy sufficient to identify constipated patients who do not have FDD. Patients with negative results in BET with SP-FV may not need other onerous tests to exclude FDD.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (15)
참고문헌 신청
Rome Foundation. Rome III disorders and criteria [Internet]. Raleigh (NC): Rome Foundation Inc.; c2015 [cited 2015 May 10]. Available from: http://www. romecriteria.org/criteria.
Seong MK, Kim TW. Significance of defecographic parameters in diagnosing pelvic floor dyssynergia. J Korean Surg Soc 2013; 84:225-30.
Rao SS. Dyssynergic defecation. Gastroenterol Clin North Am 2001;30:97-114.
Minguez M, Herreros B, Sanchiz V, Hernandez V, Almela P, Anon R, et al. Predictive value of the balloon expulsion test for excluding the diagnosis of pelvic floor dyssynergia in constipation. Gastroenterology 2004;126:57-62.
Rao SS, Mudipalli RS, Stessman M, Zimmerman B. Investigation of the utility of colorectal function tests and Rome II criteria in dyssynergic defecation (Anismus). Neurogastroenterol Motil 2004;16: 589-96.
Rao SS. Dyssynergic defecation. Gastroenterol Clin North Am 2001;30:97-114.
Minguez M, Herreros B, Sanchiz V, Hernandez V, Almela P, Anon R, et al. Predictive value of the balloon expulsion test for excluding the diagnosis of pelvic floor dyssynergia in constipation. Gastroenterology 2004;126:57-62.
Rao SS, Mudipalli RS, Stessman M, Zimmerman B. Investigation of the utility of colorectal function tests and Rome II criteria in dyssynergic defecation (Anismus). Neurogastroenterol Motil 2004;16: 589-96.
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Assessment of functional defecation disorders using anorectal manometry
Annals of Surgical Treatment and Research
2018 .06
-
Anti-proliferative Activity of T-bet
Immune Network
2015 .08
-
Two-Year Follow-Up Results of the Use of a Fecal Diverting Disease as a Substitute for a Defunctioning Stoma
대한외과학회 학술대회 초록집
2021 .05
-
연합학습 기반 신약개발 플랫폼 FDD
KPBMA FOCUS
2024 .03
-
Tree Pollen Sensitization and Cross-Reaction of Children with Allergic Rhinitis or Asthma
고신대학교 의과대학 학술지
2019 .01
-
이관 풍선 확장술 중 발생한 부정맥 2예: 기전과 치료
대한이비인후-두경부외과학회지
2023 .01
-
Genetic Confirmation of Congenital Factor V Deficiency in Korean Patients
Annals of Laboratory Medicine
2016 .01
-
Forward viewing liner echoendoscopy for therapeutic interventions
Clinical Endoscopy
2024 .03
-
Study on the Development of Training Programs for Standardized Patients of the Practical Examination Portion of the National Dental Licensing Examination
Journal of Korean Dental Science
2020 .12
-
Abnormal Bolus Reflux Is Associated With Poor Pulmonary Outcome in Patients With Idiopathic Pulmonary Fibrosis
Journal of Neurogastroenterology and Motility (JNM)
2018 .01
-
Health and Community Care Workers' Knowledge and Perceptions of Social Prescribing in Singapore
Annals of geriatric medicine and research
2024 .09
-
The Effects of Manual Acupuncture on Mitochondrial Fusion and Fission Gene Expression in Rat Spleen
Journal of Acupuncture & Meridian Studies
2023 .04
-
The factors determining the biological fate of nanodiamond: sp3/sp2 carbon ratio vs hydrodynamic size
한국실험동물학회 학술발표대회 논문집
2022 .07
-
표준화 환자에 대한 학생 평가와 환자의사관계 점수와의 관계
의학교육논단
2019 .01
-
Colorectal Surgery Using SP System; Early Experience
대한외과학회 학술대회 초록집
2019 .10
-
A Meta-analysis of Slow Pull versus Suction for Endoscopic Ultrasound-Guided Tissue Acquisition
Gut and Liver
2021 .01
-
"Using standardized patients versus video cases for representing clinical problems in problem-based learning"
Korean Journal of Medical Education
2016 .01
-
Flow Diverter Device for Treatment of Cerebral Aneurysm with Short-Term Follow Up: Two Case Reports
고신대학교 의과대학 학술지
2021 .12
-
Effect of the lateral tilt position on femoral vein cross-sectional area in anesthetized adults
Anesthesia and Pain Medicine
2019 .01
-
Endoparasites of Small Mammals in Edo State, Nigeria : Public Health Implications
Parasites, Hosts and Diseases
2018 .02
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2016-514-002389795