Technique of Manometry

There are several methods to perform anal manometry. Every technique is associated with inherent pros and cons. We prefer a water-perfused stationary pull-through technique or a water-perfused automatic continuous pull-through technique. With the former method, pressures can be more accurately measured, while the latter technique has the advantage of a more exact definition of the high pressure zone. For the automatic continuous pull-through technique, a mechanical puller is utilized (Fig. 8.7). Furthermore, due to a standardized pull-through technique with a puller, a three-

Figure 8.7. Water-perfused catheter with mechanical arm.

dimensional sphincter model can be calculated by means of a computer (Fig. 8.8).

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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