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J R Soc Med. 1980 April; 73(4): 234–237.
PMCID: PMC1437451

Functional evaluation of the rectal ampulla with ampullometrogram1

Abstract

An ampullometrogram (AMG) was done in 20 patients to evaluate the rectal ampulla as a functional unit. Results were compared to a cystometrogram (CMG). The AMG displayed a normal curve (capacity 230 to 330 ml; pressure 47 to 80 cmH2O) in 14 of 16 patients having a normal CMG. The AMG was hyporeflexic (variable capacity; no increase in pressure at capacity) in 3 of 5 patients having a hyporeflexic CMG and hyperreflexic (capacity less than 175 ml, pressure over 80 cmH2O) in one patient having a hyperreflexic CMG. This technique might represent a useful clinical adjunct in the evaluation of bladder dysfunction, the evaluation of neurogenic type bowel dysfunction, and in the possible use of functional electrical stimulation for treatment of faecal incontinence or constipation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Brocklehurst JC. Management of anal incontinence. Clin Gastroenterol. 1975 Sep;4(3):479–487. [PubMed]
  • CALLAGHAN RP, NIXON HH. MEGARECTUM: PHYSIOLOGICAL OBSERVATIONS. Arch Dis Child. 1964 Apr;39:153–157. [PMC free article] [PubMed]
  • Godec C, Ayala G, Cass A. Electrical stimulation of the rectal ampulla causing reflex voiding. J Urol. 1977 Jun;117(6):770–772. [PubMed]
  • Martelli H, Devroede G, Arhan P, Duguay C, Dornic C, Faverdin C. Some parameters of large bowel motility in normal man. Gastroenterology. 1978 Oct;75(4):612–618. [PubMed]
  • Martelli H, Devroede G, Arhan P, Duguay C. Mechanisms of idiopathic constipation: outlet obstruction. Gastroenterology. 1978 Oct;75(4):623–631. [PubMed]
  • Nothmann BJ, Schuster MM. Internal anal sphincter derangement with anal fissures. Gastroenterology. 1974 Aug;67(2):216–220. [PubMed]
  • SWENSON O, FISHER JH. The relation of megacolon and megaloureter. N Engl J Med. 1955 Dec 29;253(26):1147–1150. [PubMed]
  • Tobon F, Reid NC, Talbert JL, Schuster MM. Nonsurgical test for the diagnosis of Hirschsprung's disease. N Engl J Med. 1968 Jan 25;278(4):188–193. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press