{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T13:10:21Z","timestamp":1789650621304,"version":"4.0.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,4,12]],"date-time":"2014-04-12T00:00:00Z","timestamp":1397260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Three\u2010dimensional high\u2010resolution anorectal manometry (3<jats:styled-content style=\"fixed-case\">DHRAM<\/jats:styled-content>) is a new technique that can simultaneously provide physiological and topographical data on the terminal part of the digestive tract. Our object was to assess whether 3<jats:styled-content style=\"fixed-case\">DHRAM<\/jats:styled-content> is able to reliably diagnose excessive perineal descent already diagnosed with conventional defaecography, which is considered to be the gold standard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>All patients referred to our centre for anorectal manometry and conventional defaecography were evaluated with a maximum of 6\u00a0months between the two examinations. Anorectal manometry was performed using the 3<jats:styled-content style=\"fixed-case\">D H<\/jats:styled-content>igh\u2010<jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>esolution <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>iven <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>maging\u00ae probe. Excessive perineal descent was defined as the downward movement of the anal high\u2010pressure zone during straining. At the end of the straining effort, the high\u2010pressure zone regained its initial position, thereby indicating that the probe had not moved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nineteen female patients of median age 53 (21\u201370) years were included in the study. All cases with excessive perineal descent diagnosed using defaecography were visualized with 3<jats:styled-content style=\"fixed-case\">DHRAM<\/jats:styled-content>. The degree of perineal descent determined by 3D and conventional defaecography was compared (<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>pearman correlation 0.726, <jats:italic>P\u00a0<\/jats:italic>= 0.01). In contrast, the averages measured were significantly different; the average was 11.68 \u00b1 3.3\u00a0mm for 3<jats:styled-content style=\"fixed-case\">DHRAM<\/jats:styled-content> but 34.21\u00a0\u00b1\u00a013.3\u00a0mm for conventional defaecography (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of the study demonstrate that 3<jats:styled-content style=\"fixed-case\">DHRAM<\/jats:styled-content> can diagnose excessive perineal descent with the same degree of reliability as defaecography. Quantitative measures were not correlated, however, possibly because of methodological differences. The study confirms the value of the morphological data provided by 3<jats:styled-content style=\"fixed-case\">DHRAM<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12522","type":"journal-article","created":{"date-parts":[[2013,12,13]],"date-time":"2013-12-13T13:10:26Z","timestamp":1386940226000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Three\u2010dimensional high\u2010resolution anorectal manometry and diagnosis of excessive perineal descent: a comparative pilot study with defaecography"],"prefix":"10.1111","volume":"16","author":[{"given":"A.","family":"Benezech","sequence":"first","affiliation":[{"name":"Service de Gastroent\u00e9rologie H\u00f4pital Nord University Hospital APHM Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Bouvier","sequence":"additional","affiliation":[{"name":"Service de Gastroent\u00e9rologie H\u00f4pital Nord University Hospital APHM Marseille France"},{"name":"Plateforme d' Interface Clinique CRN2M UMR6153 University Hospital APHM Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010C.","family":"Grimaud","sequence":"additional","affiliation":[{"name":"Service de Gastroent\u00e9rologie H\u00f4pital Nord University Hospital APHM Marseille France"},{"name":"Plateforme d' Interface Clinique CRN2M UMR6153 University Hospital APHM Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Baumstarck","sequence":"additional","affiliation":[{"name":"EA3279 Self\u2010perceived Health Assessment Research Unit University Hospital APHM Marseille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Vitton","sequence":"additional","affiliation":[{"name":"Service de Gastroent\u00e9rologie H\u00f4pital Nord University Hospital APHM Marseille France"},{"name":"Plateforme d' Interface Clinique CRN2M 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