{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T03:01:52Z","timestamp":1772766112912,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,11,27]],"date-time":"2016-11-27T00:00:00Z","timestamp":1480204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurogastroenterology Motil"],"published-print":{"date-parts":[[2017,4]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n \n Three\u2010dimensional high\u2010resolution anorectal manometry (3\n DHRAM<\/jats:styled-content>\n ), used for exploring anorectal disorders, was recently developed, providing interesting topographic data for the diagnosis of pelvic floor disorders such as excessive perineal descent. The aim of our study was to define a diagnostic strategy based on selected 3\n DHRAM<\/jats:styled-content>\n parameters to identify rectal intussusceptions (\n RI<\/jats:styled-content>\n ), considering conventional defecography (\n CD<\/jats:styled-content>\n ) as the gold standard.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n All patients referred to our center in the previous 6\u00a0months for 3\n DHRAM<\/jats:styled-content>\n to explore fecal incontinence or constipation, and who previously achieved\n CD<\/jats:styled-content>\n , were eligible. 3\n DHRAM<\/jats:styled-content>\n results were obtained for all classical parameters and the presence of a narrow band of high pressure in the anal canal during attempted defecation, which was recently found to be associated with\n RI<\/jats:styled-content>\n in some studies. The sensitivity, specificity, and positive and negative predictive values were calculated for various 3\n DHRAM<\/jats:styled-content>\n criterion in order to propose a diagnostic strategy for\n RI<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Key Results<\/jats:title>\n \n Twenty\u2010six patients (66%) presented with\n RI<\/jats:styled-content>\n on\n CD<\/jats:styled-content>\n . On 3\n DHRAM<\/jats:styled-content>\n , according to our diagnostic strategy, the most relevant manometric criterion for the diagnosis of\n RI<\/jats:styled-content>\n was the association of an anterior additional high\u2010pressure area and an excessive perineal descent, with a positive predictive value of 100% [81.5\u2010100], a specificity of 100% [75.3\u2010100] and a sensibility of 69.2% [48.2\u201085.7].\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions & Inferences<\/jats:title>\n \n In this study, 3\n DHRAM<\/jats:styled-content>\n was used to diagnose\n RI<\/jats:styled-content>\n , and we confirmed its use in the diagnosis of pelvic floor disorders. Further studies will be necessary to define classifications for these new anatomic data from 3\n DHRAM<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/nmo.12978","type":"journal-article","created":{"date-parts":[[2016,11,27]],"date-time":"2016-11-27T21:22:39Z","timestamp":1480281759000},"source":"Crossref","is-referenced-by-count":20,"title":["Rectal intussusception: can high resolution three\u2010dimensional ano\u2010rectal manometry compete with conventional defecography?"],"prefix":"10.1111","volume":"29","author":[{"given":"A.","family":"Benezech","sequence":"first","affiliation":[{"name":"Service de Gastroent\u00e9rologie H\u00f4pital Nord Assistance Publique\u2010H\u00f4pitaux de Marseille Marseille France"},{"name":"Plateforme d'interface clinique CRN2M CNRS UMR 7286 Aix\u2010Marseille Universit\u00e9 Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Cappiello","sequence":"additional","affiliation":[{"name":"Service de Gastroent\u00e9rologie Centre Hospitalier G\u00e9n\u00e9ral de Martigues Martigues France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Baumstarck","sequence":"additional","affiliation":[{"name":"Unit\u00e9 d'Aide M\u00e9thodologique \u00e0 la Recherche Clinique EA 3279, Laboratoire de Sant\u00e9 Publique Aix\u2010Marseille Universit\u00e9 Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.\u2010C.","family":"Grimaud","sequence":"additional","affiliation":[{"name":"Service de Gastroent\u00e9rologie H\u00f4pital Nord Assistance Publique\u2010H\u00f4pitaux de Marseille Marseille France"},{"name":"Plateforme d'interface clinique CRN2M CNRS UMR 7286 Aix\u2010Marseille Universit\u00e9 Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Bouvier","sequence":"additional","affiliation":[{"name":"Service de Gastroent\u00e9rologie H\u00f4pital Nord Assistance Publique\u2010H\u00f4pitaux de Marseille Marseille France"},{"name":"Plateforme d'interface clinique CRN2M CNRS UMR 7286 Aix\u2010Marseille Universit\u00e9 Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Vitton","sequence":"additional","affiliation":[{"name":"Service de Gastroent\u00e9rologie H\u00f4pital Nord Assistance Publique\u2010H\u00f4pitaux de Marseille Marseille France"},{"name":"Plateforme d'interface clinique CRN2M CNRS UMR 7286 Aix\u2010Marseille Universit\u00e9 Marseille 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