Año 2018 / Volumen 110 / Número 12
Revisión
Manometría anorrectal de alta resolución y de alta definición: redescubriendo la función anorrectal

794-805

DOI: 10.17235/reed.2018.5705/2018

Constanza Ciriza de los Ríos, Miguel Mínguez, Jose María Remes-Troche, Glòria Lacima,

Resumen
Los trastornos motores y funcionales anorrectales son frecuentes en la población general. La manometría anorrectal permite estudiar la actividad motora anorrectal en reposo y simulando diferentes situaciones fisiológicas. La manometría anorrectal de alta resolución (MAR-AR) y de alta definición (MAR-AD) están utilizándose cada vez con más frecuencia en la práctica clínica. Con respecto a la técnica convencional, los catéteres de la MAR-AR y los de la MAR-AD proporcionan un mayor número de puntos de registro, ya que disponen de muchos sensores circunferenciales muy próximos entre sí. Ello permite la visualización en relación témporo-espacial (modo topográfico en 2 o 3 planos) al obtener un registro de presión continuo en el espacio por interpolación entre sensores muy próximos. La MAR-AR y la MAR-AD nos permiten realizar la técnica de una forma más estandarizada y reproducible y obtener un mejor estudio y comprensión de la anatomía funcional del complejo esfinteriano. Están desarrollándose nuevos parámetros específicos apropiados para utilizarse en la actualidad con estos sistemas y están siendo evaluados por diversos grupos de investigación, por lo que muchos de ellos no están disponibles para utilizarse en la práctica clínica. No obstante, aportan información muy relevante que está permitiendo redefinir la anatomía y la fisiología anorrectales. El objetivo de la presente revisión es describir las técnicas existentes para MAR-AR y MAR-D, exponer los valores publicados de normalidad y analizar los nuevos parámetros que estas técnicas permiten evaluar y que, posiblemente, en un futuro próximo serán de gran utilidad en la práctica clínica.
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Ciriza de los Ríos C, Mínguez M, Remes-Troche J, Lacima G. Manometría anorrectal de alta resolución y de alta definición: redescubriendo la función anorrectal. 5705/2018


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Recibido: 07/05/2018

Aceptado: 11/09/2018

Prepublicado: 22/10/2018

Publicado: 03/12/2018

Tiempo de revisión del artículo: 126 días

Tiempo de prepublicación: 168 días

Tiempo de edición del artículo: 210 días


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