FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Polygram 98 Anorectal Function Testing Markers and Calculations.

Slides:

Advertisements

Similar presentations

The MFA: a new device for early patients selection PC Meinero, L Mori, M. Estienne, N. Massa. S.S. Proctologia - Ospedale E. Riboli - Lavagna (Genova)

Advertisements

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL What is Biofeedback? q Provides the patient immediate Auditory and/or Visual information about Physiological Process.

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL FUNCTIONAL DIAGNOSTICS Biofeedback Copyright MFD Any kind of reproduction is prohibited.

A third temperature scale has been developed, which relates the temperature changes to pressure changes for a fixed volume of gas. This scale is not based.

Resonance in a Closed Tube

Colorectal Conference 7/21/05 Peter M. Kaye, M.D.

Anorectal anatomy and physiology

Mass Flow Controller. Function Delivers user specified flow rate of gas. Flow rate is mass flow rate (i.e. number of molecules per sec Mol/sec), not volume.

Line Balancing Problem A B C 4.1mins D 1.7mins E 2.7 mins F 3.3 mins G 2.6 mins 2.2 mins 3.4 mins.

© 2003 Science Press Internet Services FISIOLOGIA DIGESTIVA (BCM II) Clase 10: Fisiología del colon Dr. Michel Baró A.

PHYSICS 231 INTRODUCTORY PHYSICS I

C01H067 rev 001. Why anorectal manometry is necessary? Anorectal Manometry is a test performed to evaluate patients with fecal incontinence/chronic constipation.

Summary Sinusoidal wave on a string Wavefunction.

Characteristics of Instruments P M V Subbarao Professor Mechanical Engineering Department A Step Towards Design of Instruments….

Mary Ganley RN BSHA, CGRN April 13,  List indications and contraindications for manometry procedures involving esophagus, stomach, small bowel,

Introduction Anal manometry is used for the assessment of patients with faecal incontinence. The fatigue rate index (FRI) has been shown to discriminate.

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Polygram 98 Biofeedback Application.

Sound Physics 202 Professor Lee Carkner Lecture 9.

Sound Physics 202 Professor Lee Carkner Lecture 9.

Sound Physics 202 Professor Vogel (Professor Carkner’s notes, ed) Lecture 7.

Physics 218: Mechanics Instructor: Dr. Tatiana Erukhimova Lecture 40.

Chapter 13 Vibrations and Waves.  When x is positive, F is negative ;  When at equilibrium (x=0), F = 0 ;  When x is negative, F is positive ; Hooke’s.

Anorectal physiological assessment Perineal trauma study day 13 th November 2007 Mrs. Kirsty Cattle MRCS Research Registrar.

Calculations in ElectroGastroGraphy

5 Number Summary, Boxplots, Outliers, and Resistance

Consultant Colorectal Surgeon

9 Water bombs Mário Lipovský.

Part 5 Parameter Identification (Model Calibration/Updating)

Chapter 12 Static Equilibrium and Elasticity. Introduction Equilibrium- a condition where an object is at rest OR its center of mass moves with a constant.

Continued… Obj: draw Box-and-whisker plots representing a set of data Do now: use your calculator to find the mean for 85, 18, 87, 100, 27, 34, 93, 52,

SYB: Defecogram By Borko Kereshi, MSIII. The Case 32 year old female with a history of: – Chronic constipation – Straining – Irritable Bowel Syndrome.

Examining for rectal prolapse Most NOT evident in lying position as rest Ask patient to bear down – most still not evident Need to examine after straining.

Box and Whisker Plots. Introduction: Five-number Summary Minimum Value (smallest number) Lower Quartile (LQ) Median (middle number) Upper Quartile (UP)

Monday, Nov. 18, 2002PHYS , Fall 2002 Dr. Jaehoon Yu 1 PHYS 1443 – Section 003 Lecture #18 Monday, Nov. 18, 2002 Dr. Jaehoon Yu 1.Elastic Properties.

Power Injectors Tortorici Chapter 13 Injectors * Electromechanical device to control flow rates and pressure Control panel * Flow rate measured in ml/sec.

Hawk Time Good Things! Progress Reports – Science is not updated…sorry!

Maximum Ingredient Level Optimization Workbook MIOW User Guide Rashed A. Alhotan, Graduate Student Dmitry V. Vedenov, Associate Professor Gene M. Pesti,

First derivative: is positive Curve is rising. is negative Curve is falling. is zero Possible local maximum or minimum. Second derivative: is positive.

Introduction to the simulation model

Open intervals of increasing, decreasing & constant functions

From: Esophageal motility disorders after gastric banding

Louisiana Tech University

Filling Cystometry Carlos D’Ancona, Mario João Gomes, Peter F.W.M. Rosier.

An Update on Anorectal Disorders for Gastroenterologists

Volume 144, Issue 2, Pages e2 (February 2013)

Time Series and Batch Analysis Using ICM+

Name___________ Class_______ Period_____

Let’s Review Functions

Significance of pelvic floor muscles in anal incontinence

Boyle’s Law: Pressure-Volume Relationship

Stationary Point Notes

Phenotypic Variation in Functional Disorders of Defecation

Key statistical concepts.

Nat. Rev. Gastroenterol. Hepatol. doi: /nrgastro

Nat. Rev. Gastroenterol. Hepatol. doi: /nrgastro

Aim: What other details can be discussed about vectors?

Created by _____ & _____

Volume 126, Pages S90-S98 (January 2004)

Definition A force is a push or pull on an object.

Algebra 2 Ch.6 Notes Page 40 P Polynomials and Linear Functions.

Medical management of fecal incontinence

Box and Whisker Plots and the 5 number summary

Figure 8 Assessment of colonic tone using a barostat device

Let’s Review Functions

Rectal hyperreactivity to distention in patients with irritable bowel syndrome: role of distention rate Maura Corsetti, Bruno Cesana, Sherrie Bhoori,

Let’s Review Functions

Number Summaries and Box Plots.

Summary Sinusoidal wave on a string. Summary Sinusoidal wave on a string.

Analyzing Graphical Information

Presentation transcript:

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Polygram 98 Anorectal Function Testing Markers and Calculations

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Analysis Marker Overview Resting Pressure Analysis Marker Squeeze Analysis Marker Strain Analysis Marker Cough Analysis Marker Generic Calculation Analysis Marker RAIR Analysis Marker Rectal Sensation Analysis Marker Baseline Analysis Marker Continuous Pull Resting Pressure Analysis Marker Continuous Pull Squeeze Analysis Marker

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Reference Level Calibrated Zero Resting Pressure relative to Calibrated Zero Pressure Amplitude relative to Calibrated Zero Pressure Increase relative to Baseline Baseline Resting Pressure relative to Baseline Pressure Amplitude relative to Baseline Pressure Increase relative to local Resting Pressure Applies for following markers: Resting Pressure Analysis Marker Squeeze Analysis Marker Strain Analysis Marker Cough Analysis Marker

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL External anal sphincter Resting Pressure Analysis Marker Resting Pressure Level

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Internal anal sphincter External anal sphincter Resting Pressure – Fixed Catheter

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Internal anal sphincter External anal sphincter Resting Pressure – Station Pull

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Squeeze Analysis Marker – Calib. Zero Contraction Pressure Increase Pressure Amplitude Duration Analysis Marker Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Squeeze Analysis Marker – Baseline Contraction Pressure Increase Pressure Amplitude Duration Analysis Marker Resting Pressure Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Contraction Identification Calibrated Zero Baseline

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Squeeze Analysis – Fixed Catheter

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Squeeze Analysis – Station Pull

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Strain Analysis Marker – Calib. Zero Contraction Pressure Increase Pressure Amplitude Duration Analysis Marker Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Strain Analysis Marker – Baseline Contraction Pressure Increase Pressure Amplitude Duration Analysis Marker Resting Pressure Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Strain Analysis – Fixed Catheter

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Cough Analysis Marker – Calib. Zero Contraction Pressure Increase Pressure Amplitude Duration Analysis Marker Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Cough Analysis Marker – Baseline Contraction Pressure Increase Pressure Amplitude Duration Analysis Marker Resting Pressure Duration Pressure Increase (Contr.) Pressure Amplitude (Contr.) Duration (Contr.)

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Cough Analysis – Fixed Catheter

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Generic Analysis Marker Min pressure Max pressure Mean pressure Median pressure Motility Index

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Generic Analysis

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL RAIR Analysis Marker No analysis User specified balloon volume User specified classification (present/non-present)

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Rectal Sensation Analysis Marker No analysis User specified balloon volume User specified classification (first sensation, constant sensation, maximum tolerable volume)

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Continuous Pull Analysis Marker Sphincter/HPZ Length Max pressure Mean pressure Pull Sphincter Length HPZ Length Max pressure HPZ Mean pressure HPZ Sphincter Asymmetry HPZ Asymmetry Sphincter Vector Volume HPZ Vector Volume Pull data

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Continuous Pull Analysis Marker

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Continuous Pull - Summary

FUNCTIONAL DIAGNOSTICS GASTROINTESTINAL Continuous Pull - Details