Anal manometry: a comparison of techniques.

Purpose: Methods of anal manometry vary between centers, resulting in potential difficulties in interpretation of results. This study compared several accepted manometric techniques in healthy control subjects and in patients with fecal incontinence.

Methods: Eleven patients with fecal incontinence (M:F = 3:8; mean age = 67 years) and ten healthy control subjects (M:F = 3:7; mean age = 64 years) underwent anal manometry using five different methods: 1) water-perfused side hole; 2) water-perfused end hole; 3) microtransducer; 4) microballoon; 5) portable Peritron.

Impaired proximal colonic motor response to rectal mechanical and chemical stimulation in obstructed defecation.

Purpose: Both motor and sensory dysfunction have been implicated in the pathogenesis of obstructed defecation. We have found that despite preservation of a defecatory urge, patients with obstructed defecation have lost the normal predefecatory augmentation in frequency and amplitude of colonic propagating pressure waves. This observation might be explainable by either altered rectal sensory thresholds or by dysfunction in the colonic motor apparatus.

Abnormal predefecatory colonic motor patterns define constipation in obstructed defecation.

Background & Aims: The pathophysiology of constipation in the syndrome of obstructed defecation is unknown. Using 24-hour pancolonic manometric recordings of the unprepared colon to record basal pressures and spontaneous defecation episodes, we tested the hypothesis that the frequency, timing, or spatial distribution of propagating colonic pressure waves is abnormal in patients with obstructed defecation.

Methods: In 11 patients with obstructed defecation and 16 healthy controls, pressures were recorded using a nasocolonic catheter that was positioned such that 16 recording sites spanned the unprepared colon at 7.

Biotic diversity of Natchez Trace State Forest, western Tennessee.

We carried out a multiple-scale assessment of biotic resources within Natchez Trace State Forest (NTSF) in western Tennessee, focusing on the relation between biotic communities and seven previously developed ecological land types (ELT, based on topography and soils). We wanted to test the functional ability of ELTs for biodiversity stewardship. Woody and herbaceous flora as well as herpetofauna and avifauna communities had substantial differences between upland and lowland forests.