Anorectal Motility and Sensation Abnormalities and Its Correlation with Anorectal Symptoms in Patients with Systemic Sclerosis: A Preliminary Study
2011

Anorectal Function in Scleroderma Patients

Sample size: 16 publication 10 minutes Evidence: moderate

Author Information

Author(s): Hanaa S. Sallam, Terry A. McNearney, Jiande Z. Chen

Primary Institution: University of Texas Medical Branch

Hypothesis

Special scoring systems for overall symptoms and overall motility/sensory abnormalities would be needed in order to correlate symptoms with functional abnormalities.

Conclusion

Scleroderma patients have impaired anorectal motor and sensory functions, and the abnormality score of these functions is correlated with the total anorectal symptoms score.

Supporting Evidence

  • SSc patients showed low quality of life and marked overall GI symptoms.
  • 50% of SSc patients reported incomplete bowel movement as the most common anorectal symptom.
  • SSc patients had impaired anorectal pressures, sensations, and rectal compliance compared to normal controls.

Takeaway

This study looked at how well the bottom part of the digestive system works in people with a disease called scleroderma, finding that many have problems that make them feel uncomfortable.

Methodology

Eight scleroderma patients and matched controls underwent anorectal motility and sensory tests, and were queried about their GI symptoms and quality of life.

Limitations

The study had a small sample size and was preliminary in nature.

Participant Demographics

Eight scleroderma patients matched with eight healthy controls for age, gender, race/ethnicity, and weight.

Statistical Information

P-Value

p = 0.02

Statistical Significance

p ≤ 0.01

Digital Object Identifier (DOI)

10.5402/2011/402583

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