PH-metrie et reflux gastro-oesophagien

The PH-metry is a direct technique of quantitative exploration of gastro-esophagian reflux largely developed during this last decade. our aim is to describe three principal techniques of registration [short or provoked, average or post prandial, long and nyctohemeral], their way of realigation, their respective advantages and disadvantages, and to emphasize the principal indications. Insisting upon the interest of such an exploration, we recommend the use of the post prandial or nyctohemeral PH-metry

Interet de la manometrie anorectale dans les colopathies fonctionnelles

Since the advent of anorectal manometry in the digestive pathology, numerous anomalies of rectoanal powering have been reported. This exploration has known no couterindication and guides the therapeutic choice [biofeed back, surgery.] After studying normal results and manometric anomailies found in the literature concerning constipation and anal incontinence, we have found it useful to report our own experiment about 18 patients presenting a functional colopathy. This 14 of these colopathies[11%] are anorectal dyschezias. in all cases and according to the data of the literature, the PRAI is always there. in 3 cases, the abtaining threshold of PRAI is high. Also in 3 cases, there exists a hypertonia of internal sphincter. one case of anism is shown up. AbdominoPelvian asynchronismis found in 11 sick people and an increasing rectal compliancy in 11 patients as well. No case of sphincteric incontinence is found again