[Chinese expert consensus on colonic and anorectal manometry (2023 edition)].

Colonic and anorectal manometry includes anorectal manometry and colonic manometry. Anorectal manometry is a common method to evaluate anorectal function, which can objectively reflect the pathological and physiological abnormalities of outlet obstructive constipation and fecal incontinence, as well as the impact of anorectal surgery on continence. Colonic manometry is a new type of colon motility detection method developed in recent years. It can record the peristalsis and contraction of the whole colon through a pressure measuring catheter, which helps physicians further evaluate various colonic diseases. However, various factors such as testing equipment, operating standards, and evaluation parameters are difficult to unify. There is no consensus on the operation and interpretation of colorectal anal pressure measurement. Under the guidance of the Anorectal Branch of Chinese Medical Doctor Association, in collaboration with Clinical Guidelines Committee, Anorectal Branch of Chinese Medical Doctor Association, Anorectal motility disorders Committee , Colorectal Surgeons Branch of Chinese Medical Doctor Association, Colonic Branch of China international exchange and promotive association for medical and healthcare, Tianjin Union Medical Center is leading the organization of domestic experts in this field. Based on searching relevant literature and combining clinical experience at home and abroad, after multiple discussions, the "Chinese expert consensus on colonic and anorectal manometry" has been prepared. This consensus discusses the indications, contraindications, pre examination management and technical procedures, treatment of complications, and interpretation of examination reports for colonic and anorectal manometry , aiming to guide the standardized clinical practice of colonic and anorectal manometry.结直肠肛门测压包括肛门直肠测压和全结肠测压。肛门直肠测压是评价肛门直肠功能的常用方法，能较为客观地反映出口梗阻型便秘和排便失禁的病理生理异常，以及肛门直肠手术等对排便控便的影响；全结肠测压是近年来发展的一种新型结肠动力检测方法，其能通过测压导管记录整个结肠的蠕动收缩情况，有助于医师进一步对多种结直肠疾病进行评估。由于检测设备、操作标准、评价参数等多种因素难以统一，结直肠肛门测压的操作及其结果的判读尚未形成共识。在中国医师协会肛肠医师分会指导下，联手中国医师协会肛肠医师分会临床指南工作委员会、中国医师协会肛肠医师分会肛肠动力异常性疾病学组和中国医疗保健国际交流促进会结直肠病学分会，由天津市人民医院牵头组织国内本领域的专家，在检索相关文献的基础上，结合国内外临床经验，经过多次讨论，编写了《结直肠肛门测压中国专家共识（2023版）》。本共识对结直肠肛门测压的适应证、禁忌证、检查前处置和技术操作、并发症的处理以及检查报告的判读等进行论述，旨在指导规范结直肠肛门测压的临床实践。.