P0540 - Impaired Mobility Does Not Impact Anorectal Manometry Findings and Biofeedback Utilization

Yonatan Israel, BS¹, Joseph A. Menand, MD², Emma Reford, BA¹, Ahmun Zafar, DO², Robinderpal Sandhu, MD², Kimberly Cavaliere, MD², Priyanka Singh, MD², Jean Saleh, MD³, Michael S.. Smith, MD, MBA¹, Yuying Luo, MD⁴, Daniela Jodorkovsky, MD^5
1Icahn School of Medicine at Mount Sinai, New York, NY; ²Mount Sinai Morningside-West, New York, NY; ³Mount Sinai West, New York, NY; ⁴Center of GI Physiology and Motility at Mount Sinai West, New York, NY; ⁵Mount Sinai, New York, NY

Introduction: Anorectal Manometry (ARM) is a key diagnostic test used to evaluate patients with constipation or fecal incontinence not responding to first-line interventions. Previous research shows that level of physical mobility can impact anorectal dysfunction through pre-existing underlying comorbidities as well as impaired anorectal sensation. However, the effects of impaired mobility on anorectal manometry findings have not been studied.

Methods: This is a retrospective study of all patients who underwent ARM between 2021-2022 at a tertiary care center with expertise in motility disorders. Baseline patient characteristics were compared using Chi-Square analysis or Fisher's Exact Test. Outcome variables from ARM studies, as well as biofeedback referrals and attendance were compared between patients with independent versus impaired mobility (defined as use of assistive device, wheelchair or bedbound).

Results: The study included 166 patients (73% female) with a mean age of 51.4 ± 19.0 years; the majority were independently mobile (83.1%). There was no statistical difference between the independent and impaired mobility groups in terms of indication for ARM referral, the presence of dyssynergic defecation, rectal sensory abnormalities, presence of the recto-anal inhibitory reflex or balloon expulsion testing (Table 1). There also was no difference in the recommendation for biofeedback training and the proportion of patients who attended biofeedback.

Discussion: We found no difference in ARM results according to mobility status, suggesting mobility status should not be a barrier to referring a patient to ARM if appropriate. Reassuringly, attendance at biofeedback sessions if recommended did not differ between the two groups. This study was limited by a small number of subjects in the impaired mobility group which may reflect a bias in those who were initially referred to ARM. Future research should focus on identifying barriers to appropriate anorectal testing in patients with impaired mobility status.



Disclosures:


Yonatan Israel, BS¹, Joseph A. Menand, MD², Emma Reford, BA¹, Ahmun Zafar, DO², Robinderpal Sandhu, MD², Kimberly Cavaliere, MD², Priyanka Singh, MD², Jean Saleh, MD³, Michael S.. Smith, MD, MBA¹, Yuying Luo, MD⁴, Daniela Jodorkovsky, MD⁵. P0540 - Impaired Mobility Does Not Impact Anorectal Manometry Findings and Biofeedback Utilization, ACG 2023 Annual Scientific Meeting Abstracts. Vancouver, BC, Canada: American College of Gastroenterology.