Anorectal Manometry

Anorectal manometry measures the tone in the anal sphincter and rectal muscles. This procedure can diagnose problems with defecation (moving your bowels) involving:

  • Resting anal sphincter tone              
  • Releasing anal sphincter tone
  • Squeezing anal sphincter tone          
  • Muscle coordination
  • Expulsion of materials
  • Sensation of the rectum

A probe inserted into the anal canal measures the pressure exerted by the sphincter muscles that ring the canal and, by relaxing and contracting, control bowel movements. Higher-than-normal pressure in the rectum may lead to constipation, while pressure that is too low may cause fecal incontinence. large intestine

During this test, a small plastic tube (a manometry catheter) is passed into your rectum through your anal sphincter (anus). The anal sphincter is a ring of muscles at the opening to the outside of your body. The rectum is the last part of the large intestine (please see diagram at right).

The manometry catheter is connected to a machine that records the contractions (squeezing movements) and relaxations of your rectum and anal sphincter.

The movements are recorded on a graph. A gastroenterologist (gas-troh-en-ter-OL-o-jist), a doctor trained in treating diseases of the stomach and intestinal tract, will read the graph and report the results.

Measurements made at different points in the rectum help locate any problem in the functioning of the rectal muscles or nerves. Abnormal reflexes in the rectum may also signal disease. For example, internal sphincters should relax when the rectum is full. Failure to relax when the rectum is dilated with a balloon may indicate Hirschsprung's disease.

SmartPill Capsule-Based GI Testing

This is a crucial test in evaluating patients with gastrointestinal symptoms such as irritable bowel syndrome (IBS), bloating, nausea, abdominal pain, constipation, and fullness.

smartpill photoIt is pain-free and less invasive than most other GI procedures. Once the capsule is ingested, this device collects important information such as pressure, PH and temperature and transmits this data to a receiver the patient wears on a belt for a period of four days.

The physician then downloads the input to his computer and reviews the test results with the patient. This greatly facilitates the patient’s diagnosis and treatment plan without any discomfort or disruption of normal activities for the patient.


Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties! He has performed over 100 DaVinci Robotic procedures!


Minimally Invasive Procedures

Experience less pain, minimal scarring, faster recovery, and better results.


Robotic Surgery
via Da Vinci


Laparoscopic Surgery


FENIX for Accidental Bowel Leakage (ABL)


TEM Transanal Endoscopic Microsurgery


NOSCAR/ NOTES Painless Natural Orifice Trans-endoscopic Surgery


Solesta is a sterile gel injected into the anus to treat the symptoms of fecal incontinence.


Esophyx long-term incisionless solution for chronic acid reflux GERD


The LINX System stops acid reflux (GERD) at the source.


The Stretta procedure results in significant GERD symptom control and patient satisfaction.


STARR Staple Transanal Rectal Resection


ENTERRA -- Gastric Electrical Stimulation for Gatroparesis


Barrx - Radiofrequency Ablation in Barrett's Esophagus with Dysplasia


TIF Transoral Incisionless Fundoplication procedure corrects the root cause of GERD


ABS - Artificial Bowel Sphincter


SECCA - for incontinence


Sacral Nerve Stimulation


Anorectoplasty for anal incontinence


Pelvic rehabilitation for incontinence and constipation, anal / pelvic pain


Anal Fistula Plug