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Anorectal Manometry in Pediatric Colorectal Surgical Care.
- Source :
- Children; Jun2024, Vol. 11 Issue 6, p654, 15p
- Publication Year :
- 2024
-
Abstract
- Background: Pediatric colorectal specialists care for patients with a variety of defecation disorders. Anorectal (AR) manometry testing is a valuable tool in the diagnosis and management of these children. This paper provides a summary of AR manometry techniques and applications as well as a review of AR manometry findings in pediatric patients with severe defecation disorders referred to a pediatric colorectal center. This is the first study describing multi-year experience using a portable AR manometry device in pediatric patients. Methods: An electronic medical record review was performed (1/2018 to 12/2023) of pediatric patients with defecation disorders who had AR manometry testing. Demographics, diagnostic findings, and outcomes are described. Key Results: A total of 297 unique patients (56.9% male, n = 169) had AR manometry testing. Of these, 72% (n = 188) had dyssynergic defecation patterns, of which 67.6% (n = 127) had fecal soiling prior to treatment. Pelvic rehabilitation (PR) was administered to 35.4% (n = 105) of all patients. A total of 79.5% (n = 58) of the 73 patients that had fecal soiling at initial presentation and completed PR with physical therapy and a bowel management program were continent after therapy. AR manometry was well tolerated, with no major complications. Conclusions: AR manometry is a simple test that can help guide the management of pediatric colorectal surgical patients with defecation disorders. As a secondary finding, PR is a useful treatment for patients with dyssynergic stooling. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANAL disease diagnosis
RECTAL diseases
MANOMETERS
STATISTICAL hypothesis testing
T-test (Statistics)
CANCER patient medical care
PARAMETERS (Statistics)
REFLEXES
COLORECTAL cancer
CHI-squared test
DESCRIPTIVE statistics
MAGNETIC resonance imaging
PEDIATRICS
MATHEMATICAL statistics
MEDICAL records
ACQUISITION of data
DEFECATION
DATA analysis software
NONPARAMETRIC statistics
Subjects
Details
- Language :
- English
- ISSN :
- 22279067
- Volume :
- 11
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- Children
- Publication Type :
- Academic Journal
- Accession number :
- 178159630
- Full Text :
- https://doi.org/10.3390/children11060654