Anorectal manometry in children with retentive fecal incontinence: What parameters should we evaluate?

Monjaráz, Erick Manuel Toro; Peña-Vélez, Rubén; Arellano, Karen Rubí Ignorosa; Zárate-Mondragón, Flora; Cervantes-Bustamante, Roberto; Ramírez-Mayans, J.A.

doi:10.1016/j.rgmxen.2019.02.012

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…The model had 67.6% accuracy and maximum tolerance of pain was the only evaluated variable that showed an influence in the mean comparison between the patients with functional constipation and the patients with RFI, statistically significant differences in the parameters of first sensation (66.50 ± 7.54 vs. 105.70 ± 17.66 ml; p = 0.029) and maximum tolerance of pain (131.43 ± 63.97 vs. 194.29 ± 60.60 ml; p = 0.006) were observed, respectively, (Tables 5) [24]. Some type of dyssynergy was found: 47.6% on children with CC and 42.9% for those with RFI (p = 0.52) [24].…”

Section: Discussion Of the Arm Resultsmentioning

confidence: 93%

Anorectal Manometry on Children: A Moroccan Series and Literature Review

Delsa

Serraj

Khalis

et al. 2021

Open Access Maced J Med Sci

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Introduction and objectives: Anorectal manometry is a test that evaluates the function of the rectum,but also the anus. It is useful for the diagnosis of several conditions like fecal incontinence and constipation.In children these tests are being increasingly used for all ages.The aim of this study was to determine the benefit of anorectal manometry in children and to report our experience. Material and Methods:Over a period of four years, 273children that underwent anorectal manometry were included in the study,their data and tests results were analyzed. Results:Out of 273 patients included,68,5% were boys and 31,5% were girls.The mean age was 9 years.154patients(51,6%) had Fecal incontinence(Group1),75children(27,5%) had chronic constipation(Group2),and both of them(Group3) were reported in 37children(13,6%).An awake manometry was performed in 248children(91%) however this test under sedation allowed us the exclusion of Hirschsprung’s disease in 21children(84%).In group1, 25%patients had bad anal contraction.In groupe3, 21,6%children had bad anal contraction.The statistical analysis showed a significant difference in age(p=0.022) and resting pressure(p=0.050) between the three groups.Children with fecal incontinence had a higher rate of dyssynergy,80.2% and 83.8% in groups 1 and 3 respectively compared to 60.4% in patients with chronic constipation(p=0,852) Conclusion:The gold standard for the exploration of children’s terminal constipation and encopresis is the anorectal manometry.It is an important tool to establish diagnosis.In our study, this test allow the exclusion of Hirschsprung’s disease in infants with constipation, in other hand we found a higher rate of dyssynergy in children with fecal incontinence(80%) which had allow us to propose a biofeedback therapy.

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Section: Discussion Of the Arm Resultsmentioning

confidence: 93%

Anorectal Manometry on Children: A Moroccan Series and Literature Review

Delsa

Serraj

Khalis

et al. 2021

Open Access Maced J Med Sci

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“…The most common reason for the indication of HRAM is the suspicion of Hirschsprung disease [9]. HRAM is increasingly used for the evaluation of children with FC since it provides information about basal pressure, sensibility, and defecatory dynamics [10]; however, currently, there are no data on the changes in anorectal sensibility and/or the pressure of children with FC concerning the duration of the symptoms. This study aimed at determining the differences in the parameters of anorectal sensibility according to the duration of constipation.…”

Section: Introductionmentioning

confidence: 99%

Alterations in the Rectal Sensitivity of Children With Chronic Constipation Evaluated by High-Resolution Anorectal Manometry

Peña-Vélez¹,

Monjaráz²,

Avelar-Rodríguez³

et al. 2022

Cureus

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IntroductionConstipation is one of the most frequent chronic disorders in children and is almost always of functional etiology. Manometric alterations in anorectal sensitivity in children with chronic constipation are described in the literature; nevertheless, the impact of the duration of constipation on the parameters of anorectal manometry sensitivity is unknown. ObjectiveTo compare the parameters of sensitivity of high-resolution anorectal manometry (first sensation, threshold volume for urgency, and maximal tolerability) in children with chronic constipation, related to the time of evolution from the beginning of the symptoms. MethodsThis was a retrospective observational analytic study. The data of 39 children with functional constipation who were subjected to high-resolution anorectal manometry were included to evaluate constipation. The patients were divided into three groups according to the duration of constipation: <1 year; from 1 to 2 years; and >2 years. The parameters of sensitivity of the anorectal manometry were compared between the three groups and correlation tests were performed with the duration in months from the beginning of the symptoms of constipation. ResultsThere was no difference between the sensitivity parameters of high-resolution anorectal manometry of the three groups; no correlation of these parameters with the time of evolution of the symptoms was found. ConclusionsAlterations in the anorectal distensibility could develop early in the course of the disease, even from the first year of the beginning of the symptoms.

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