Evaluation of constipation in children using high-resolution anorectal manometry

Poojari, Vishrutha; Mirani, Sonal; Shetty, Naman S; Shah, Ira

doi:10.1177/00494755211030362

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…In view of the role of PFD in childhood constipation, it is essential to properly evaluate pelvic floor function. At present, high-resolution anorectal manometry (HR-ARM) is one of the most common internationally recognized methods for the evaluation of anorectal and pelvic functions (7)(8)(9). A standardized protocol for HR-ARM can characterize constipation from dyssynergic or other neuromuscular and sensory problems (10,11).…”

Section: Introductionmentioning

confidence: 99%

A Randomized, Double-Blind, Controlled Trial of Percutaneous Tibial Nerve Stimulation With Pelvic Floor Exercises in the Treatment of Childhood Constipation

Song

Qiao

et al. 2023

Am J Gastroenterol

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INTRODUCTION: The management of childhood constipation is challenging. Pelvic floor dysfunction (PFD) is one of the most common causes of childhood constipation. Percutaneous tibial nerve stimulation (PTNS) with pelvic floor exercises (PFE) has achieved a satisfactory outcome in the elderly individuals and women with PFD. The efficacy of PTNS with PFE in childhood constipation has not been established. METHODS:A randomized, double-blind, controlled trial with 84 children who met the inclusion criteria was conducted.All participants were randomly assigned to PTNS with PFE or sham PTNS with PFE groups and received their individual intervention for 4 weeks with a 12-week follow-up evaluation. The spontaneous bowel movements (SBM) ‡3 per week were the main outcomes, and the risk ratio (RR) with 95% confidence interval (CI) were calculated. High-resolution anorectal manometry and surface electromyography were used for the assessment of pelvic floor function, and the adverse effects were assessed based on symptoms.

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Section: Introductionmentioning

confidence: 99%

A Randomized, Double-Blind, Controlled Trial of Percutaneous Tibial Nerve Stimulation With Pelvic Floor Exercises in the Treatment of Childhood Constipation

Song

Qiao

et al. 2023

Am J Gastroenterol

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“…ARM provides comprehensive information about the anal sphincter and rectal sensation ( 2 ) in patients with constipation ( 3 ) or fecal incontinence. Generally, ARM can be applied to both adults and children ( 4 ). ARM rarely induces colorectal perforation in patients after rectal cancer surgery; however, it still has the possibility to induce death ( 3 , 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

Anorectal manometry after rectal surgery: a case report with rectal bleeding and perforation

Zhao¹,

Mei²,

Ye³

et al. 2022

J Gastrointest Oncol

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Background: Anorectal manometry (ARM) is primarily used to assess anorectal sensorimotor function.ARM provides comprehensive information about the anal sphincter and rectal sensation in patients with constipation or fecal incontinence. Generally, ARM can be applied to both adults and children. This study is the first to report a case of post-rectal resection ARM with constipation complicating rectal bleeding and perforation in a patient with no history of rectal cancer, aiming to provide guidelines for the treatment of patients who undergo ARM after rectal surgery.Case Description: A 58-year-old female patient with previous history of "hypertension and cerebral infarction" underwent "proctocolectomy" for "rectal prolapse" 11+ months ago and recovered well after the operation, but developed constipation. The patient was admitted to our hospital for anorectal manometry (ARM) for "constipation for 11+ months". 2+ hours after the examination, the patient developed blood in the stool and was hospitalized in the Department of Anorectal Surgery of our hospital. The anorectal manometry was performed 2+ hours after the patient developed blood in the stool. The patient was discharged after 30 days of hospitalization without any complications. During treatment, the patient suffered from rectal rupture and perforation. Following timely and aggressive surgery, the patient recovered and was discharged without any complications.Conclusions: ARM with balloon, as a method for detecting anorectal function, should only be performed cautiously after rectal surgery, especially among patients with comorbidities. If patients suffer from anorectal bleeding and perforation during ARM, prompt and aggressive surgical intervention is necessary. At present, there is little literature on ARM teaching courses. To improve the operation level of ARM and reduce the incidence of complications, we should extend understandings of ARM, develop a systematic management plan, and continuously summarize ARM-related experiences.

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Evaluation of constipation in children using high-resolution anorectal manometry

Cited by 2 publications

References 14 publications

A Randomized, Double-Blind, Controlled Trial of Percutaneous Tibial Nerve Stimulation With Pelvic Floor Exercises in the Treatment of Childhood Constipation

A Randomized, Double-Blind, Controlled Trial of Percutaneous Tibial Nerve Stimulation With Pelvic Floor Exercises in the Treatment of Childhood Constipation

Anorectal manometry after rectal surgery: a case report with rectal bleeding and perforation

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