Use of pelvic ultrasound in the diagnosis of megarectum in children with constipation

Singh, Sonali; Gibbons, Nicola J.; Vincent, M; Sithole, Jabolani; Nwokoma, Ngozi Joy; Alagarswami, Korapadi V.

doi:10.1016/j.jpedsurg.2005.08.012

Cited by 69 publications

(87 citation statements)

References 22 publications

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“…Few other authors have used US as an imaging technique and research tool to define and measure the degree of megarectum [4][5][6]. Singh et al [4] have used ultrasound to measure the transverse rectal diameter behind a full or partially filled bladder.…”

Section: Discussionmentioning

confidence: 99%

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A new ultrasound scoring system for assessing the severity of constipation in children

Lakshminarayanan¹,

Kufeji

Clayden³

2008

Pediatr Surg Int

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Section: Discussionmentioning

confidence: 99%

“…Pelvic ultrasound (US) is a relatively new imaging technique used for diagnosing constipation and has been used only by few centres [4][5][6]. Until now US has been used as a research tool measuring the rectal diameter to demonstrate megarectum.…”

Section: Introductionmentioning

confidence: 99%

A new ultrasound scoring system for assessing the severity of constipation in children

Lakshminarayanan¹,

Kufeji

Clayden³

2008

Pediatr Surg Int

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“…28,29 In the study of Joensson et al, it was possible to visualize the transverse diameter of the rectum at least 3 hours after the last bowel movement, in all included children. 28 Children with constipation had a significantly larger rectal diameter than healthy children (39.6 AE 8.2 mm versus 21.4 AE 6.0mm). With a cutoff value for constipation of 33.4 mm, 13 children would be misclassified.…”

Section: Rectal Ultrasound Scanningmentioning

confidence: 99%

“…No diagnostic accuracy study (n=8;CTT;X-ray) [9][10][11][12][13][14][15][16] No children included (n=1;ultrasound) 17 No control group (n=1;CTT) 18 No reference standard defined (n=2;ultrasound;X-ray) 19,20 Patients with severe comorbidity (n=1;CTT) 21 Systematic review, no QUADAS (n=1;CTT) 22 Included papers (n=10) Systematic review including 6 studies on abdominal radiography (n=1) 23 Diagnostic value of abdominal radiography (n=2) 24,25 Diagnostic value of CTT (n=3) [25][26][27] Diagnostic value of Ultrasonography (n=4) [25][26][27][28][29][30][31] Figure. …”

Section: Appendixmentioning

confidence: 99%

Value of Abdominal Radiography, Colonic Transit Time, and Rectal Ultrasound Scanning in the Diagnosis of Idiopathic Constipation in Children: A Systematic Review

Berger

Tabbers

Kurver

et al. 2012

The Journal of Pediatrics

112

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“…The AUC of 0.847 (95% CI, 0.790-0.904) also suggests considerable diagnostic value. 10,26 Rectal diameter testing by ultrasound is noninvasive, does not require irradiation, and has potential diagnostic value for diagnosis and management of constipation, but evidence on its diagnostic value is still not sufficient. 10 Most of the previous ultrasonography studies on constipation compared differences in rectal diameter between children with constipation and control groups.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonic measurement of rectal diameter and area in neurogenic bowel with spinal cord injury

Kim

Won

et al. 2016

The Journal of Spinal Cord Medicine

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Objective: The aim of this study was to determine the efficacy of measuring the diameter and area of the rectum using ultrasonography as an additional parameter for the evaluation of neurogenic bowel in patients with spinal cord injury (SCI). Participants: In total, 32 patients with SCI (16 patients with upper motor neuron neurogenic bowel (UMNB) and 16 patients with lower motor neuron neurogenic bowel (LMNB)) participated in this study. We divided the patients by the type of neurogenic bowel: UMNB, patients with supraconal lesions and recovery state of spinal shock or LMNB, patients with infraconal/caudal lesions or spinal shock state). Intervention: Ultrasound was applied on the abdomen and measured the diameter and area of the rectum were measured twice each before and after defecation, respectively. Outcome measure: We compared rectal diameter and area before/after defecation between the two groups, and significant differences were found in both rectal diameter and area before/after defecation in each group. Results: After defecation, those in the UMNB group had smaller rectal diameters and areas than those in the LMNB group. Significant reduction of rectal diameter and area was observed after defecation as well. The LMNB group showed slightly increased rectal area after defecation, but the increase was not statistically significant. Conclusion: Using ultrasound to measure rectal diameter and area seems helpful for classifying neurogenic bowel types and for understanding the neurogenic bowel among SCI patients with symptoms of neurogenic bowel.

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Use of pelvic ultrasound in the diagnosis of megarectum in children with constipation

Cited by 69 publications

References 22 publications

A new ultrasound scoring system for assessing the severity of constipation in children

A new ultrasound scoring system for assessing the severity of constipation in children

Value of Abdominal Radiography, Colonic Transit Time, and Rectal Ultrasound Scanning in the Diagnosis of Idiopathic Constipation in Children: A Systematic Review

Ultrasonic measurement of rectal diameter and area in neurogenic bowel with spinal cord injury

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