Ultrasonography in Determining the Rectal Diameter and Rectal Wall Thickness in Children With and Without Constipation: A Case-Control Study

Momeni, Mohammad; MomenGharibvand, Mohammad; Kulouee, Niloofar; Javaherizadeh, Hazhir

doi:10.1590/s0004-2803.201900000-19

Cited by 12 publications

(22 citation statements)

References 19 publications

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“…Pop et al 29 and de Abreu et al 30 also found a significant association between RTD and faecal incontinence, although this was not seen in our study. Previous studies have shown an inverse association between the frequency of defaecation with RTD and RAWT, 26,28 which is consistent with the results of our survey. Our study also showed a positive association between hard stool with RTD and RAWT.…”

Section: Discussionsupporting

confidence: 93%

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Rectal measurements and their correlation with bowel habits: Evaluation by trans‐abdominal ultrasound in children with functional constipation

Shapouri

Matani

Salahshoor

et al. 2022

J Paediatrics Child Health

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Aim Constipation is one of the most common complaints in childhood affecting the quality of life of both children and parents. This study intends to investigate rectal measurements on ultrasound and their relationship with bowel habits. Methods In this cross‐sectional study, 100 children with functional constipation (FC) referred to a single hospital between 2018 and 2019 were enrolled. After obtaining informed consent, a questionnaire including demographic and constipation characteristics was completed, and a physical examination including digital rectal examination (DRE) was performed. Complete abdominopelvic ultrasound was then performed. Target measurements included rectal transverse diameter (RTD), rectal anterior wall thickness (RAWT) and the presence of faecal impaction. Results One hundred children with a mean age of 7.68 ± 3.30 years were present in the study. The mean duration of constipation was 15.86 ± 13.34 months. In 14% of children, painful defaecation was reported. 88% of children had some degree of faecal incontinence. According to the ultrasound findings, the mean RTD and RAWT were 3.39 ± 0.73 cm and 2.77 ± 0.68 mm, respectively, and faecal impaction was present in 70% of cases. There was a positive correlation between RTD and RAWT with age, duration of constipation and the presence of hard stools, and there was a negative correlation with frequency of defecation (P < 0.05). Conclusion RTD and RAWT increased with increasing constipation duration and the presence of hard stools and decreased with increasing frequency of defaecation. DRE could be omitted from the initial clinical assessment if you had access to reliable ultrasound data.

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Section: Discussionsupporting

confidence: 93%

“…Singh et al 24 and Bijos et al 25 found similar findings regarding age but found no gender differences. Joensson 17 found no association between age and gender with RTD and RAWT, and in a study by Momeni et al, 26 RTD was higher in boys, which was not statistically significant.…”

Section: Discussionmentioning

confidence: 88%

Rectal measurements and their correlation with bowel habits: Evaluation by trans‐abdominal ultrasound in children with functional constipation

Shapouri

Matani

Salahshoor

et al. 2022

J Paediatrics Child Health

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“…They also demonstrated no significant difference between the two genders. They finally claimed that DRA measurement is useful in the diagnosis of constipation (18). This study was compatible with ours.…”

Section: Discussionsupporting

confidence: 91%

“…We also demonstrated that the risk of abnormal DRA in patients with an abnormal DRE was seven times more than in those with normal DRE (P < 0.05). Such conclusions have also been reported by other researchers (13,17,18).…”

Section: Discussionsupporting

confidence: 90%

Transabdominal Ultrasound Measurement of the Diameter of Rectal Ampulla as a Less Invasive Modality for Digital Rectal Examination in Children with Functional Constipation

Imanzadeh¹,

Hosseini²,

Khalili³

et al. 2022

Iran J Pediatr

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Background: Constipation is one of the most common complaints in children. Guidelines on functional constipation recommend digital rectal examination (DRE) when constipation is suspected. However, diagnosis of megarectum by ultrasonography would differentiate children with constipation from those with dysfunctional defecation. Objectives: In this research, we evaluated the utilization of ultrasonography to measure the diameter of rectal ampulla for the diagnosis of functional constipation. Methods: In this study, 94 patients < 14 years old diagnosed with functional constipation were included. Patients were examined by both DRE and ultrasonography before and after a conventional stool softener treatment. Results: The diameter of the rectal ampulla was significantly wider in patients with large stool mass in DRE than in patients with normal digital rectal exams. There was a significant relationship between fecal incontinence and pre-treatment DRA. By increasing the severity of fecal incontinence, the average DRA in patients increased significantly. Additionally, there was a significant statistical difference between the patient’s DRA before and after treatment. Finally, the relationship between constipation and DRA adjusted model showed that the risk of abnormal DRA was 3.1 times larger in patients with three and four symptoms than in patients with two symptoms and this relationship was statistically significant. Conclusions: Ultrasonography can be a suitable replacement for DRE; however, further investigations are required.

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“…Some times the physician may face a refusal of the parents to allow a rectal examination in their child. In this cases, other not invasive ways to evaluate constipation in children might be necessary, as stated by Momeni M et al (7) in the next paper presented. The authors point out that, in pediatric patients, even the history can be disappointing in providing useful information.…”

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confidence: 91%

Anorectal Functional Disorders: Towards a Better Diagnosis and Treatment

Saad

2019

Arq. Gastroenterol.

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Ultrasonography in Determining the Rectal Diameter and Rectal Wall Thickness in Children With and Without Constipation: A Case-Control Study

Cited by 12 publications

References 19 publications

Rectal measurements and their correlation with bowel habits: Evaluation by trans‐abdominal ultrasound in children with functional constipation

Rectal measurements and their correlation with bowel habits: Evaluation by trans‐abdominal ultrasound in children with functional constipation

Transabdominal Ultrasound Measurement of the Diameter of Rectal Ampulla as a Less Invasive Modality for Digital Rectal Examination in Children with Functional Constipation

Anorectal Functional Disorders: Towards a Better Diagnosis and Treatment

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