Anorectal sleeve micromanometry for the diagnosis of Hirschsprung's disease in newborns

Importance of evaluating for cow's milk allergy in pediatric surgical patients with functional bowel symptoms

“…However, HD needs to be ruled out in infants with abdominal distension and a fluoroscopically evident massive increase in intestinal gas even when they have been diagnosed with CMA, where CM elimination therapy will not be effective. We routinely conduct both anorectal manometry and rectal suction biopsy as well as LST in neonates and infants showing those symptoms [17].…”

Manometric tests of anorectal function in 90 healthy children: a clinical study from Kuwait

“…We taped the catheter to the gluteal skin when searching for the RAIR to avoid a false-positive reflex. Others [2] [20] reported anorectal manometry in 10 healthy children (mean age, 10.5 ± 3.5 years). Anal canal length in their subjects was 4.0 ± 0.9 cm.…”

“…In clinical practice, more and more experience with anorectal manometry is being gained worldwide. Many institutions use this modality as a diagnostic tool for Hirschsprung disease [1,2] and in followup for postoperative patients with anorectal malformation [3,4] and Hirschsprung disease [5,6]. Manometry as a therapeutic modality in the form of biofeedback training has been used for treatment of constipation [21,22].…”

“…It has been used commonly in clinical practice to diagnose Hirschsprung disease [1,2] and to evaluate postoperative results after definitive surgery for anorectal malformation [3,4] and Hirschsprung disease [5,6]. However, there is a lack of uniformity with regard to the methods of performance and interpretation of the tests.…”

Letter to the Editor

“…We appreciate the interest shown by Dr John J White about our article [1]. It is a distinct honor to receive such kind comments from one of the pioneers of pediatric anorectal manometry (ARM).…”