Colonic Motility in Children With Repaired Imperforate Anus

Heikenen, Janice B.; Sl, Werlin; DiLorenzo, Carlo; Hyman, Paul E.; Cocjin, Jose; Flores, Alejandro; Reddy, S. N.

doi:10.1097/00005176-199805000-00057

Cited by 13 publications

(43 citation statements)

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“…[20][21][22][23][24] Our analysis of the mean resting pressure showed that the greatest pressure levels were among the continent patients (30.7 mmHg), in relation to the partially continent (23 mmHg) and incontinent patients (14.7 mmHg), and these pressure differences were very representative from a statistical point of view (p = 0.001).…”

Section: Resultsmentioning

confidence: 96%

Posterior sagittal anorectoplasty in anorectal anomalies: clinical, manometric and profilometric evaluation

2007

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CONTEXT AND OBJECTIVE: Anorectal malformations comprise a spectrum of anomalies that continue to be difficult to treat, even today. The aim was to evaluate the fecal continence of children who underwent posterior sagittal anorectoplasty due to anorectal malformations, via computerized anorectal manometry and profilometry. DESIGN AND SETTING:Prospective study at Universidade Federal de São Paulo.METHOD: 82 patients (56.1% boys; 43.9% girls) of mean age 85.5 months were evaluated. They were divided into continent, partially continent and incontinent groups. Age, sex, manometric variables and profilometric parameters were studied. The results were statistically analyzed. RESULTS:Among the 82 patients, 37.8% were continent, 25.6% were partially continent and 36.6% were incontinent. The overall mean resting pressure was 22 mmHg, and the means for the continent, partially continent and incontinent groups were, respectively, 30.7 mmHg, 23 mmHg and 14.7 mmHg. The overall mean pressure response to voluntary contraction was 56 mmHg, and the means for the groups were 65.4 mmHg, 55.8 mmHg and 46.6 mmHg, respectively. The rectosphincteric reflex was absent in 82.9% of the cases. In the profilometry analysis for all patients together, blue (20 to 50 mmHg) and yellow (50 to 80 mmHg) were predominant, and there was a similar distribution for the continent and partially continent patients. However, among the incontinent patients, green (< 20 mmHg) and blue prevailed.CONCLUSIONS: Manometric and computerized profilometric analyses were an excellent method for postoperative evaluations on patients with intermediate and high anorectal anomalies, and for therapeutic planning.

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Section: Resultsmentioning

confidence: 96%

Posterior sagittal anorectoplasty in anorectal anomalies: clinical, manometric and profilometric evaluation

2007

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“…Colonic transit times were again not defined. In contrast, children with repaired anorectal malformations have excessive numbers of HAPC into the neorectum as well as internal anal sphincter dysfunction [25]. Given the relative infrequency of HAPC in normal adults (approximately 10 in each 24 hours) [12], 4-hour studies are unlikely to adequately reflect reduced HAPC activity.…”

Section: Discussionmentioning

confidence: 99%

Colonic manometry via appendicostomy shows reduced frequency, amplitude, and length of propagating sequences in children with slow-transit constipation

Stanton

Hutson

Simpson

et al. 2005

Journal of Pediatric Surgery

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“…[25] Other studies using anorectal manometry have also shown the objective utility in assessing postoperative results. [26,27] Anorectal manometry can also demonstrate objective evidence of improvement with biofeedback therapy. In these patients, the prerequisites are that the sphincter should not be hypoplastic, and the bowel should not be misplaced.…”

Section: Anorectal Manometry and Emgmentioning

confidence: 99%

Assessment of postoperative results in anorectal malformations

Bhatnagar

2005

J Indian Assoc Pediatr Surg

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ABSTRACT ABSTRACT ABSTRACTSurgery for the correction of anorectal malformations (ARM) is performed by almost all pediatric surgeons. A number of operative procedures are practiced. The posterior sagittal anorectoplasty procedure has found wide acceptability and although it provides the most accurate anatomical reconstruction of the neoanorectum and the sphincters, the results are not in keeping with this technical advantage. In addition, there is no uniformity in describing the results of surgery and hence comparative evaluation of different series is difficult. This review describes the various methods that are available for the assessment of postoperative results following surgery for ARM, with a special emphasis on clinical methods keeping in mind the limitations in various parts of the country. Clinical examination and clinical scoring systems hold an important place in the post-operative evaluation of these patients. Imaging modalities are useful in the diagnosis of misplaced bowel and damage to the muscle complex and are necessary before re-do surgery is planned. Objectivity in the evaluation is provided by anorectal manometry combined with electromyography and these corelate well with clinical scoring systems. A consensus is required for uniformity in the methods of assessment.

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Colonic Motility in Children With Repaired Imperforate Anus

Cited by 13 publications

References 0 publications

Posterior sagittal anorectoplasty in anorectal anomalies: clinical, manometric and profilometric evaluation

Posterior sagittal anorectoplasty in anorectal anomalies: clinical, manometric and profilometric evaluation

Colonic manometry via appendicostomy shows reduced frequency, amplitude, and length of propagating sequences in children with slow-transit constipation

Assessment of postoperative results in anorectal malformations

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