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[Anorectal echo-endoscopy: applications in pediatrics].

G Roseau, L Palazzo

    Presse Medicale (Paris, France : 1983)
    |December 22, 1999
    PubMed
    Summary
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    Anorectal echoendoscopy is a valuable, noninvasive tool for pediatric gastroenterology, aiding in the diagnosis of bowel disorders and incontinence, especially after surgery. It provides precise anatomical detail to guide treatment decisions.

    Area of Science:

    • Pediatric Gastroenterology
    • Medical Imaging
    • Anorectal Disorders

    Background:

    • Anorectal echoendoscopy is established for adult rectal cancer and incontinence work-up.
    • Its application in pediatrics is emerging, utilizing rotative or linear probes.
    • The procedure can be performed with or without sedation, exploring anorectal walls and adjacent structures.

    Purpose of the Study:

    • To highlight the utility of anorectal echoendoscopy in pediatric patients.
    • To detail its application in diagnosing bowel disorders and incontinence, particularly post-surgical cases.
    • To emphasize its role in assessing anatomical structures and functional issues in children.

    Main Methods:

    • Utilizes rotative or linear echoendoscopic heads for exploration.

    Related Experiment Videos

  • Can be performed after an enema or neuroleptanalgesia.
  • Examines anorectal walls, bladder, genital organs, perirectal spaces, and vessels.
  • Main Results:

    • Ultrasonographic appearance of anorectal walls is similar to adults, though thinner.
    • Effectively identifies defects, abscesses, and fistulas.
    • Characterizes subepithelial tumors, vascular anomalies, and assesses surgical repair quality.

    Conclusions:

    • Anorectal echoendoscopy is a promising, noninvasive diagnostic technique for pediatric gastroenterology.
    • Offers precise descriptions of sphincters and anorectal anatomy.
    • Crucial for guiding management of primary or postsurgical functional disorders.