[Complex radiologic investigation for disorders of defecation in children]

Area of Science:

• Pediatric Colonoproctology
• Medical Imaging
• Gastroenterology

Background:

• Constipation and fecal incontinence are common in pediatric colonoproctology.
• Accurate diagnosis requires effective imaging of the anorectal area.
• Routine and advanced imaging modalities are employed for evaluation.

Purpose of the Study:

• To present findings from radial examination of the anorectal area in children.
• To compare routine methods (irrigography, balloon proctography) with advanced technologies (endosonography, CT).
• To assess the diagnostic value of these methods for constipation, incontinence, and trauma.

Main Methods:

• Radial examination of the anorectal area in 250 children.
• Utilized irrigography, balloon proctography, high-resolution endosonography (7.5 MHz), and computed tomography.
• Described endosonographic findings of the normal sphincter apparatus.

Main Results:

• Endosonography is highly effective for detecting isolated anal sphincter intussusception.
• Computed tomography is essential for diagnosing anorectal trauma in children.
• Both methods contribute to understanding common pediatric colonoproctological syndromes.

Conclusions:

• Endosonography and computed tomography are valuable tools in pediatric anorectal diagnostics.
• These advanced imaging techniques aid in managing constipation, incontinence, and trauma.
• Comprehensive evaluation improves patient outcomes in pediatric colonoproctology.