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[Anorectal manometry. A new method for the evaluation of continence, incontinence and chronic constipation]
Insights
Electromanometry is a reliable method for assessing ano-rectal continence in children with various conditions. This study found significant reliability in 87.2% of investigations for pediatric ano-rectal disorders.
Area of Science:
- Pediatric Gastroenterology
- Physiology
- Medical Diagnostics
Context:
- Ano-rectal disorders in children present diagnostic challenges.
- Accurate assessment of ano-rectal function is crucial for treatment planning.
- Previous methods may lack precision in evaluating continence.
Purpose:
- To evaluate the reliability of ano-rectal electromanometry in pediatric patients.
- To assess physiological and pathological parameters in children with ano-rectal diseases.
- To determine the efficacy of electromanometry in diagnosing continence issues.
Summary:
- 643 ano-rectal electromanometric investigations were performed on 438 children with conditions like myelomeningocele, Hirschsprung's disease, anal atresia, and chronic constipation.
- The study included healthy infants for comparison.
- Electromanometry demonstrated significant reliability in 87.2% of recorded physiological and pathological parameters.
Impact:
- Ano-rectal electromanometry is established as a valuable diagnostic tool for pediatric ano-rectal continence.
- This method aids in understanding the physiological basis of continence in various pediatric conditions.
- Improved diagnostic accuracy can lead to more effective treatment strategies for children.
Abstract:
643 ano-rectal electromanometric investigations were carried out in 438 children with different ano-rectal diseases including myelomeningocele, Hirschsprung's disease, anal atresia and chronic constipation, as well as in healthy premature, new-born and older infants. The reliability of the recorded physiological and pathological parameters was found to be significant in 87,2%. Electromanometry is shown to be an important new method of assessing ano-rectal continence.