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Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
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Published on: February 5, 2019

[Diagnosis and treatment of pediatric anismus]

Shu-qing Ding1, Yi-jiang Ding, Yong-tian Chen

  • 1The Third Affiliated Hospital, Nanjing University of Traditional Chinese Medicine, National Central of Colorectal Surgery, Nanjing 210001, China. njgczx@public1.ptt.js.cn

Zhonghua Wei Chang Wai Ke Za Zhi = Chinese Journal of Gastrointestinal Surgery
|December 5, 2006
PubMed

Insights

Pediatric anismus, a cause of chronic constipation, is diagnosed using colon barium contrast and anorectal manometry. The Lynn procedure offers a surgical option for patients unresponsive to conservative treatments like toilet training.

Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Surgery

Context:

  • Idiopathic chronic constipation in children can be linked to anismus.
  • Accurate diagnosis is crucial for effective management.

Purpose:

  • To investigate diagnostic methods and treatment outcomes for pediatric anismus.
  • To evaluate the efficacy of the Lynn procedure in refractory cases.

Summary:

  • Retrospective analysis of 29 pediatric patients diagnosed with anismus via colon barium contrast and anorectal manometry.
  • Initial treatment involved toilet training, diet modification, and laxatives, with limited success. Four patients underwent the Lynn procedure, showing positive outcomes.
  • Diagnostic tools include history, colon barium contrast, and anorectal manometry, with rectoanal inhibitory reflex (RAIR) assessment. The Lynn procedure is a viable option for treatment-resistant cases.

Impact:

  • Highlights the importance of specific diagnostic criteria for pediatric anismus.
  • Suggests the Lynn procedure as a potential surgical intervention for severe or persistent cases.
  • Provides insights into the long-term effects of the Lynn procedure on anorectal manometry parameters.
Abstract

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