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Three-dimensional high-resolution anorectal manometry in children after surgery for anorectal disorders

M Banasiuk1, M Dziekiewicz, Ł Dembiński

  • 1Department of Pediatric Gastroenterology and Nutrition, Medical University of Warsaw, Poland. mbanasiuk@wum.edu.pl.

European Review for Medical and Pharmacological Sciences
|April 20, 2021
PubMed

Insights

Three-dimensional high-resolution anorectal manometry (3DHRAM) precisely assesses anorectal function in children post-surgery. It identified lower pressures in anal atresia and incontinence, aiding in evaluating surgical outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Physiology

Background:

  • Post-surgical assessment of anorectal function in children is crucial for managing complications.
  • Three-dimensional high-resolution anorectal manometry (3DHRAM) offers advanced precision in evaluating anal canal function.

Purpose of the Study:

  • To evaluate the utility of 3DHRAM in assessing anorectal function in children following surgery for anorectal disorders.
  • To correlate manometric findings with clinical symptoms in pediatric patients.

Main Methods:

  • Prospective enrollment of 43 children (mean age 7 years) post-surgery for Hirschsprung's disease, anal atresia, or proctocolectomy.
  • Comparison of 3DHRAM data with a control group of asymptomatic children.
  • Evaluation of correlations between manometric parameters and patient symptoms.

Main Results:

  • The anal atresia group exhibited the lowest resting pressure, squeeze pressure, and puborectalis muscle pressure.
  • Children with non-retentive fecal incontinence showed significantly lower mean resting pressures compared to asymptomatic controls (61.3 mmHg vs. 68.5 mmHg cutoff).
  • Constipated patients demonstrated higher urge thresholds than asymptomatic children (87.5 cm³ vs. 30 cm³).

Conclusions:

  • 3DHRAM is a valuable tool for assessing anorectal function in pediatric patients after surgery.
  • Manometric findings can help differentiate functional outcomes and guide management in children with anorectal disorders.
Abstract

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