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Updated: Oct 28, 2025
04:04
Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation
Published on: July 5, 2024
663
Evaluation of constipation in children using high-resolution anorectal manometry
Vishrutha S Poojari1, Sonal Mirani1, Naman S Shetty2
1Fellow, Department of Pediatric Gastroenterology and Hepatology, BJ Wadia Hospital for Children, Mumbai, India.
Tropical Doctor
|July 16, 2021
Summary
High-resolution anorectal manometry revealed that most childhood constipation cases are functional. Abnormal anal sphincter pressures, like hypotension and hypertension, are common in chronic functional constipation.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Background:
- Constipation is a common pediatric issue.
- Accurate diagnosis of constipation causes is crucial for effective treatment.
Purpose of the Study:
- To identify the causes of constipation in children using high-resolution anorectal manometry.
- To investigate the role of anal sphincter abnormalities in pediatric constipation.
Main Methods:
- Prospective, cross-sectional study.
- Enrolled 33 children with constipation.
- Utilized high-resolution anorectal manometry to assess anorectal function.
Main Results:
- 91% of children had functional constipation.
- Abnormal anal sphincter pressures (hypotonia/hypertonia) were observed in 25 children.
- Two cases were suspected Hirschsprung's disease, and one was dyssynergic defecatory disorder.
Conclusions:
- Functional constipation is the predominant cause of constipation in children.
- Anal sphincter hypotension and hypertension may be associated with chronic functional constipation.
- High-resolution anorectal manometry is valuable for diagnosing constipation etiologies in pediatric patients.
Keywords:
Anal hypotoniaanal hypertoniadyssynergiafunctional constipationhigh-resolution anorectal manometryrecto-anal inhibitory reflexMore Related Videos
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