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Anorectal Manometry in Children: The Update on the Indications and the Protocol of the Procedure

Caterina Strisciuglio1, Marcin Banasiuk2, Silvia Salvatore3

  • 1Department of Woman, Child and General and Specialistic Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.

Journal of Pediatric Gastroenterology and Nutrition
|January 10, 2022
PubMed

Insights

Pediatric anorectal disorders require accurate diagnosis through functional testing like anorectal manometry. Standardizing these tests is crucial for reliable interpretation and improved patient care in children.

Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Surgery
  • Physiology

Background:

  • Anorectal disorders are prevalent in children, stemming from structural or functional issues.
  • Symptoms vary widely, necessitating precise diagnostic tools for understanding pathophysiology.
  • Current diagnostic methods for anorectal function have limitations in standardization and interpretation.

Purpose of the Study:

  • To review current indications for anorectal manometry in pediatric patients.
  • To update on the established protocols for performing anorectal manometry.
  • To highlight the need for standardized methods and validated reference values in pediatric populations.

Main Methods:

  • Literature review of existing studies on anorectal function testing in children.
  • Analysis of current indications and protocols for anorectal manometry.
  • Discussion of challenges in test interpretation and inter-center variability.

Main Results:

  • Anorectal manometry is a key diagnostic test for evaluating pediatric anorectal dysfunction.
  • Significant variations in equipment and protocols exist across different medical centers.
  • Interpretation of results can be challenging due to heterogeneity in testing methods.

Conclusions:

  • Standardization of anorectal manometry methods and validation of reference values are strongly recommended for children.
  • Improved diagnostic accuracy will facilitate better understanding and management of pediatric anorectal disorders.
  • Further research is needed to refine and standardize pediatric anorectal function testing.

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