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Colonic Function Investigations in Children: Review by the ESPGHAN Motility Working Group
Anna Rybak1, Massimo Martinelli2, Nikhil Thapar3
1Neurogastroenterology & Motility Unit, Gastroenterology Department, Great Ormond Street Hospital for Children, London, UK.
Insights
Pediatric colonic motility disorders, often causing constipation, are common. This review guides healthcare professionals on recent advances in pediatric colonic motility testing, covering established and novel diagnostic methods.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Motility Disorders
Background:
- Colonic motility disorders, primarily constipation, are frequent reasons for pediatric gastroenterology consultations.
- Accurate diagnosis is crucial for effective management of these conditions.
Purpose of the Study:
- To provide a practical guide on recent advancements in pediatric colonic motility testing.
- To detail indications, technical principles, patient preparation, test performance, and result analysis for various motility tests.
Main Methods:
- Review of classical methods: colonic transit time (cTT) using radiopaque markers and colonic scintigraphy.
- Discussion of manometry and emerging techniques: wireless motility capsule and electromagnetic capsule tracking systems.
Main Results:
- Highlights recent advances in pediatric colonic motility testing.
- Compares and contrasts classical and novel diagnostic approaches for colonic motility disorders.
Conclusions:
- Offers a comprehensive overview of current pediatric colonic motility testing options.
- Aims to standardize and improve the diagnostic approach to constipation and other motility issues in children.
Abstract:
Disorders of colonic motility, most often presenting as constipation, comprise one of the commonest causes of outpatient visits in pediatric gastroenterology. This review, discussed and created by the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) Motility Working Group, is a practical guide, which highlights the recent advances in pediatric colonic motility testing including indications, technical principles of the tests, patient preparation, performance and basis of the results' analysis of the tests. classical methods, such as colonic transit time (cTT) with radiopaque markers and colonic scintigraphy, as well as manometry and novel techniques, such as wireless motility capsule and electromagnetic capsule tracking systems are discussed.