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[Diagnosis of functional anorectal disorders in childhood]
Wiener Medizinische Wochenschrift (1946)
|May 31, 1986
Insights
Childhood constipation diagnosis requires differentiating between normal and abnormal nerve cells in the gut. Investigations like biopsies and manometry help identify the cause and associated risks.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
- Diagnostic Medicine
Context:
- Constipation is a common pediatric gastrointestinal complaint.
- Accurate diagnosis is crucial for effective treatment.
- Distinguishing between functional constipation and that due to neurological abnormalities is key.
Purpose:
- To outline diagnostic investigations for childhood constipation.
- To detail the techniques and risks of key investigations.
- To aid in differentiating constipation with and without normal enteric ganglia.
Summary:
- Childhood constipation necessitates investigations including clinical examination, manometry, rectoscopy, and rectal biopsies (mucosal and full thickness).
- These procedures help determine the presence or absence of normal enteric ganglia, crucial for diagnosis.
- The techniques and potential risks associated with each diagnostic method are discussed.
Impact:
- Improved diagnostic accuracy for pediatric constipation.
- Guidance for clinicians on appropriate investigation selection.
- Potential for earlier and more targeted therapeutic interventions.
Abstract:
Constipation of all degrees is a frequent complaint in childhood. Differentiation between constipation with or without normal ganglia necessitates the following investigations: clinical examination, manometry, rectoscopy, rectal mucosal biopsy, rectal full thickness biopsy. The technique of these investigations as well as their risks are discussed.