Rectoanal pressures and rectal sensitivity studies in chronic childhood constipation
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Summary
This summary is machine-generated.Children with chronic constipation often show abnormal rectoanal pressures and rectal sensitivity. Most constipated children, excluding Hirschsprung
Area Of Science
- Pediatric Gastroenterology
- Colorectal Physiology
- Functional Bowel Disorders
Background
- Chronic constipation is a common pediatric issue.
- Manometric studies assess rectoanal function in constipated children.
- Hirschsprung's disease is a differential diagnosis.
Purpose Of The Study
- To investigate rectoanal pressures and rectal sensitivity in chronically constipated children.
- To identify manometric abnormalities in pediatric constipation.
- To differentiate from Hirschsprung's disease.
Main Methods
- Rectoanal pressures and rectal sensitivity studies were conducted.
- Evaluated rectoanal inhibitory reflex threshold.
- Measured maximal anal resting closure pressure and conscious rectal sensitivity threshold.
Main Results
- Abnormalities were found in most constipated children (87%).
- Anal hypertony (46%) and decreased rectal sensitivity (68%) were prevalent.
- Only 13% of constipated children had normal manometric findings.
Conclusions
- Children with chronic constipation frequently exhibit manometric abnormalities.
- These findings suggest functional defecation disorders in most cases.
- Manometry is crucial for evaluating pediatric constipation without Hirschsprung's disease.