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Fecoflowmetric profiles in postoperative patients with Hirschsprung's disease.
J Pediatr Surg. 2005 Mar; 40(3):551-4.JP

Abstract

PURPOSE

The objective of this study is to evaluate the anorectal function from the viewpoint of fecoflowmetry in postoperative patients with Hirschsprung's disease (HD).

METHODS

This study evaluated 23 long-term follow-up patients who had undergone a radical operation for HD. Their mean age was 11 years. The types of HD included rectosigmoid colon type, 18 cases, and entire colon type, 5 cases. An anorectal manometric study was performed before fecoflowmetry. After normal saline solution was administrated as an imitation stool into the rectal cavity under pressure monitoring, the patients defecated on a fecoflowmeter. After discussing the maximum defecation flow (Flow-max), fecoflow pattern (FFP), tolerance rate (TR), anal canal pressure (AP), and Kelly's clinical scores (Kelly-Scores), the significant parameters were identified to elucidate the anorectal activity.

RESULTS

(1) A close relationship was observed between the FFP and Kelly-Scores (P = .0027). (2) Flow-max, TR, and AP in patients with good Kelly-Scores were significantly higher than those in patients with fair Kelly-Scores (P < .05). (3) The Flow-max accurately reflected the TR, Kelly-Scores, and AP. Flow-max >45 mL per second, TR >70%, or AP >30 mm Hg was statistically regarded as a borderline level of fecal continence (P < .002).

CONCLUSIONS

The Flow-max and FFP are considered to be useful parameters for postoperative patients with HD.

Authors+Show Affiliations

Department of Pediatric surgery, Niigata University Graduate School of Medical and Dental Sciences, Niigata-City, Niigata 951-8510, Japan. yagimi@med.niigata-u.ac.jpNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

15793734

Citation

Yagi, Minoru, et al. "Fecoflowmetric Profiles in Postoperative Patients With Hirschsprung's Disease." Journal of Pediatric Surgery, vol. 40, no. 3, 2005, pp. 551-4.
Yagi M, Kubota M, Kanada S, et al. Fecoflowmetric profiles in postoperative patients with Hirschsprung's disease. J Pediatr Surg. 2005;40(3):551-4.
Yagi, M., Kubota, M., Kanada, S., Kinoshita, Y., Okuyama, N., Yamazaki, S., Murata, H., & Hirayama, Y. (2005). Fecoflowmetric profiles in postoperative patients with Hirschsprung's disease. Journal of Pediatric Surgery, 40(3), 551-4.
Yagi M, et al. Fecoflowmetric Profiles in Postoperative Patients With Hirschsprung's Disease. J Pediatr Surg. 2005;40(3):551-4. PubMed PMID: 15793734.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fecoflowmetric profiles in postoperative patients with Hirschsprung's disease. AU - Yagi,Minoru, AU - Kubota,Masayuki, AU - Kanada,Satoshi, AU - Kinoshita,Yoshiaki, AU - Okuyama,Naoki, AU - Yamazaki,Satoru, AU - Murata,Hiroki, AU - Hirayama,Yutaka, PY - 2005/3/29/pubmed PY - 2006/8/10/medline PY - 2005/3/29/entrez SP - 551 EP - 4 JF - Journal of pediatric surgery JO - J Pediatr Surg VL - 40 IS - 3 N2 - PURPOSE: The objective of this study is to evaluate the anorectal function from the viewpoint of fecoflowmetry in postoperative patients with Hirschsprung's disease (HD). METHODS: This study evaluated 23 long-term follow-up patients who had undergone a radical operation for HD. Their mean age was 11 years. The types of HD included rectosigmoid colon type, 18 cases, and entire colon type, 5 cases. An anorectal manometric study was performed before fecoflowmetry. After normal saline solution was administrated as an imitation stool into the rectal cavity under pressure monitoring, the patients defecated on a fecoflowmeter. After discussing the maximum defecation flow (Flow-max), fecoflow pattern (FFP), tolerance rate (TR), anal canal pressure (AP), and Kelly's clinical scores (Kelly-Scores), the significant parameters were identified to elucidate the anorectal activity. RESULTS: (1) A close relationship was observed between the FFP and Kelly-Scores (P = .0027). (2) Flow-max, TR, and AP in patients with good Kelly-Scores were significantly higher than those in patients with fair Kelly-Scores (P < .05). (3) The Flow-max accurately reflected the TR, Kelly-Scores, and AP. Flow-max >45 mL per second, TR >70%, or AP >30 mm Hg was statistically regarded as a borderline level of fecal continence (P < .002). CONCLUSIONS: The Flow-max and FFP are considered to be useful parameters for postoperative patients with HD. SN - 1531-5037 UR - https://www.unboundmedicine.com/medline/citation/15793734/Fecoflowmetric_profiles_in_postoperative_patients_with_Hirschsprung's_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022346804007961 DB - PRIME DP - Unbound Medicine ER -