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Importance of anorectal manometry after definitive surgery for Hirschsprung's disease in children.
Afr J Paediatr Surg. 2013 Jan-Apr; 10(1):1-4.AJ

Abstract

OBJECTIVES

The purpose of this investigation is to evaluate anorectal function after definitive surgery for Hirschsprung's disease (HD) by anorectal manometry.

MATERIALS AND METHODS

We evaluated the anorectal manometric assessment of 18 children who were operated for HD. Functional outcomes were determined by a questionnaire. Rectoanal inhibitory reflex (RAIR) and maximum anal resting pressure (MARP) were monitored. The results were compared between obstructive patients and asymptomatic patients.

RESULTS

The median age at definitive operation was 19 months (range 12-72 months). Anorectal manometry was performed in 14 male and 4 female patients. All the cases underwent three staged procedure for HD and modified Duhamel procedure was performed as definitive procedure for all the patients. Mean age was 4.3 months (range 25 days to 5 years) at time of diagnosis. Post-operative enterocolitis or severe constipation was observed in seven patients (38.8%). There were no patients with incontinence. Eighteen patients underwent anorectal manometry meanly 2 years after definitive operation. RAIR was absent in 14 (77.7%) patients and abnormal in 4 (22.2%). There were no significant differences in the MARP values between symptomatic and asymptomatic patients.

CONCLUSION

The results of our study showed that the majority of the patients have impaired anorectal motility. There were no significant differences in the results of the functional studies for the seven patients with symptoms of obstruction or constipation when compared with asymptomatic patients after surgery for HD.

Authors+Show Affiliations

Department of Paediatric Surgery, Gülhane Military Medical Academy, Ankara, Turkey.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23519848

Citation

Demirbag, Suzi, et al. "Importance of Anorectal Manometry After Definitive Surgery for Hirschsprung's Disease in Children." African Journal of Paediatric Surgery : AJPS, vol. 10, no. 1, 2013, pp. 1-4.
Demirbag S, Tiryaki T, Purtuloglu T. Importance of anorectal manometry after definitive surgery for Hirschsprung's disease in children. Afr J Paediatr Surg. 2013;10(1):1-4.
Demirbag, S., Tiryaki, T., & Purtuloglu, T. (2013). Importance of anorectal manometry after definitive surgery for Hirschsprung's disease in children. African Journal of Paediatric Surgery : AJPS, 10(1), 1-4. https://doi.org/10.4103/0189-6725.109370
Demirbag S, Tiryaki T, Purtuloglu T. Importance of Anorectal Manometry After Definitive Surgery for Hirschsprung's Disease in Children. Afr J Paediatr Surg. 2013 Jan-Apr;10(1):1-4. PubMed PMID: 23519848.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Importance of anorectal manometry after definitive surgery for Hirschsprung's disease in children. AU - Demirbag,Suzi, AU - Tiryaki,Tugrul, AU - Purtuloglu,Tarik, PY - 2013/3/23/entrez PY - 2013/3/23/pubmed PY - 2013/12/18/medline SP - 1 EP - 4 JF - African journal of paediatric surgery : AJPS JO - Afr J Paediatr Surg VL - 10 IS - 1 N2 - OBJECTIVES: The purpose of this investigation is to evaluate anorectal function after definitive surgery for Hirschsprung's disease (HD) by anorectal manometry. MATERIALS AND METHODS: We evaluated the anorectal manometric assessment of 18 children who were operated for HD. Functional outcomes were determined by a questionnaire. Rectoanal inhibitory reflex (RAIR) and maximum anal resting pressure (MARP) were monitored. The results were compared between obstructive patients and asymptomatic patients. RESULTS: The median age at definitive operation was 19 months (range 12-72 months). Anorectal manometry was performed in 14 male and 4 female patients. All the cases underwent three staged procedure for HD and modified Duhamel procedure was performed as definitive procedure for all the patients. Mean age was 4.3 months (range 25 days to 5 years) at time of diagnosis. Post-operative enterocolitis or severe constipation was observed in seven patients (38.8%). There were no patients with incontinence. Eighteen patients underwent anorectal manometry meanly 2 years after definitive operation. RAIR was absent in 14 (77.7%) patients and abnormal in 4 (22.2%). There were no significant differences in the MARP values between symptomatic and asymptomatic patients. CONCLUSION: The results of our study showed that the majority of the patients have impaired anorectal motility. There were no significant differences in the results of the functional studies for the seven patients with symptoms of obstruction or constipation when compared with asymptomatic patients after surgery for HD. SN - 0974-5998 UR - https://www.unboundmedicine.com/medline/citation/23519848/Importance_of_anorectal_manometry_after_definitive_surgery_for_Hirschsprung's_disease_in_children_ L2 - http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2013;volume=10;issue=1;spage=1;epage=4;aulast=Demirbag DB - PRIME DP - Unbound Medicine ER -