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3D high-definition manometry in evaluation of children after surgery for Hirschsprung's disease: A pilot study.
Adv Med Sci. 2016 Mar; 61(1):18-22.AM

Abstract

PURPOSE

Anorectal 3-dimensional high definition manometry (3D HRM) could be the best tool for postoperative assessment of restorative surgical procedures for Hirschsprung's disease. The aim of our study was to evaluate patients after surgery for Hirschsprung's disease using 3D HRM.

MATERIALS AND METHODS

Anorectal function was evaluated using solid state 3D HRM. We measured the length of the anal canal, mean resting squeeze pressures, the presence of rectoanal inhibitory reflex, cough reflex, ano-anal reflex and the bear down manoeuvre.

RESULTS

We studied 14 children operated on for Hirschsprung's disease. The mean values of pressure asymmetry were higher in patients after the Duhamel procedure than after the TEPT procedure (29.58% vs. 22.26% during resting and 26.1% vs. 14.01% during squeeze, respectively). No difference between the groups was observed in the measurement of all the manometric parameters except the presence of rectoanal inhibitory reflex (87.5% after TEPT vs. 33% after Duhamel).

CONCLUSIONS

Anorectal 3D HRM evaluation of patients with Hirschsprung's disease demonstrated that the asymmetry of the anal canal occurred in a similar percentage after both procedures.

Authors+Show Affiliations

Department of Paediatric Gastroenterology and Nutrition, Medical University of Warsaw, Warsaw, Poland. Electronic address: mbanasiu@tlen.pl.Department of Paediatric Gastroenterology and Nutrition, Medical University of Warsaw, Warsaw, Poland.Department of Paediatric Surgery, Medical University of Warsaw, Warsaw, Poland.Department of Paediatric Gastroenterology and Nutrition, Medical University of Warsaw, Warsaw, Poland.Department of Paediatric Surgery, Medical University of Warsaw, Warsaw, Poland.Department of Paediatric Gastroenterology and Nutrition, Medical University of Warsaw, Warsaw, Poland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26344909

Citation

Banasiuk, Marcin, et al. "3D High-definition Manometry in Evaluation of Children After Surgery for Hirschsprung's Disease: a Pilot Study." Advances in Medical Sciences, vol. 61, no. 1, 2016, pp. 18-22.
Banasiuk M, Banaszkiewicz A, Piotrowski D, et al. 3D high-definition manometry in evaluation of children after surgery for Hirschsprung's disease: A pilot study. Adv Med Sci. 2016;61(1):18-22.
Banasiuk, M., Banaszkiewicz, A., Piotrowski, D., Albrecht, P., Kamiński, A., & Radzikowski, A. (2016). 3D high-definition manometry in evaluation of children after surgery for Hirschsprung's disease: A pilot study. Advances in Medical Sciences, 61(1), 18-22. https://doi.org/10.1016/j.advms.2015.07.008
Banasiuk M, et al. 3D High-definition Manometry in Evaluation of Children After Surgery for Hirschsprung's Disease: a Pilot Study. Adv Med Sci. 2016;61(1):18-22. PubMed PMID: 26344909.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 3D high-definition manometry in evaluation of children after surgery for Hirschsprung's disease: A pilot study. AU - Banasiuk,Marcin, AU - Banaszkiewicz,Aleksandra, AU - Piotrowski,Dariusz, AU - Albrecht,Piotr, AU - Kamiński,Andrzej, AU - Radzikowski,Andrzej, Y1 - 2015/08/10/ PY - 2014/12/28/received PY - 2015/07/03/revised PY - 2015/07/29/accepted PY - 2015/9/8/entrez PY - 2015/9/8/pubmed PY - 2017/1/10/medline KW - Anorectal manometry KW - Hirschsprung's disease KW - Paediatric patients KW - Postoperative outcomes KW - Pressure asymmetry SP - 18 EP - 22 JF - Advances in medical sciences JO - Adv Med Sci VL - 61 IS - 1 N2 - PURPOSE: Anorectal 3-dimensional high definition manometry (3D HRM) could be the best tool for postoperative assessment of restorative surgical procedures for Hirschsprung's disease. The aim of our study was to evaluate patients after surgery for Hirschsprung's disease using 3D HRM. MATERIALS AND METHODS: Anorectal function was evaluated using solid state 3D HRM. We measured the length of the anal canal, mean resting squeeze pressures, the presence of rectoanal inhibitory reflex, cough reflex, ano-anal reflex and the bear down manoeuvre. RESULTS: We studied 14 children operated on for Hirschsprung's disease. The mean values of pressure asymmetry were higher in patients after the Duhamel procedure than after the TEPT procedure (29.58% vs. 22.26% during resting and 26.1% vs. 14.01% during squeeze, respectively). No difference between the groups was observed in the measurement of all the manometric parameters except the presence of rectoanal inhibitory reflex (87.5% after TEPT vs. 33% after Duhamel). CONCLUSIONS: Anorectal 3D HRM evaluation of patients with Hirschsprung's disease demonstrated that the asymmetry of the anal canal occurred in a similar percentage after both procedures. SN - 1898-4002 UR - https://www.unboundmedicine.com/medline/citation/26344909/3D_high_definition_manometry_in_evaluation_of_children_after_surgery_for_Hirschsprung's_disease:_A_pilot_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1896-1126(15)00044-9 DB - PRIME DP - Unbound Medicine ER -