An ANMS‐NASPGHAN consensus document on anorectal and colonic manometry in children

Background Over the last few years, the study of the colon and anorectal function has experienced great technical advances that have facilitated the performance of the tests and have allowed a more detailed characterization of reflexes and motor patterns. As a result, we have achieved a much better...

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Bibliographic Details
Published in:Neurogastroenterology and motility 2017-01, Vol.29 (1), p.np-n/a
Main Authors: Rodriguez, L., Sood, M., Di Lorenzo, C., Saps, M.
Format: Article
Language:English
Subjects:
Anal Canal - diagnostic imaging
Anal Canal - physiology
Anal Canal - physiopathology
Anorectal
anorectal manometry
Child
Children
Colon
Colon - diagnostic imaging
Colon - physiology
Colon - physiopathology
colonic manometry
Consensus
Constipation
Constipation - diagnosis
Constipation - physiopathology
Defecation
diagnosis
Fecal incontinence
Fecal Incontinence - diagnosis
Fecal Incontinence - physiopathology
Gastroenterology
Gastroenterology - methods
Humans
Manometry - methods
Motor task performance
Pediatrics
Rectal Diseases - diagnostic imaging
Rectal Diseases - physiopathology
Rectum - diagnostic imaging
Rectum - physiology
Rectum - physiopathology
Reflexes
Societies, Medical
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Summary:Background Over the last few years, the study of the colon and anorectal function has experienced great technical advances that have facilitated the performance of the tests and have allowed a more detailed characterization of reflexes and motor patterns. As a result, we have achieved a much better understanding of the pathophysiology of children with defecation problems. Anorectal and colonic manometry are now commonly used in all major pediatric referral centers as diagnostic tools and to guide the management of children with intractable constipation and fecal incontinence, particularly when a surgical intervention is being considered. Purpose This review highlights some of the recent advances in pediatric colon and anorectal motility testing including indications and preparation for the studies, and how to perform and interpret the tests. This update has been endorsed by the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN). The study of the colon and anorectal function has experienced great technical advances that facilitated the performance of tests and allowed a more detailed characterization of reflexes and motor patterns. As a result, we have achieved a much better understanding of the pathophysiology of children with defecation problems. This review highlights some of the recent advances in pediatric colonic and anorectal motility testing including indications and preparation and how to interpret the results.
ISSN:1350-1925
1365-2982
DOI:10.1111/nmo.12944