Fecoflowmetric profiles in postoperative patients with Hirschsprung's disease
| Autor: | Minoru Yagi, Satoru Yamazaki, Yutaka Hirayama, Yoshiaki Kinoshita, Masayuki Kubota, Satoshi Kanada, Hiroki Murata, Naoki Okuyama |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Colon Manometry Rectosigmoid Colon medicine.medical_treatment Enema Gastroenterology Severity of Illness Index Colon Sigmoid Internal medicine medicine Fecal continence Humans Hirschsprung Disease Postoperative Period Child Defecation Saline Hirschsprung's disease business.industry Anastomosis Surgical Rectum General Medicine Anal canal medicine.disease Surgery Biomechanical Phenomena medicine.anatomical_structure Treatment Outcome Close relationship Pediatrics Perinatology and Child Health Anorectal function Female business Gastrointestinal Motility Rheology Follow-Up Studies |
| Zdroj: | Journal of pediatric surgery. 40(3) |
| ISSN: | 1531-5037 |
| Popis: | The objective of this study is to evaluate the anorectal function from the viewpoint of fecoflowmetry in postoperative patients with Hirschsprung's disease (HD).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.(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-max45 mL per second, TR70%, or AP30 mm Hg was statistically regarded as a borderline level of fecal continence (P.002).The Flow-max and FFP are considered to be useful parameters for postoperative patients with HD. |
| Databáze: | OpenAIRE |
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