Three-dimensional High-resolution Anorectal Manometry in Children With Non-retentive Fecal Incontinence

Autor: Marcin Banasiuk, Marcin Dziekiewicz, Magdalena Dobrowolska, Barbara Skowrońska, Łukasz Dembiński, Aleksandra Banaszkiewicz
Rok vydání: 2022
Předmět:
Zdroj: Journal of Neurogastroenterology and Motility. 28:303-311
ISSN: 2093-0887
2093-0879
DOI: 10.5056/jnm20216
Popis: Three-dimensional high-resolution anorectal manometry (3D-HRAM) is a precise tool to assess the function of the anorectum. Our aim is to evaluate children diagnosed with non-retentive fecal incontinence (NRFI) using 3D-HRAM.In all children diagnosed with NRFI, manometric parameters and 3-dimensional reconstructions of the anal canal subdivided into 8 segments were recorded. All data were compared to raw data that were obtained from asymptomatic children, collected in our laboratory and published previously (C group).Forty children (31 male; median age, 8 years; range, 5-17) were prospectively included in the study. Comparison of the NRFI group and C group revealed lower values of mean resting pressure (74.4 mmHg vs 89.2 mmHg,Our study demonstrated lower pressure parameters in children with NRFI. In patients with normal resting pressures, 3D-HRAM may reveal segments with decreased pressures, which may play a potential role in the pathomechanism of incontinence.
Databáze: OpenAIRE