Diagnostic Role of Anal Sphincter Relaxation Integral in High-Resolution Anorectal Manometry for Hirschsprung Disease in Infants

2018 ◽  
Vol 194 ◽  
pp. 136-141.e2 ◽  
Author(s):  
Jia-Feng Wu ◽  
Cheng-Hsun Lu ◽  
Chia-Hsiang Yang ◽  
I.-Jung Tsai
2014 ◽  
Vol 26 (5) ◽  
pp. 625-635 ◽  
Author(s):  
E. V. Carrington ◽  
A. Brokjaer ◽  
H. Craven ◽  
N. Zarate ◽  
E. J. Horrocks ◽  
...  

2014 ◽  
Vol 26 (11) ◽  
pp. 1565-1572 ◽  
Author(s):  
Y.-F. Tang ◽  
J.-G. Chen ◽  
H.-J. An ◽  
P. Jin ◽  
L. Yang ◽  
...  

2013 ◽  
Vol 144 (5) ◽  
pp. S-745 ◽  
Author(s):  
Emma V Carrington ◽  
Anthony Hobson ◽  
Charles H. Knowles ◽  
Peter J. Lunniss ◽  
S. Mark Scott

2021 ◽  
pp. 004947552110303
Author(s):  
Vishrutha S Poojari ◽  
Sonal Mirani ◽  
Naman S Shetty ◽  
Ira Shah

This prospective, cross-sectional study, conducted from July 2018 to March 2019, aimed to determine the causes of constipation using high-resolution anorectal manometry. Among 33 children enrolled in the study, 31 (94%) children presented with complaints of constipation with mean duration of 2.3 ± 2.5 years and 12 (36.4%) children also had associated complaints of faecal incontinence with mean duration of 3.5 ± 2.8 years. Seven children (21.2%) had normal high-resolution anorectal manometry parameters; anal sphincter hypotonia with decreased squeeze in one child, anal sphincter hypertonia with other abnormal parameters were noted in 25 and absent recto-anal inhibitory reflex in two. The causes of constipation determined were functional constipation in 30 (91%) children, suspected Hirschsprung’s disease in two and suspected dyssynergic defecatory disorder in one. Almost 90% had functional constipation of which anal hypotension and anal hypertension may be a part of chronic functional constipation.


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