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01.12.2023 | Original Article

Anorectal manometry findings in relation with long-term functional outcomes of the patients operated on for Hirschsprung’s disease compared to the reference-based population

verfasst von: Tung Huu Trinh, Ngoc Minh Nguyen, Kim Thien Lam, Thach Ngoc Pham, Nhan Truong Vu, Linh Nguyen Uy Truong, Viet Quoc Tran

Erschienen in: Pediatric Surgery International | Ausgabe 1/2023

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Abstract

Purpose

This study investigated anorectal manometry (AM) findings and bowel function of patients operated on for Hirschsprung’s disease (HD).

Methods

A cross-sectional study was conducted at Children’s Hospital 2. Patients operated on for HD from January 2015 to January 2020 were reviewed. Their clinical characteristics, bowel function, and manometric findings were investigated and compared with the references.

Results

Ninety-five patients and 95 references were enrolled. Mean ages were 6.6 ± 2.2 years and 7.2 ± 2.9 years,; fecal incontinence rates were 25.3% and 2.1%, and constipation rates were 12.6% and 4.2 for the patients versus the references, respectively. Anal resting pressures were significantly decreased in the patients compared to the references (53.2 ± 16.1 mmHg versus 62.2 ± 14.0 mmHg; p < 0.05). Among the patients, the anal resting pressure was significantly decreased in the incontinents than in the continents (46.0 ± 10.6 mmHg versus 55.6 ± 16.9 mmHg, p < 0.05). During the sensation test, the value of maximum tolerated volume was significantly decreased in the incontinents than in the continents (135.9 ± 47.9 mL versus 166.6 ± 58.3 mL, p < 0.05).

Conclusion

AM is an objective method providing beneficial information that could guide a more adapted management in HD patients with defecation disorders.

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Titel: Anorectal manometry findings in relation with long-term functional outcomes of the patients operated on for Hirschsprung’s disease compared to the reference-based population
verfasst von: Tung Huu Trinh
Ngoc Minh Nguyen
Kim Thien Lam
Thach Ngoc Pham
Nhan Truong Vu
Linh Nguyen Uy Truong
Viet Quoc Tran
Publikationsdatum: 01.12.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2023
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05402-4

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Anorectal manometry findings in relation with long-term functional outcomes of the patients operated on for Hirschsprung’s disease compared to the reference-based population