Evaluation of Anal Sphincter with High Resolution Anorectal Manometry and 3D Reconstruction in Patients with Anorectal Malformation

被引:0
|
作者
Caruso, Anna Maria [1 ]
Bommarito, Denisia [1 ]
Girgenti, Vincenza [1 ]
Amato, Glenda [1 ]
Calabrese, Ugo [1 ]
Figuccia, Adele [2 ]
Baldanza, Fabio [2 ]
Grasso, Francesco [2 ]
Giglione, Emanuela [3 ]
Casuccio, Alessandra [2 ]
Milazzo, Mario Pietro Marcello [1 ]
Di Pace, Maria Rita [2 ]
机构
[1] Childrens Hosp G Cristina ARNAS Civ, Pediat Surg Unit, I-90100 Palermo, Italy
[2] Univ Palermo, Dept Hlth Promot Mother & Child Care, Pediat Surg Unit, Internal Med & Med Special, I-90100 Palermo, Italy
[3] Univ Padua, Womens & Childrens Hlth Dept, Pediat Surg Div, I-35100 Padua, Italy
来源
CHILDREN-BASEL | 2023年 / 10卷 / 06期
关键词
anorectal malformations; high resolution anorectal manometry; fecal incontinence; bowel management; PEDIATRIC FECAL INCONTINENCE; RESONANCE-IMAGING EVALUATION; SPINAL-CORD; CHILDREN; ANOMALIES; OUTCOMES; URINARY; MUSCLE; ABNORMALITIES; INTERMEDIATE;
D O I
10.3390/children10061037
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: Patients with anorectal malformation (ARM) need long-term follow-up, in order to evaluate fecal continence; the main predictors of longer-term success are the type of ARM, associated anomalies and sacral integrity. Three-Dimensional High Resolution Anorectal Manometry (3D-HRAM) gives detailed information on pressure on the anal complex profile. Our objective was to analyze anal sphincter activity in ARM patients with 3D-HRAM establishing the correlation between manometric and clinical data. Methods: Forty ARM patients were submitted to 3D-HRAM: manometric, anatomical and clinical scores were correlated with each other and with the bowel management response (BM). Results: A positive correlation between all scores and types of ARM was found: in high ARM and in patients with spinal anomalies (regardless to ARM type) lower scores were reported and even after BM they did not achieve good continence. Conclusions: 3D-HRAM gives detailed data on the functional activity of the anal sphincter complex. Our study revealed a correlation between manometric parameters and clinical outcomes, confirming spinal malformations and ARM type as the most important prognostic risk factors for a bad outcome. Specific sphincteric defects can also be explored with manometry, allowing for tailored bowel management strategies.
引用
收藏
页数:15
相关论文
共 50 条
  • [1] Validity of 3D high resolution anorectal manometry in the assessment of anal sphincter defects
    Stojanovic, Marko
    Bunjo, Zachary
    Gladman, Marc A.
    NEUROGASTROENTEROLOGY AND MOTILITY, 2020, 32
  • [2] Can 3D High Resolution Anorectal Manometry Detect Anal Sphincter Defects in Patients With Fecal Incontinence?
    Rezaie, Ali
    Iriana, Sentia
    Pimentel, Mark
    Chang, Christopher
    Murrell, Zuri
    Madsen, Mari A.
    Fleshner, Phillip
    Zaghiyan, Karen N.
    GASTROENTEROLOGY, 2015, 148 (04) : S306 - S307
  • [3] Anal sphincter function as assessed by 3D high definition anorectal manometry
    Mion, Francois
    Garros, Aurelien
    Subtil, Fabien
    Damon, Henri
    Roman, Sabine
    CLINICS AND RESEARCH IN HEPATOLOGY AND GASTROENTEROLOGY, 2018, 42 (04) : 378 - 381
  • [4] High resolution anorectal manometry and ultrasonography of internal anal sphincter in patients with anal fissure
    Opazo, A.
    Aguirre, E.
    Clave, P.
    NEUROGASTROENTEROLOGY AND MOTILITY, 2010, 22 : 38 - 38
  • [5] ANAL SPHINCTER FUNCTION EVALUATED BY 3D HIGH DEFINITION ANORECTAL MANOMETRY IN FECAL INCONTINENCE AND CHRONIC CONSTIPATION PATIENTS
    Mion, Francois
    Garros, Aurelien
    Damon, Henri
    Roman, Sabine
    GASTROENTEROLOGY, 2017, 152 (05) : S313 - S313
  • [6] 3D high-resolution anorectal manometry in patients with perianal fistulas: comparison with 3D-anal ultrasound
    Felt-Bersma, Richelle J. F.
    Vlietstra, Maarten S.
    Vollebregt, Paul F.
    Han-Geurts, Ingrid J. M.
    Rempe-Sorm, Vera
    Mijnsbrugge, Grietje J. H. Vander
    Molenaar, Charlotte B. H.
    BMC GASTROENTEROLOGY, 2018, 18
  • [7] 3D high-resolution anorectal manometry in patients with perianal fistulas: comparison with 3D-anal ultrasound
    Richelle J. F. Felt-Bersma
    Maarten S. Vlietstra
    Paul F. Vollebregt
    Ingrid J. M. Han-Geurts
    Vera Rempe-Sorm
    Grietje J. H. Vander Mijnsbrugge
    Charlotte B. H. Molenaar
    BMC Gastroenterology, 18
  • [8] High-resolution anorectal manometry results in patients with anal incontinence
    Gharbi, Y.
    Uzum, A.
    NEUROGASTROENTEROLOGY AND MOTILITY, 2021, 33
  • [9] Normal values for 3D high resolution anorectal manometry in children
    Banasiuk, M.
    Banaszkiewicz, A.
    Albrecht, P.
    NEUROGASTROENTEROLOGY AND MOTILITY, 2015, 27 : 41 - 41
  • [10] HIGH DEFINITION ANORECTAL MANOMETRY VERSUS HIGH RESOLUTION ANORECTAL MANOMETRY FOR ANORECTAL DISORDERS
    Vasant, Dipesh H.
    Xiang, Xuelian
    Amieva-Balmori, Mercedes
    Parr, Rachael
    Sharma, Amol
    Rao, Satish S.
    GASTROENTEROLOGY, 2017, 152 (05) : S316 - S316