Athanasakos, E;
Cleeve, S;
Thapar, N;
Lindley, K;
Perring, S;
Cronin, H;
Borrelli, O;
(2020)
Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement.
Neurogastroenterology and Motility
, Article e13797. 10.1111/nmo.13797.
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Abstract
Defecatory disorders in children, including chronic constipation (CC) and fecal incontinence (FI), are common conditions worldwide and have a significant impact on children, their families, and the healthcare system. Anorectal manometry (ARM) and high‐resolution anorectal manometry (HRAM) are relatively novel tools for the assessment of anal sphincter function and rectal sensation and have contributed significantly to improving the understanding of the anorectum as a functional unit. ARM has been recognized as the investigation of choice for adults with symptoms of defecation disorders, including fecal incontinence (FI), evacuation difficulties, and constipation. Although it is the gold standard tool in adults, it has yet to be formally accepted as a standardized diagnostic tool in the pediatric age, with limited knowledge regarding indications, protocol, and normal values. ARM/HRAM is slowly becoming recognized among pediatricians, but given that there are currently no agreed guidelines there is a risk that will lead to diversity in practice. The British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN)—Motility Working Group (MWG) therefore has taken the opportunity to provide guidance on the use of ARM/HRAM in children with CC and/or FI.
| Type: | Article |
|---|---|
| Title: | Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/nmo.13797 |
| Publisher version: | https://doi.org/10.1111/nmo.13797 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Gastroenterology & Hepatology, Clinical Neurology, Neurosciences, Neurosciences & Neurology, anal sphincter, anorectal function, faecal incontinence, high -resolution anorectal manometry, paediatric chronic constipation, NONRETENTIVE FECAL INCONTINENCE, CHRONIC CHILDHOOD CONSTIPATION, QUALITY-OF-LIFE, NORMAL VALUES, HIRSCHSPRUNGS-DISEASE, MINIMUM STANDARDS, EPIDEMIOLOGY, PRESSURE, ADULTS, PATHOPHYSIOLOGY |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10091775 |
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