Document Detail


Anorectal manometry results in defecation disorders.
MedLine Citation:
PMID:  6847228     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Anorectal manometry and suction biopsy were carried out on 47 children with constipation or soiling, or both. Patients were divided into two groups. Group 1 (37 patients): functional faecal retention, group 2 (10 patients): functional faecal soiling without retention. Ganglion cells or normal acetylcholinesterase staining, or both, was demonstrated in all cases. Normal inhibition of internal sphincter could be achieved by rectal distension in all except 2 children with severe constipation. Resting sphincteric pressures, pressure responses, and conscious rectal sensitivity thresholds were similar in groups 1 and 2, but were increased compared with controls. In group 1 alone, the critical volume increased parallel with conscious rectal sensitivity threshold. Since the complete relaxation of internal sphincter occurs before conscious rectal sensation arises in children with soiling without retention, this may be an important factor, at least in some of the soilers.
Authors:
D Molnar; L S Taitz; O M Urwin; J K Wales
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Archives of disease in childhood     Volume:  58     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  1983 Apr 
Date Detail:
Created Date:  1983-06-23     Completed Date:  1983-06-23     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  257-61     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anal Canal / physiopathology
Biopsy, Needle
Child
Child, Preschool
Constipation / diagnosis*,  physiopathology
Fecal Incontinence / diagnosis*,  physiopathology
Female
Humans
Infant
Male
Manometry*
Pressure
Rectum / physiopathology
Sensory Thresholds
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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