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Prolonged Colonic Manometry in Children with Defecatory Disorders.
MedLine Citation:
PMID:  25079485     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION:: Colonic manometry is a test used in the evaluation of children with defecation disorders unresponsive to conventional treatment. The most commonly reported protocol in pediatrics consists of a study that lasts approximately 4 hours. Given the wide physiologic variations in colonic motility throughout the day, longer observation might detect clinically relevant information. AIM:: To compare prolonged colonic manometry studies in children referred for colonic manometry to the more traditional short water perfused technology.
METHODS:: Colonic manometry studies of 19 children (8 boys, mean age 9.4 ± 0.9, range 3.9 - 16.3) with severe defecation disorders were analyzed. First, a "standard test" was performed with at least 1 hr fasting, 1 hr postprandial and 1 hr post-bisacodyl provocation recording. Afterwards, recordings continued until the next day.
RESULTS:: In two of the 19 children, prolonged recording gave us extra information. In one patient with functional non-retentive fecal incontinence who demonstrated no abnormalities in the short recording, two long clusters of high amplitude contractions were noted in the prolonged study, possibly contributing to the fecal incontinence. In another patient evaluated after failing use of antegrade enemas through a cecostomy, short recordings showed colonic activity only in the most proximal part of the colon while the prolonged study showed normal motility over a larger portion of the colon.
CONCLUSION:: Prolonged colonic measurement provides more information regarding colonic motor function and allows detection of motor events missed by the standard shorter manometry study.
Authors:
O Liem; R E Burgers; F L Connor; M A Benninga; H M Mousa; C Di Lorenzo
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-7-24
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  -     ISSN:  1536-4801     ISO Abbreviation:  J. Pediatr. Gastroenterol. Nutr.     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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