Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement
Corresponding Author
Eleni Athanasakos
Paediatric Surgery, Royal London Hospital, London, UK
Correspondence
Eleni Athanasakos, Children's Anorectal Physiology Service, The Royal London Hospital, Whitechapel Road, London E1 1BB, UK.
Email: [email protected]
Search for more papers by this authorStewart Cleeve
Paediatric Surgery, Royal London Hospital, London, UK
Search for more papers by this authorNikhil Thapar
Gastroenterology, Great Ormond Street Hospital, London, UK
UCL Great Ormond Street Institute of Child Health Library, London, UK
Search for more papers by this authorKeith Lindley
Department of Paediatric Gastroenterology, Division of Paediatric Neurogastroenterology and Motility, Great Ormond Street Hospital for Children NHS Trust, London, UK
Search for more papers by this authorSteve Perring
Medical Physics, Poole Hospital NHS Trust, Poole, UK
Search for more papers by this authorHannah Cronin
Department of Paediatric Gastroenterology, Division of Paediatric Neurogastroenterology and Motility, Great Ormond Street Hospital for Children NHS Trust, London, UK
Search for more papers by this authorOsvaldo Borrelli
Department of Paediatric Gastroenterology, Division of Paediatric Neurogastroenterology and Motility, Great Ormond Street Hospital for Children NHS Trust, London, UK
Search for more papers by this authorMohamed Mutalib
Paediatric Gastroenterology, Evelina London Children's Hospital, London, UK
Search for more papers by this authorCorresponding Author
Eleni Athanasakos
Paediatric Surgery, Royal London Hospital, London, UK
Correspondence
Eleni Athanasakos, Children's Anorectal Physiology Service, The Royal London Hospital, Whitechapel Road, London E1 1BB, UK.
Email: [email protected]
Search for more papers by this authorStewart Cleeve
Paediatric Surgery, Royal London Hospital, London, UK
Search for more papers by this authorNikhil Thapar
Gastroenterology, Great Ormond Street Hospital, London, UK
UCL Great Ormond Street Institute of Child Health Library, London, UK
Search for more papers by this authorKeith Lindley
Department of Paediatric Gastroenterology, Division of Paediatric Neurogastroenterology and Motility, Great Ormond Street Hospital for Children NHS Trust, London, UK
Search for more papers by this authorSteve Perring
Medical Physics, Poole Hospital NHS Trust, Poole, UK
Search for more papers by this authorHannah Cronin
Department of Paediatric Gastroenterology, Division of Paediatric Neurogastroenterology and Motility, Great Ormond Street Hospital for Children NHS Trust, London, UK
Search for more papers by this authorOsvaldo Borrelli
Department of Paediatric Gastroenterology, Division of Paediatric Neurogastroenterology and Motility, Great Ormond Street Hospital for Children NHS Trust, London, UK
Search for more papers by this authorMohamed Mutalib
Paediatric Gastroenterology, Evelina London Children's Hospital, London, UK
Search for more papers by this authorAbstract
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.
CONFLICT OF INTEREST
No conflict of interest to disclose.
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