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. 2022 Aug;38(8):1089-1097.
doi: 10.1007/s00383-022-05152-9. Epub 2022 Jun 21.

Utility of postoperative anorectal manometry in children with anorectal malformation: a systematic review

Suganthi Rajasegaran  1 , Wei Sheng Tan  1   2 , Don Evana Ezrien  2 , Anand Sanmugam  1   2 , Srihari Singaravel  1   2 , Shireen Anne Nah  3   4
Affiliations

Utility of postoperative anorectal manometry in children with anorectal malformation: a systematic review

Suganthi Rajasegaran et al. Pediatr Surg Int. 2022 Aug.

Abstract

Children with anorectal malformation (ARM) often continue to have disturbances in bowel function long after reconstructive surgery. Anorectal manometry may be utilized to evaluate bowel function in these children. We aimed to describe the reported protocols and manometric findings in children with ARM post-reconstructive surgery and to investigate the correlation between manometric evaluation and bowel functional outcome. PubMed, EMBASE, and Google Scholar databases were searched from 1980 to 2021. Data were reviewed and extracted independently by two authors, in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Included studies were English articles reporting postoperative assessment of children (≤ 18 years) with ARM using anorectal manometry. From 128 articles obtained in the initial search, five retrospective cohort studies and one prospective study fulfilled inclusion criteria. The rectoanal inhibitory reflex and mean anal resting pressure were parameters most often reported to correlate with postoperative bowel function. The least reported parameters among the studies were high-pressure zone, rectal volume, and rectal sensation. Anorectal manometry could be an objective method providing important information for personalized management of postoperative ARM patients with bowel function issues, but lack of standardized protocols limits a comprehensive analysis of their utility.

Keywords: Anorectal malformation; Anorectal manometry; Bowel function; Children; Postoperative.

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References

    1. Nah SA, Ong CCP, Saffari SE, Ong LY, Yap TL, Low Y, Jacobsen AS (2018) Anorectal malformation & Hirschsprung’s disease: a cross-sectional comparison of quality of life and bowel function to healthy controls. J Pediatr Surg 53:1550–1554. https://doi.org/10.1016/j.jpedsurg.2017.08.018 - DOI - PubMed
    1. Wigander H, Nisell M, Frenckner B, Wester T, Brodin U, Öjmyr-Joelsson M (2019) Quality of life and functional outcome in Swedish children with low anorectal malformations: a follow-up study. Pediatr Surg Int 35:583–590. https://doi.org/10.1007/s00383-018-04431-8 - DOI - PubMed - PMC
    1. Wang Z, Hu L, Jin X, Li X, Xu L (2016) Evaluation of postoperative anal functions using endoanal ultrasonography and anorectal manometry in children with congenital anorectal malformations. J Pediatr Surg 51:416–420. https://doi.org/10.1016/j.jpedsurg.2015.09.024 - DOI - PubMed
    1. Kyrklund K, Pakarinen MP, Rintala RJ (2017) Manometric findings in relation to functional outcomes in different types of anorectal malformations. J Pediatr Surg 52:563–568. https://doi.org/10.1016/j.jpedsurg.2016.08.025 - DOI - PubMed
    1. Keshtgar AS, Athanasakos E, Clayden GS, Ward HC (2008) Evaluation of outcome of anorectal anomaly in childhood: the role of anorectal manometry and endosonography. Pediatr Surg Int 24:885–892. https://doi.org/10.1007/s00383-008-2181-1 - DOI - PubMed

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