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Anorectal Manometry, Conventional and High Resolution in Paediatrics

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Ano-Rectal Endosonography and Manometry in Paediatrics

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Abstract

The physiological mechanisms involved in the anorectum are complex and involve a number of key players. Impaired anorectal functions such as faecal incontinence (FI), evacuation difficulties and other defaecation disorders (DD) are common worldwide in both adults and children. Comprehension of the pathophysiological mechanisms involved in DD is limited, leaving us with large gaps in our knowledge. Diagnosis and investigation in patients with defaecation disorders require a multimodal approach due to its complexity and multifactorial nature. The rise of anorectal manometry (ARM) and its use in clinical practice have progressed slowly within paediatrics, due to the complexity of the physiology, variation in diagnostic techniques, protocol and interpretation of physiological data. Furthermore, there have been discussions on how it influences clinical decision and even more, how these investigations are able to act as biomarkers predicting the response to treatment. This chapter specifically discusses the role of ARM within paediatrics.

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  1. Department of Paediatric Surgery, Level 8, Paediatric Offices, The Royal London Hospital, Barts Health, Whitechapel, UK

    Eleni Athanasakos & Stewart Cleeve

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  1. Pediatric Surgery Unit, IRCCS Sant’Orsola University-Hospital University of Bologna, Bologna, Italy

    Mario Lima

  2. Pediatric Surgery Unit, IRCCS Sant’Orsola University-Hospital University of Bologna, Bologna, Italy

    Giovanni Ruggeri

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Athanasakos, E., Cleeve, S. (2022). Anorectal Manometry, Conventional and High Resolution in Paediatrics. In: Lima, M., Ruggeri, G. (eds) Ano-Rectal Endosonography and Manometry in Paediatrics. Springer, Cham. https://doi.org/10.1007/978-3-030-97668-2_6

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