Assessment of the Paediatric Patient

  • V. Loening-Baucke


In man, very special control mechanisms are developed to save the individual from the embarrassment of passage of wind, stool or urine. Unconscious regulation of bowel movements is the normal phenomenon at birth. Conscious regulation of bowel movement is achieved at an average age of 28 months. Anal malformation, spina bifida and some muscle disorders can interfere with bowel control. Constipation in infancy and the toddler years may inhibit or delay bowel control and in later childhood may disturb the mechanism for bowel control after normal control had been established. The purpose of this chapter is to review the techniques of anorectal manometry and their application in the investigation and management of disorders of the colon and anorectum in childhood.


Anal Sphincter Anal Canal Anal Verge External Anal Sphincter Internal Anal Sphincter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag London Limited 1991

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  • V. Loening-Baucke

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