Abstract
Anorectal manometry (ARM) represents the most commonly performed motility test in pediatric populations. It is a valuable tool to assess anorectal muscle function and coordination, the presence of recto-anal inhibitory reflex, the sphincter tonic contractions and relaxations upon different provocative maneuvers, and the thresholds for rectal and anal sensations. In children, although chronic refractory constipation represents the most important indication for ARM, the latter is also useful for the evaluation of fecal incontinence.
The recent advent of novel technology advances, e.g., high-resolution (HRAM) and 3D high-definition (3DHDAM), has led to increased diagnostic accuracy, making ARM easier to perform and interpret. Nevertheless, the absence of universally agreed normal values in pediatric populations still represents one of the major limitations.
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Di Chio, T., Pesce, M., Peroni, D., Borrelli, O. (2020). High-Resolution Anorectal Manometry and 3D High-Definition Anorectal Manometry in Pediatric Settings. In: Bellini, M. (eds) High Resolution and High Definition Anorectal Manometry. Springer, Cham. https://doi.org/10.1007/978-3-030-32419-3_8
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DOI: https://doi.org/10.1007/978-3-030-32419-3_8
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