Anorectal Motility Abnormalities in Children with Encopresis and Chronic Constipation
Objective To evaluate the response to rectal distension in children with chronic constipation and children with chronic constipation and encopresis. Study design We studied 27 children, aged 3 to 16 years, with chronic constipation; 12 had encopresis. Anorectal motility was measured with a solid sta...
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| Veröffentlicht in: | The Journal of pediatrics 2011-02, Vol.158 (2), p.293-296 |
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| creator | Raghunath, Neeraj, MD Glassman, Mark S., MD Halata, Michael S., MD Berezin, Stuart H., MD Stewart, Julian M., MD, PhD Medow, Marvin S., PhD |
| description | Objective To evaluate the response to rectal distension in children with chronic constipation and children with chronic constipation and encopresis. Study design We studied 27 children, aged 3 to 16 years, with chronic constipation; 12 had encopresis. Anorectal motility was measured with a solid state catheter. When the catheter was located in the internal sphincter, the balloon was inflated to 60 mL with air. Results There were no differences in age, sex distribution, and duration of constipation in the two groups. Comparing groups, anorectal manometry showed no differences in the resting sphincter pressure, recovery pressure, the lowest relaxation pressure, and percent relaxation. However, time to maximum relaxation, time to recovery to baseline pressure, and duration of relaxation were significantly higher in patients with constipation and encopresis, compared with patients who had constipation alone. Conclusions There may be an imbalance in neuromuscular control of defecation in constipated patients with encopresis that results in incontinence as a consequence of the increased time to recovery and duration of relaxation of the internal anal sphincter. |
| doi_str_mv | 10.1016/j.jpeds.2010.07.063 |
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Study design We studied 27 children, aged 3 to 16 years, with chronic constipation; 12 had encopresis. Anorectal motility was measured with a solid state catheter. When the catheter was located in the internal sphincter, the balloon was inflated to 60 mL with air. Results There were no differences in age, sex distribution, and duration of constipation in the two groups. Comparing groups, anorectal manometry showed no differences in the resting sphincter pressure, recovery pressure, the lowest relaxation pressure, and percent relaxation. However, time to maximum relaxation, time to recovery to baseline pressure, and duration of relaxation were significantly higher in patients with constipation and encopresis, compared with patients who had constipation alone. Conclusions There may be an imbalance in neuromuscular control of defecation in constipated patients with encopresis that results in incontinence as a consequence of the increased time to recovery and duration of relaxation of the internal anal sphincter.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2010.07.063</identifier><identifier>PMID: 20850765</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>Maryland Heights, MO: Elsevier Inc</publisher><subject>Adolescent ; Age Factors ; air ; Anal Canal - abnormalities ; Anal Canal - physiology ; anus ; Biological and medical sciences ; Child ; Child, Preschool ; children ; Chronic Disease ; Cohort Studies ; constipation ; Constipation - complications ; Constipation - diagnosis ; defecation ; Encopresis - complications ; Encopresis - diagnosis ; Female ; Follow-Up Studies ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrointestinal Motility ; General aspects ; Humans ; Male ; Manometry - methods ; Medical sciences ; Other diseases. Semiology ; patients ; Pediatrics ; Rectum - abnormalities ; Retrospective Studies ; Risk Assessment ; Sex Factors ; sphincters ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><ispartof>The Journal of pediatrics, 2011-02, Vol.158 (2), p.293-296</ispartof><rights>Mosby, Inc.</rights><rights>2011 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Mosby, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-36a5daa71fdda4756928cce1f5ef1ab2a05158a26c66e0bcf1002140400075383</citedby><cites>FETCH-LOGICAL-c467t-36a5daa71fdda4756928cce1f5ef1ab2a05158a26c66e0bcf1002140400075383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2010.07.063$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23840364$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20850765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Raghunath, Neeraj, MD</creatorcontrib><creatorcontrib>Glassman, Mark S., MD</creatorcontrib><creatorcontrib>Halata, Michael S., MD</creatorcontrib><creatorcontrib>Berezin, Stuart H., MD</creatorcontrib><creatorcontrib>Stewart, Julian M., MD, PhD</creatorcontrib><creatorcontrib>Medow, Marvin S., PhD</creatorcontrib><title>Anorectal Motility Abnormalities in Children with Encopresis and Chronic Constipation</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To evaluate the response to rectal distension in children with chronic constipation and children with chronic constipation and encopresis. Study design We studied 27 children, aged 3 to 16 years, with chronic constipation; 12 had encopresis. Anorectal motility was measured with a solid state catheter. When the catheter was located in the internal sphincter, the balloon was inflated to 60 mL with air. Results There were no differences in age, sex distribution, and duration of constipation in the two groups. Comparing groups, anorectal manometry showed no differences in the resting sphincter pressure, recovery pressure, the lowest relaxation pressure, and percent relaxation. However, time to maximum relaxation, time to recovery to baseline pressure, and duration of relaxation were significantly higher in patients with constipation and encopresis, compared with patients who had constipation alone. Conclusions There may be an imbalance in neuromuscular control of defecation in constipated patients with encopresis that results in incontinence as a consequence of the increased time to recovery and duration of relaxation of the internal anal sphincter.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>air</subject><subject>Anal Canal - abnormalities</subject><subject>Anal Canal - physiology</subject><subject>anus</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>children</subject><subject>Chronic Disease</subject><subject>Cohort Studies</subject><subject>constipation</subject><subject>Constipation - complications</subject><subject>Constipation - diagnosis</subject><subject>defecation</subject><subject>Encopresis - complications</subject><subject>Encopresis - diagnosis</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gastrointestinal Motility</subject><subject>General aspects</subject><subject>Humans</subject><subject>Male</subject><subject>Manometry - methods</subject><subject>Medical sciences</subject><subject>Other diseases. Semiology</subject><subject>patients</subject><subject>Pediatrics</subject><subject>Rectum - abnormalities</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Sex Factors</subject><subject>sphincters</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk2P0zAQhi0EYsvCL0CCXNCeUsZ2YqcHkKpq-ZAWcVh6tlxnwjqkdrBTUP_9TmgBiQsnW-PnnfG8M4w957DkwNXrftmP2OalAIqAXoKSD9iCw0qXqpHyIVsACFHKSqsL9iTnHgBWFcBjdiGgqUGresG26xATuskOxac4-cFPx2K9o9je0t1jLnwoNnd-aBOG4qef7orr4OKYMPtc2NDSY4rBu2ITQ578aCcfw1P2qLNDxmfn85Jt311_2Xwobz6__7hZ35SuUnoqpbJ1a63mXdvaStdqJRrnkHc1dtzuhIWa140VyimFsHMdp454BdQE6Fo28pJdnfKOKX4_YJ7M3meHw2ADxkM2TSUrLkQFRMoT6VLMOWFnxuT3Nh0NBzPbaXrzy04z22lAG7KTVC_O-Q-7PbZ_NL_9I-DVGbDZ2aFLNjif_3KyodqqIu7lietsNPZrImZ7S5Vq6qTRnGsi3pwIJL9-eEwmO4_BYevn-Zg2-v989e0_ejd4mosdvuERcx8PKdAoDDdZGDC3827Mq0GWgiK9vAflGLHj</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Raghunath, Neeraj, MD</creator><creator>Glassman, Mark S., MD</creator><creator>Halata, Michael S., MD</creator><creator>Berezin, Stuart H., MD</creator><creator>Stewart, Julian M., MD, PhD</creator><creator>Medow, Marvin S., PhD</creator><general>Elsevier Inc</general><general>Mosby, Inc</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110201</creationdate><title>Anorectal Motility Abnormalities in Children with Encopresis and Chronic Constipation</title><author>Raghunath, Neeraj, MD ; Glassman, Mark S., MD ; Halata, Michael S., MD ; Berezin, Stuart H., MD ; Stewart, Julian M., MD, PhD ; Medow, Marvin S., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-36a5daa71fdda4756928cce1f5ef1ab2a05158a26c66e0bcf1002140400075383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>air</topic><topic>Anal Canal - abnormalities</topic><topic>Anal Canal - physiology</topic><topic>anus</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>children</topic><topic>Chronic Disease</topic><topic>Cohort Studies</topic><topic>constipation</topic><topic>Constipation - complications</topic><topic>Constipation - diagnosis</topic><topic>defecation</topic><topic>Encopresis - complications</topic><topic>Encopresis - diagnosis</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gastrointestinal Motility</topic><topic>General aspects</topic><topic>Humans</topic><topic>Male</topic><topic>Manometry - methods</topic><topic>Medical sciences</topic><topic>Other diseases. Semiology</topic><topic>patients</topic><topic>Pediatrics</topic><topic>Rectum - abnormalities</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Sex Factors</topic><topic>sphincters</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Raghunath, Neeraj, MD</creatorcontrib><creatorcontrib>Glassman, Mark S., MD</creatorcontrib><creatorcontrib>Halata, Michael S., MD</creatorcontrib><creatorcontrib>Berezin, Stuart H., MD</creatorcontrib><creatorcontrib>Stewart, Julian M., MD, PhD</creatorcontrib><creatorcontrib>Medow, Marvin S., PhD</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Raghunath, Neeraj, MD</au><au>Glassman, Mark S., MD</au><au>Halata, Michael S., MD</au><au>Berezin, Stuart H., MD</au><au>Stewart, Julian M., MD, PhD</au><au>Medow, Marvin S., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anorectal Motility Abnormalities in Children with Encopresis and Chronic Constipation</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>158</volume><issue>2</issue><spage>293</spage><epage>296</epage><pages>293-296</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Objective To evaluate the response to rectal distension in children with chronic constipation and children with chronic constipation and encopresis. Study design We studied 27 children, aged 3 to 16 years, with chronic constipation; 12 had encopresis. Anorectal motility was measured with a solid state catheter. When the catheter was located in the internal sphincter, the balloon was inflated to 60 mL with air. Results There were no differences in age, sex distribution, and duration of constipation in the two groups. Comparing groups, anorectal manometry showed no differences in the resting sphincter pressure, recovery pressure, the lowest relaxation pressure, and percent relaxation. However, time to maximum relaxation, time to recovery to baseline pressure, and duration of relaxation were significantly higher in patients with constipation and encopresis, compared with patients who had constipation alone. Conclusions There may be an imbalance in neuromuscular control of defecation in constipated patients with encopresis that results in incontinence as a consequence of the increased time to recovery and duration of relaxation of the internal anal sphincter.</abstract><cop>Maryland Heights, MO</cop><pub>Elsevier Inc</pub><pmid>20850765</pmid><doi>10.1016/j.jpeds.2010.07.063</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Age Factors air Anal Canal - abnormalities Anal Canal - physiology anus Biological and medical sciences Child Child, Preschool children Chronic Disease Cohort Studies constipation Constipation - complications Constipation - diagnosis defecation Encopresis - complications Encopresis - diagnosis Female Follow-Up Studies Gastroenterology. Liver. Pancreas. Abdomen Gastrointestinal Motility General aspects Humans Male Manometry - methods Medical sciences Other diseases. Semiology patients Pediatrics Rectum - abnormalities Retrospective Studies Risk Assessment Sex Factors sphincters Stomach. Duodenum. Small intestine. Colon. Rectum. Anus |
| title | Anorectal Motility Abnormalities in Children with Encopresis and Chronic Constipation |
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