Post‐operative anorectal manometry in children with Hirschsprung disease: A systematic review

2021 ◽  
Author(s):  
Hannah M. E. Evans‐Barns ◽  
Justina B. Swannjo ◽  
Misel Trajanovska ◽  
Mark Safe ◽  
John M. Hutson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Anorectal Manometry ◽  
Hirschsprung Disease

scholarly journals Image of the Month: Decision-Making in Surgery for Late Onset Hirschsprung Disease

2020 ◽  
Vol 08 (01) ◽  
pp. e99-e101
Author(s):  
Anisha Apte ◽  
Elise McKenna ◽  
Marc A. Levitt
Keyword(s):  
Decision Making ◽  
Chronic Constipation ◽  
Anorectal Manometry ◽  
Late Onset ◽  
Hirschsprung Disease ◽  
Rectal Biopsy ◽  
Poor Growth

AbstractWe present a case of a 14-year-old boy with chronic distension, poor growth, and chronic constipation. He undergoes anorectal manometry and rectal biopsy, confirming the diagnosis of Hirschsprung disease (HD). The case is presented with a key image and associated questions to prompt discussion on strategies for management and treatment of HD in late-diagnosed children.

High-resolution anorectal manometry in newborns: normative values and diagnostic utility in Hirschsprung disease

2014 ◽  
Vol 26 (11) ◽  
pp. 1565-1572 ◽  
Author(s):  
Y.-F. Tang ◽  
J.-G. Chen ◽  
H.-J. An ◽  
P. Jin ◽  
L. Yang ◽  
...  
Keyword(s):  
High Resolution ◽  
Anorectal Manometry ◽  
Hirschsprung Disease ◽  
Normative Values ◽  
Diagnostic Utility

scholarly journals Short and long-term quality of life outcomes in children after surgery for Hirschsprung Disease or Anorectal Malformations: A systematic review and meta-analysis

2020 ◽  
Author(s):  
Irina Oltean ◽  
Emily Beveridge ◽  
Lamia Hayawi ◽  
Vid Bijelic ◽  
Ahmed Nasr
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Psychosocial Functioning ◽  
Meta Analysis ◽  
Hirschsprung Disease ◽  
Cochrane Collaboration ◽  
Anorectal Malformations ◽  
Case Control Studies ◽  
Social And Emotional

There is paucity of evidence examining quality of life in children with HD and ARM prioritizing dimensions other than physical functioning, such as psychosocial functioning in a precise manner. As such, we have developed a systematic review protocol to narratively and quantitatively summarize the physical and psychosocial functioning of children affected by HD and ARM in hopes of addressing this limitation. The following databases were searched on Nov 5, 2019: MEDLINE including Epub Ahead of Print, In-Process & Other Non-Indexed Citations (1946 to October 25, 2019) and Embase (1947 to 2019 October 25) and the CENTRAL Trials Registry of the Cochrane Collaboration (September 2019 Issue) using the Ovid interface. Searches were limited to English, to journal articles, and articles published since 2006. This review will identify retrospective and prospective cohort studies, case-control studies, case studies with greater than 5 participants, and randomized-control trials where the quality of life (i.e., physical and/or social functioning) of children aged 0-18 years with either anorectal malformations or Hirschprung’s disease is reported by children or parent proxies. Understanding the quality of life of children affected by HD and ARM after surgery will help clinical practitioners, specifically surgeons, create tailored and comprehensive protocols for managing these diseases while recognising the physical, social, and emotional toll they can inflict on children.

DIAGNOSING HIRSCHSPRUNG DISEASE IN CHILDREN: A MULTICENTER RESEARCH TRIAL

2021 ◽  
Vol 100 (2) ◽  
pp. 226-235
Author(s):  
D.A. Morozov ◽  
◽  
E.S. Pimenova ◽  
I.V. Poddoubnyi ◽  
M.Y. Kozlov ◽  
...  
Keyword(s):  
Anorectal Manometry ◽  
Diagnostic Errors ◽  
Hirschsprung Disease ◽  
High Sensitivity ◽  
Intestinal Wall ◽  
Non Invasive ◽  
Invasive Method ◽  
Group A ◽  
Medical Teams ◽  
Spearman’S Correlation

Hirschsprung disease (HD) is a congenital absence of nerve cells (ganglions) in a segment of the intestinal wall, leading to its obstruction. Diagnosis of BG in children is a labor-intensive process, on which surgical treatment tactics depend. The concentration of patients in large surgical centers with equipped diagnostic departments makes it possible to develop the most adequate examination plan while minimizing the risk of diagnostic errors. The aim of the study was to analyze methods for diagnosis of HD in children; a retrospective analysis of the records of patients hospitalized in three medical organizations in Moscow (n=201) in 2017–2019 was carried out. The first group – children with confirmed diagnosis (n=152), the second group – patients with suspicion of BG with unsatisfactory results of previous operative treatment, postoperative complications (n=49). Results: in the 1st group, irrigography was performed before hospitalization in 118 patients (77,6%). In the hospitals, irrigography was performed (repeated) for 109 (71,7%) children. 25 (16,4%) patients showed discrepancies in interpretation of the results. Thus, irrigography was applied to all patients. Intestine biopsy before hospitalization was performed in 79 patients (52%), in the hospitals – performed/repeated in 50 patients (32,9%). There were discrepancies in the interpretation of histological findings in 8 patients (18,6 per cent). Thus, in the diagnosis of HD in children, biopsies were used (before hospitalization and/or during hospitalization) in 89 patients (58,6%). Anorectal manometry was performed to 3 (2%) children. In the 2nd group a histological examination was performed (before and during hospitalization) in 41 patients (84%), anorectal manometry – in 15 patients (31%), irrigography – in all children. Correlation analysis did not reveal any relationship between the HD variant and manifestation symptoms (Spearman's correlation coefficient was –0,232 at p<0,05. Conclusion: all medical teams began examining children with suspected HD with irrigography. Various intestinal biopsies were performed in 58,6% of cases. Anorectal manometry is currently practically not used in the diagnosis of HD in children, although it is a promising non-invasive method with high sensitivity and specificity.

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