THE FIRST EXPERIENCE OF ANORECTAL MANOMETRY IN CHILDREN

The article presents the first results of using a modern method of functional examination of the large intestine and pelvic floor muscles in children or high-resolution anorectal manometry. 60 children aged 7 months to 17 years were examined in total (34 children had underwent different surgeries on the intestine and anorectal area due to Hirschsprung disease and anorectal malformations, 26 of them had not undergone any surgery). Apart from high-resolution anorectal manometry the children had routine anorectal profilometry and sphincterometry; no sedation was applied. The authors noted that high-resolution anorectal manometry has wider possibilities in diagnostics of defecation disturbances in children as compared with routine methods. Usage of functional methods of the examination in children alongside with clinical and instrumental examination enables to reveal the condition requiring surgical correction. The method was proved effective in dynamic examination of children undergoing rehabilitation following intestinal surgery as the conducted procedures and manipulations could be conducted effectively. High-resolution anorectal manometry was used for the first time to reveal the symptoms of obstructive (dyssynergic) defecation in many children both after the surgeries and in those not operated explaining the reasons for chronic constipation in the children and requiring a fundamentally new approach to their treatment. The new method is a perspective trend in complex treatment of children with defecation disturbances. Use of high-resolution anorectal manometry in pediatric colopractology will enable to optimize the therapeutic and diagnostic schemes and rehabilitation programs for patients in future.