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Anorectal Manometry

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Pediatric Neurogastroenterology

Part of the book series: Clinical Gastroenterology ((CG))

Abstract

Anorectal manometry (ARM) is an objective, noninvasive study to assess the pressures of the anorectal canal thereby allowing the diagnosis of abnormalities and the subsequent application of appropriately tailored treatments. Presented in this chapter is a comprehensive, updated guide for the provider to understand and perform ARM in the pediatric population. First, the physiology of the anorectal canal is explained which highlights how fecal continence and defecation are achieved in the normal, healthy state. Additionally, the various types of ARM are explored emphasizing the two most commonly used techniques: water-perfusion and high-resolution manometry. Details of how to correctly perform the study, what measurements are obtainable and how to interpret study findings are thoroughly discussed. Incorporated in this discussion is a compilation of normal values pooled from multiple published data on pediatric ARM. Lastly, the chapter highlights abnormal conditions affecting anorectal function including Hirschsprung’s disease (HD), anal achalasia, neuromuscular disease, and dyssynergia, which the provider can ultimately diagnose or exclude through the help of ARM.

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Author information

Authors and Affiliations

  1. Pediatric Gastroenterology, Hepatology and Nutrition, Pediatrics Department, Stanford University Medical Center, Lucile Packard Children’s Hospital, 750 Welch Road, Suite 116, Palo Alto, CA, 94304, USA

    Minou Le-Carlson M.D.

  2. Gastroenterology Division, Pediatrics Department, Stanford University, Lucile Packard Children’s Hospital, Stanford, CA, USA

    William Berquist M.D.

Authors
  1. Minou Le-Carlson M.D.
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  2. William Berquist M.D.
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Corresponding author

Correspondence to Minou Le-Carlson M.D. .

Editor information

Editors and Affiliations

  1. Sainte-Justine Hospital, Department of Pediatrics, Division of Pediatric Gastroenterology, Université de Montréal, Montreal, H3T 1C5, Québec, Canada

    Christophe Faure

  2. Nationwide Children's Hospital, Division of Pediatric Gastroenterology, The Ohio State University, Columbus, 43205, Ohio, USA

    Carlo Di Lorenzo

  3. Gastroenterology and Neural Development, University College London, Institute of Child Health, Great Ormond Street Hospital for Children, London, WC1N 1EH, United Kingdom

    Nikhil Thapar

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Le-Carlson, M., Berquist, W. (2013). Anorectal Manometry. In: Faure, C., Di Lorenzo, C., Thapar, N. (eds) Pediatric Neurogastroenterology. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-709-9_11

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  • DOI: https://doi.org/10.1007/978-1-60761-709-9_11

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60761-708-2

  • Online ISBN: 978-1-60761-709-9

  • eBook Packages: MedicineMedicine (R0)

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