Evaluating the aetiology and outcomes of anorectal manometry in children referring to Children's Medical Centre from April 2010 to April 2020
عنوان اصلي
بررسی علت شناسی و پیامدهای مانومتری آنورکتال در کودکان مراجعه کننده به مرکز طبی کودکان از فروردین 1389 تا فروردین 1399
نام عام مواد
[Dissertation]
نام نخستين پديدآور
Rater Muteeb Nazir
نام نخستين پديدآور
راتر مطیب نذیر
وضعیت نشر و پخش و غیره
نام ناشر، پخش کننده و غيره
Tehran University of Medical Sciences, Medicine school
تاریخ نشرو بخش و غیره
2023
مشخصات ظاهری
نام خاص و کميت اثر
38P
یادداشتهای مربوط به پایان نامه ها
جزئيات پايان نامه و نوع درجه آن
Doctor of Medicine(MD)
یادداشتهای مربوط به خلاصه یا چکیده
متن يادداشت
Introduction:The anorectum plays an important role in regulation of defecation and in maintenance of continence. The most widely used test for anorectal function is anorectal manometry. It measures pressures of the anal sphincter muscles, sensation in the rectum, and neural reflexes that are needed for normal bowel movements. This test is mainly used in evaluation of constipation, fecal incontinence, anal sphincter tone, functional anorectal pain, pelvic floor dyssynergia and diagnosis of Hirschsprung’s Disease. Anorectal manometry (ARM) is essential in children with chronic constipation and functional/structural faecal incontinence (CCFSFI) to completely understand the pathophysiological mechanisms involved to direct care, and to ease the discomfort of the patients' symptoms. This study is a cross sectional study with a sample size of 273 patients , the target population in this study involves Children referring to Children Medical Centre with diagnosis ranging from constipation , Hirschsprung disease and Faecal incontinence from time period April 2010 to April 2020. This Study is designed to obtain the main underlying etiologies and outcomes in children undergoing anorectal manometry. Method:To perform this study , medical records from the archive of patients with Constipation, Hirschsprung disease and Faecal incontinence were checked from the clinical setting of Children medical centre Tehran, from April 2010 to April 2020. The variables required for this study were obtained from the medical records. The Data was analysed by the IBM SPSS software and significance value of <0.05 was considered statistically significant. Results: We analysed 273 patients for this study with complaints of Constipation, Hirschsprung disease and faecal incontinence. Age group ranged from 1 years old to 16 years old with mean age 6.05, The males were 141(51.6%) and females 132(48.4%). Out of 273 patients screened during this study 252 patients had constipation(92.3%), 9 Patients had Hirschsprung disease(3.3%) and 12 patients had faecal incontinence(4.4%) . RAIR was present in 123 patients (45.1%). A significant statistical relationship between residual pressure and RAIR.( P-value= 0.0001) and Percentage of relaxation and RAIR( P value=0.0001). No statistically significant relationship was found between resting pressure and gender (P value=0.18), residual pressure and gender (P value=0.38), percentage of relaxation and Gender (P value=0.94). A weak reverse correlation between age and resting pressure (P-value=0.15) and residual pressure and age was found(P value=0.51). Conclusion: From this study we concluded that there was a significant relationship between anorectal manometry parameters like percentage of relaxation and RAIR, residual pressure and RAIR and at the same time there was no significant relationship found between resting pressure and gender, Residual pressure and gender, Percentage of relaxation and gender.
موضوع (اسم عام یاعبارت اسمی عام)
موضوع مستند نشده
Anorectal Manometry
موضوع مستند نشده
Children
موضوع مستند نشده
constipation
موضوع مستند نشده
faecal incontinence
نام شخص به منزله سر شناسه - (مسئولیت معنوی درجه اول )
کد نقش
, Author
کد نقش
, Author
مستند نام اشخاص تاييد نشده
Muteeb Nazir, Rater
مستند نام اشخاص تاييد نشده
مطیب نذیر، راتر
نام شخص - ( مسئولیت معنوی درجه دوم )
کد نقش
, Thesis advisor
کد نقش
, Thesis advisor
کد نقش
, Thesis advisor
کد نقش
, Thesis advisor
کد نقش
, Consulting advisor
کد نقش
, Consulting advisor
کد نقش
, Consulting advisor
کد نقش
, Consulting advisor
مستند نام اشخاص تاييد نشده
Allahverdi, Bahareh
مستند نام اشخاص تاييد نشده
اله وردی، بهاره
مستند نام اشخاص تاييد نشده
Rahmani, Parisa
مستند نام اشخاص تاييد نشده
رحمانی، پریسا
مستند نام اشخاص تاييد نشده
Rouhani, Pejman
مستند نام اشخاص تاييد نشده
روحانی، پژمان
مستند نام اشخاص تاييد نشده
Alimadadi, Hossein
مستند نام اشخاص تاييد نشده
علی مددی، حسین
شناسه افزوده (تنالگان)
عنصر شناسه اي
Tehran University of Medical Sciences, Medicine school