عنوان

Evaluating the aetiology and outcomes of anorectal manometry in children referring to Children's Medical Centre from April 2010 to April 2020,بررسی علت شناسی و پیامدهای مانومتری آنورکتال در کودکان مراجعه کننده به مرکز طبی کودکان از فروردین 1389 تا فروردین 1399

Number

98028P

.Language of Text, Soundtrack etc

انگلیسی

Title Proper

Evaluating the aetiology and outcomes of anorectal manometry in children referring to Children's Medical Centre from April 2010 to April 2020

Title Proper

بررسی علت شناسی و پیامدهای مانومتری آنورکتال در کودکان مراجعه کننده به مرکز طبی کودکان از فروردین 1389 تا فروردین 1399

General Material Designation

[Dissertation]

First Statement of Responsibility

Rater Muteeb Nazir

First Statement of Responsibility

راتر مطیب نذیر

Name of Publisher, Distributor, etc.

Tehran University of Medical Sciences, Medicine school

Date of Publication, Distribution, etc.

2023

Specific Material Designation and Extent of Item

38P

Dissertation or thesis details and type of degree

Doctor of Medicine(MD)

Text of Note

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.

Anorectal Manometry

Children

constipation

faecal incontinence

Relator Code

, Author

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, Author

Muteeb Nazir, Rater

مطیب نذیر، راتر

Relator Code

, Thesis advisor

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, Thesis advisor

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, Thesis advisor

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, Thesis advisor

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, Consulting advisor

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, Consulting advisor

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, Consulting advisor

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, Consulting advisor

Allahverdi, Bahareh

اله وردی، بهاره

Rahmani, Parisa

رحمانی، پریسا

Rouhani, Pejman

روحانی، پژمان

Alimadadi, Hossein

علی مددی، حسین

Entry Element

Tehran University of Medical Sciences, Medicine school

Country

ایران

Date of Transaction

20220831

Call Number

364 pardis

Electronic name

p

TL

276903

a

Y