Do we need an extra dimension? A pilot study on the use of three‐dimensional anorectal manometry in children with functional constipation

Recently, a new high‐definition (or three‐dimensional “3D”) high‐resolution anorectal manometry (3D‐ARM) catheter has been introduced. This catheter allows for a more detailed visualization of the anal canal. However, its clinical utility and tolerability in children with constipation are unknown. Our primary objective was to evaluate the agreement between findings from solid‐state high‐resolution anorectal manometry (HR‐ARM) and 3D‐ARM. Secondary objectives were to investigate if 3D‐ARM has additional value over HR‐ARM and to evaluate patient and provider experience.

[1]  Ł. Dembiński,et al.  Three-dimensional high-resolution anorectal manometry in children after surgery for anorectal disorders. , 2021, European review for medical and pharmacological sciences.

[2]  W. Chey,et al.  Anorectal manometry to diagnose dyssynergic defecation: Systematic review and meta‐analysis of diagnostic test accuracy , 2021, Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society.

[3]  A. Bossowski,et al.  Dyssynergic Defecation and Anal Sphincter Disorders in Children in High-Resolution Anorectal Manometry Investigation , 2020, Journal of pediatric gastroenterology and nutrition.

[4]  S. Perring,et al.  Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement , 2020, Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society.

[5]  A. Loundou,et al.  Three-dimensional high-resolution anorectal manometry can predict response to biofeedback therapy in defecation disorders , 2019, International Journal of Colorectal Disease.

[6]  M. Trzpis,et al.  Anorectal Manometry May Reduce the Number of Rectal Suction Biopsy Procedures Needed to Diagnose Hirschsprung Disease , 2018, Journal of pediatric gastroenterology and nutrition.

[7]  C. Di Lorenzo,et al.  Prevalence of Functional Defecation Disorders in Children: A Systematic Review and Meta‐Analysis , 2018, The Journal of pediatrics.

[8]  S. Dehghani,et al.  Caustic Ingestion in Children in South of Iran: A Two-Year Single Center Study , 2018, Middle East journal of digestive diseases.

[9]  L. Mahajan,et al.  Anxiety Associated With High-resolution Anorectal Manometry in Pediatric Patients and Parents , 2017, Journal of pediatric gastroenterology and nutrition.

[10]  A. Bharucha,et al.  High‐resolution anorectal manometry: An expensive hobby or worth every penny? , 2017, Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society.

[11]  A. Zinsmeister,et al.  Reproducibility of high‐definition (3D) manometry and its agreement with high‐resolution (2D) manometry in women with fecal incontinence , 2017, Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society.

[12]  Kristle L. Lynch,et al.  Three-Dimensional Anorectal Manometry Enhances Diagnostic Gain by Detecting Sphincter Defects and Puborectalis Pressure , 2017, Digestive Diseases and Sciences.

[13]  M. Sood,et al.  An ANMS‐NASPGHAN consensus document on anorectal and colonic manometry in children , 2017, Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society.

[14]  A. Banaszkiewicz,et al.  Values From Three-dimensional High-resolution Anorectal Manometry Analysis of Children Without Lower Gastrointestinal Symptoms. , 2016, Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association.

[15]  M. A. O. Ignacio,et al.  How to cite this article , 2016 .

[16]  S. Dehghani,et al.  Clinical Manifestations among Children with Chronic Functional Constipation , 2015, Middle East Journal of Digestive Diseases.

[17]  K. Baumstarck,et al.  Water‐perfused manometry vs three‐dimensional high‐resolution manometry: a comparative study on a large patient population with anorectal disorders , 2013, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.

[18]  S. Nurko,et al.  Longitudinal and Radial Characteristics of Intra-Anal Pressures in Children Using 3D High-Definition Anorectal Manometry: New Observations , 2013, The American Journal of Gastroenterology.

[19]  Khoa Tran,et al.  Novel Techniques to Study Colonic Motor Function in Children , 2013, Current Gastroenterology Reports.

[20]  R. Lieber,et al.  The external anal sphincter operates at short sarcomere length in humans , 2011, Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society.

[21]  M. Benninga,et al.  Functional Constipation in Children: A Systematic Review on Prognosis and Predictive Factors , 2010, Journal of pediatric gastroenterology and nutrition.

[22]  P. Enck,et al.  [Anorectal manometry]. , 2007, Zeitschrift fur Gastroenterologie.

[23]  R. Kavlock,et al.  Influence of Body Position and Stool Characteristics on Defecation in Humans , 2006, The American Journal of Gastroenterology.

[24]  C. Di Lorenzo,et al.  Childhood Functional Gastrointestinal Disorders : Child / Adolescent , 2022 .

[25]  Steven A. Julious,et al.  Sample size of 12 per group rule of thumb for a pilot study , 2005 .

[26]  S. Mchugh,et al.  Effect of age, gender, and parity on anal canal pressures , 1987, Digestive Diseases and Sciences.

[27]  H. Büller,et al.  Biofeedback training in treatment of childhood constipation: a randomised controlled study , 1996, The Lancet.