Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipation

Detalhes bibliográficos
Autor(a) principal: Marques, Geraldo Magela Nogueira [UNIFESP]
Data de Publicação: 2008
Outros Autores: Martins, Jose Luiz [UNIFESP], Nobre, Vânia Dolores Rodrigues Perdigão [UNIFESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/S0102-86502008000500003
http://repositorio.unifesp.br/handle/11600/4584
Resumo: INTRODUCTION: Two anorectal manometry techniques have commonly been utilized: the perfusion technique and the balloon technique. PURPOSE: To compare both techniques in children with intestinal constipation who had not undergone surgical treatment for its correction. METHODS: Thirty-nine children aged between four and fourteen years underwent anorectal manometry using both techniques at random. Resting pressure, pressure response to voluntary contraction, coughing and perianal stimulation, maximum pressure on the anal canal pressure curve, and presence of rectosphincteric reflex were registered and submitted to statistics. Vectorgraphy of the sphincter muscle complex was obtained by perfusion technique. RESULTS: The statistical comparison between the techniques revealed statistically significant differences in resting pressure (p=0.041), pressure response to voluntary contraction (p=0.026) and maximum pressure within the pressure curve (p=0.010). The rectosphincteric reflex was demonstrated in 21 patients by both techniques. CONCLUSIONS: The perfusion technique presented greater sensitivity in the following parameters: resting pressure, pressure response to voluntary contraction and maximum pressure within the pressure curve. The methods studied are equivalent regarding the measurement of pressure responses to coughing and perianal stimulation and the investigation of rectosphincteric reflex.
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spelling Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipationComparação das técnicas de balão e de perfusão para a realização de manometria anorretal em crianças portadoras de constipação intestinalChildManometryConstipationHirschsprung DiseaseCriançaManometriaConstipação intestinalDoença de HirschsprungINTRODUCTION: Two anorectal manometry techniques have commonly been utilized: the perfusion technique and the balloon technique. PURPOSE: To compare both techniques in children with intestinal constipation who had not undergone surgical treatment for its correction. METHODS: Thirty-nine children aged between four and fourteen years underwent anorectal manometry using both techniques at random. Resting pressure, pressure response to voluntary contraction, coughing and perianal stimulation, maximum pressure on the anal canal pressure curve, and presence of rectosphincteric reflex were registered and submitted to statistics. Vectorgraphy of the sphincter muscle complex was obtained by perfusion technique. RESULTS: The statistical comparison between the techniques revealed statistically significant differences in resting pressure (p=0.041), pressure response to voluntary contraction (p=0.026) and maximum pressure within the pressure curve (p=0.010). The rectosphincteric reflex was demonstrated in 21 patients by both techniques. CONCLUSIONS: The perfusion technique presented greater sensitivity in the following parameters: resting pressure, pressure response to voluntary contraction and maximum pressure within the pressure curve. The methods studied are equivalent regarding the measurement of pressure responses to coughing and perianal stimulation and the investigation of rectosphincteric reflex.INTRODUÇÃO: A manometria anorretal tem sido aceita como uma técnica objetiva de estudar a função do complexo muscular esfincteriano. Duas técnicas para o mesmo exame têm sido utilizadas: por perfusão e por balão. OBJETIVO: Comparar as técnicas entre as crianças portadoras de constipação intestinal que não foram submetidas a tratamento cirúrgico como forma de tratamento. MÉTODOS: Trinta e nove crianças com idades entre quarto e quatorze anos foram submetidas à Manometria anorretal utilizando-se ambas as técnicas de forma randomizada. Analizou-se a pressão de repouso, a pressão de contração voluntária, a pressão de contração reflexa, a pressão máxima de contração, o reflexo reto-esfincteriano. Além desses parâmetros, o vetorgrama do canal anal foi estudado pela técnica de perfusão. A análise estatística foi feita por meio de Wilcoxon signed rank test. RESULTADOS: A comparação estatística entre as técnicas revelou diferenças significantemente estatísticas nos parâmetros: pressão de repouso (p= 0.041), Pressão de contração voluntária (p= 0.026) e pressão máxima de contração (p= 0.010). Não houve diferença estatisticamente significante nos parâmetros: pressão de contração reflexa por tosse (p= 0.141) ou por estimulação perianal (p= 0.117). O reflexo reto-esfincteriano foi demonstrado em 21 pacientes em ambas as técnicas. CONCLUSÕES: A técnica de perfusão tem maior sensibilidade para os seguintes parâmetros: pressão de repouso, pressão de contração voluntária e pressão máxima de contração. As técnicas se equivalem no que diz respeito à pressão de contração reflexa e reflexo reto-esfincteriano.UNIFESPSão Paulo UniversityUniversidade Federal de São Paulo (UNIFESP) Department of Surgery Division of Pediatric SurgeryUNIFESP, Department of Surgery Division of Pediatric SurgerySciELOSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaUniversidade Federal de São Paulo (UNIFESP)Universidade de São Paulo (USP)Marques, Geraldo Magela Nogueira [UNIFESP]Martins, Jose Luiz [UNIFESP]Nobre, Vânia Dolores Rodrigues Perdigão [UNIFESP]2015-06-14T13:38:45Z2015-06-14T13:38:45Z2008-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion405-411application/pdfhttp://dx.doi.org/10.1590/S0102-86502008000500003Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 23, n. 5, p. 405-411, 2008.10.1590/S0102-86502008000500003S0102-86502008000500003.pdf0102-8650S0102-86502008000500003http://repositorio.unifesp.br/handle/11600/4584WOS:000261125900003engActa Cirurgica Brasileirainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-06T01:38:37Zoai:repositorio.unifesp.br/:11600/4584Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-06T01:38:37Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipation
Comparação das técnicas de balão e de perfusão para a realização de manometria anorretal em crianças portadoras de constipação intestinal
title Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipation
spellingShingle Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipation
Marques, Geraldo Magela Nogueira [UNIFESP]
Child
Manometry
Constipation
Hirschsprung Disease
Criança
Manometria
Constipação intestinal
Doença de Hirschsprung
title_short Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipation
title_full Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipation
title_fullStr Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipation
title_full_unstemmed Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipation
title_sort Comparison between perfusion and balloon techniques for performing anorectal manometry in children with intestinal constipation
author Marques, Geraldo Magela Nogueira [UNIFESP]
author_facet Marques, Geraldo Magela Nogueira [UNIFESP]
Martins, Jose Luiz [UNIFESP]
Nobre, Vânia Dolores Rodrigues Perdigão [UNIFESP]
author_role author
author2 Martins, Jose Luiz [UNIFESP]
Nobre, Vânia Dolores Rodrigues Perdigão [UNIFESP]
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
Universidade de São Paulo (USP)
dc.contributor.author.fl_str_mv Marques, Geraldo Magela Nogueira [UNIFESP]
Martins, Jose Luiz [UNIFESP]
Nobre, Vânia Dolores Rodrigues Perdigão [UNIFESP]
dc.subject.por.fl_str_mv Child
Manometry
Constipation
Hirschsprung Disease
Criança
Manometria
Constipação intestinal
Doença de Hirschsprung
topic Child
Manometry
Constipation
Hirschsprung Disease
Criança
Manometria
Constipação intestinal
Doença de Hirschsprung
description INTRODUCTION: Two anorectal manometry techniques have commonly been utilized: the perfusion technique and the balloon technique. PURPOSE: To compare both techniques in children with intestinal constipation who had not undergone surgical treatment for its correction. METHODS: Thirty-nine children aged between four and fourteen years underwent anorectal manometry using both techniques at random. Resting pressure, pressure response to voluntary contraction, coughing and perianal stimulation, maximum pressure on the anal canal pressure curve, and presence of rectosphincteric reflex were registered and submitted to statistics. Vectorgraphy of the sphincter muscle complex was obtained by perfusion technique. RESULTS: The statistical comparison between the techniques revealed statistically significant differences in resting pressure (p=0.041), pressure response to voluntary contraction (p=0.026) and maximum pressure within the pressure curve (p=0.010). The rectosphincteric reflex was demonstrated in 21 patients by both techniques. CONCLUSIONS: The perfusion technique presented greater sensitivity in the following parameters: resting pressure, pressure response to voluntary contraction and maximum pressure within the pressure curve. The methods studied are equivalent regarding the measurement of pressure responses to coughing and perianal stimulation and the investigation of rectosphincteric reflex.
publishDate 2008
dc.date.none.fl_str_mv 2008-10-01
2015-06-14T13:38:45Z
2015-06-14T13:38:45Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0102-86502008000500003
Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 23, n. 5, p. 405-411, 2008.
10.1590/S0102-86502008000500003
S0102-86502008000500003.pdf
0102-8650
S0102-86502008000500003
http://repositorio.unifesp.br/handle/11600/4584
WOS:000261125900003
url http://dx.doi.org/10.1590/S0102-86502008000500003
http://repositorio.unifesp.br/handle/11600/4584
identifier_str_mv Acta Cirurgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 23, n. 5, p. 405-411, 2008.
10.1590/S0102-86502008000500003
S0102-86502008000500003.pdf
0102-8650
S0102-86502008000500003
WOS:000261125900003
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Acta Cirurgica Brasileira
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 405-411
application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
publisher.none.fl_str_mv Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268321236779008

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