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Clinical Applications of Gastrointestinal Manometry in Children

  • Hong, Jeana (Department of Pediatrics, Kangwon National University School of Medicine)
  • Received : 2014.02.22
  • Accepted : 2014.03.08
  • Published : 2014.03.30

Abstract

Manometry is a noninvasive diagnostic tool for identifying motility dysfunction of the gastrointestinal tract. Despite the great technical advances in monitoring motility, performance of the study in pediatric patients has several limitations that should be considered during the procedure and interpretation of the test results. This article reviews the clinical applications of conventional esophageal and anorectal manometries in children by describing a technique for performing the test. This review will develop the uniformity required for the methods of performance, the parameters for measurement, and interpretation of test results that could be applied in pediatric clinical practice.

Keywords

References

  1. ASGE Technology Committee, Wang A, Pleskow DK, Banerjee S, Barth BA, Bhat YM, et al. Esophageal function testing. Gastrointest Endosc 2012;76:231-43. https://doi.org/10.1016/j.gie.2012.02.022
  2. Clouse RE, Prakash C. Topographic esophageal manometry: an emerging clinical and investigative approach. Dig Dis 2000;18:64-74. https://doi.org/10.1159/000016967
  3. Dogan I, Mittal RK. Esophageal motor disorders: recent advances. Curr Opin Gastroenterol 2006;22:417-22. https://doi.org/10.1097/01.mog.0000231818.64138.8a
  4. Pandolfino JE, Ghosh SK, Rice J, Clarke JO, Kwiatek MA, Kahrilas PJ. Classifying esophageal motility by pressure topography characteristics: a study of 400 patients and 75 controls. Am J Gastroenterol 2008;103:27-37. https://doi.org/10.1111/j.1572-0241.2007.01532.x
  5. Stendal C. Practical guide to gastrointestinal function testing. Malden: Blackwell Science, 1997:247-66.
  6. Di Lorenzo C, Hillemeier C, Hyman P, Loening-Baucke V, Nurko S, Rosenberg A, et al. Manometry studies in children: minimum standards for procedures. Neurogastroenterol Motil 2002;14:411-20. https://doi.org/10.1046/j.1365-2982.2002.00347.x
  7. Omari T, Benninga MA, Barnett CP, Haslam RR, Davidson GP, Dent J. Characterization of esophageal body and lower esophageal sphincter motor function in the very premature neonate. J Pediatr 1999;135: 517-21. https://doi.org/10.1016/S0022-3476(99)70178-2
  8. Kahrilas PJ, Clouse RE, Hogan WJ. American Gastroenterological Association technical review on the clinical use of esophageal manometry. Gastroenterology 1994;107:1865-84.
  9. Nurko S. Gastrointestinal manometry: methology and indication. In: Kleinman RE, Sanderson IR, Goulet O, Sherman PM, Mieli-Vergani G, Shneider BL, eds. Walker's pediatric gastrointestinal disease. Hamilton: BC Decker Inc.; 2008:1375-92.
  10. Richter JE, Wu WC, Johns DN, Blackwell JN, Nelson JL 3rd, Castell JA, et al. Esophageal manometry in 95 healthy adult volunteers. Variability of pressures with age and frequency of "abnormal" contractions. Dig Dis Sci 1987;32:583-92. https://doi.org/10.1007/BF01296157
  11. Hillemeier AC, Grill BB, McCallum R, Gryboski J. Esophageal and gastric motor abnormalities in gastroesophageal reflux during infancy. Gastroenterology 1983;84:741-6.
  12. Cucchiara S, Staiano A, Di Lorenzo C, D'Ambrosio R, Andreotti MR, Prato M, et al. Esophageal motor abnormalities in children with gastroesophageal reflux and peptic esophagitis. J Pediatr 1986;108:907-10. https://doi.org/10.1016/S0022-3476(86)80925-8
  13. Moroz SP, Espinoza J, Cumming WA, Diamant NE. Lower esophageal sphincter function in children with and without gastroesophageal reflux. Gastroenterology 1976;71:236-41.
  14. Chitkara DK, Fortunato C, Nurko S. Prolonged monitoring of esophageal motor function in healthy children. J Pediatr Gastroenterol Nutr 2004;38:192-7. https://doi.org/10.1097/00005176-200402000-00017
  15. Tovar JA, Prieto G, Molina M, Arana J. Esophageal function in achalasia: preoperative and postoperative manometric studies. J Pediatr Surg 1998;33:834-8. https://doi.org/10.1016/S0022-3468(98)90653-4
  16. Katz PO, Richter JE, Cowan R, Castell DO. Apparent complete lower esophageal sphincter relaxation in achalasia. Gastroenterology 1986;90:978-83. https://doi.org/10.1016/0016-5085(86)90876-0
  17. Tutuian R, Castell DO. Combined multichannel intraluminal impedance and manometry clarifies esophageal function abnormalities: study in 350 patients. Am J Gastroenterol 2004;99:1011-9. https://doi.org/10.1111/j.1572-0241.2004.30035.x
  18. Flick JA, Boyle JT, Tuchman DN, Athreya BH, Doughty RA. Esophageal motor abnormalities in children and adolescents with scleroderma and mixed connective tissue disease. Pediatrics 1988;82:107-11.
  19. Ciamarra P, Nurko S, Barksdale E, Fishman S, Di Lorenzo C. Internal anal sphincter achalasia in children: clinical characteristics and treatment with Clostridium botulinum toxin. J Pediatr Gastroenterol Nutr 2003;37:315-9. https://doi.org/10.1097/00005176-200309000-00020
  20. Loening-Baucke V, Pringle KC, Ekwo EE. Anorectal manometry for the exclusion of Hirschsprung's disease in neonates. J Pediatr Gastroenterol Nutr 1985;4:596-603. https://doi.org/10.1097/00005176-198508000-00018
  21. Rao SS, Hatfield R, Soffer E, Rao S, Beaty J, Conklin JL. Manometric tests of anorectal function in healthy adults. Am J Gastroenterol 1999;94:773-83. https://doi.org/10.1111/j.1572-0241.1999.00950.x
  22. Nurko S, Garcia-Aranda JA, Guerrero VY, Worona LB. Treatment of intractable constipation in children: experience with cisapride. J Pediatr Gastroenterol Nutr 1996;22:38-44. https://doi.org/10.1097/00005176-199601000-00006
  23. Loening-Baucke V. Anorectal manometry and biofeedback training. In: Hyman PE, ed. Pediatric gastrointestinal motility disorders. New York: Academy Professional Information Systems Inc.; 1994:231-52.
  24. Lopez-Alonso M, Ribas J. Technical improvement for anorectal manometry in newborns. J Pediatr Surg 1991;26:1215-8. https://doi.org/10.1016/0022-3468(91)90337-S
  25. Seo JM, Choi YM, Lee EH, Jun YH, Ahn SI, Hong KC, et al. Anorectal manometry in normal neonates. J Korean Assoc Pediatr Surg 1999;5:103-10.
  26. Kumar S, Ramadan S, Gupta V, Helmy S, Atta I, Alkholy A. Manometric tests of anorectal function in 90 healthy children: a clinical study from Kuwait. J Pediatr Surg 2009;44:1786-90. https://doi.org/10.1016/j.jpedsurg.2009.01.008
  27. Meunier P, Marechal JM, Mollard P. Accuracy of the manometric diagnosis of Hirschsprung's disease. J Pediatr Surg 1978;13:411-5. https://doi.org/10.1016/S0022-3468(78)80466-7

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