title: Motility of the anorectum after the Soave-Denda operation.
abstract: A total of 82 patients were assessed by rectal manometry after operation for Hirschsprung's disease according to the Soave-Denda technique. A positive rectoanal reflex was obtained in 32 cases (39%), whereas the remaining 50 cases (61%) did not exhibit a rectoanal reflex. Among the children examined, 72% showed normal rhythmic activity of the anorectum. Anorectal function tended to increase over the years, 90% having good continence 10 years or more after operation. Patients who encountered postoperative complications had poor continence since such complications may have damaged the levator and sphincter muscles.
authors.affiliation: Department of Pediatric Surgery, Urawa City Hospital, Saitama, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Morikawa
authors.forename: H
authors.initials: H
authors.lastname: Matsufugi
authors.forename: S
authors.initials: S
authors.lastname: Hirobe
authors.forename: J
authors.initials: J
authors.lastname: Yokoyama
authors.forename: K
authors.initials: K
authors.lastname: Katsumata
mesh_terms: D001003:Anal Canal / Q000503:physiopathology / Q000601:surgery*; D000714:Anastomosis, Surgical; D002648:Child; D002675:Child, Preschool; D003106:Colon / Q000601:surgery*; D005500:Follow-Up Studies; D005769:Gastrointestinal Motility; D006627:Hirschsprung Disease / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008365:Manometry; D012007:Rectum / Q000503:physiopathology / Q000601:surgery*; D012018:Reflex / Q000502:physiology