Motility of the anorectum after the Soave-Denda operation.
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.
Morikawa
Y
Y
Department of Pediatric Surgery, Urawa City Hospital, Saitama, Japan.
Matsufugi
H
H
Hirobe
S
S
Yokoyama
J
J
Katsumata
K
K
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