title: [Value of anorectal manometry in assessment of constipation in childhood].
abstract: We studied retrospectively 210 anorectal manometries of constipated children. Of the 87 patients with an anal fissure or a functional constipation, 83 had normal sphincter relaxation. All of the 23 patients with Hirschsprung's disease lacked the sphincter relaxation, as well as 22 of the patients with a dysganglionosis. Eleven patients with innervation defects showed pathologic sphincter contractions. Anorectal manometry is a valuable tool to differentiate between innervation defects and constipation of other etiologies.
authors.affiliation: Kinderchirurgische Universitätsklinik, Mannheim.
authors.forename: S
authors.initials: S
authors.lastname: Hosie
authors.forename: L
authors.initials: L
authors.lastname: Wessel
authors.forename: S
authors.initials: S
authors.lastname: Loff
authors.forename: D
authors.initials: D
authors.lastname: Rhein
authors.forename: K L
authors.initials: KL
authors.lastname: Waag
mesh_terms: D000293:Adolescent; D001003:Anal Canal / Q000294:innervation / Q000503:physiopathology*; D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000209:etiology* / Q000503:physiopathology; D003937:Diagnosis, Differential; D005260:Female; D006627:Hirschsprung Disease / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008365:Manometry; D012026:Reflex, Stretch / Q000502:physiology; D012189:Retrospective Studies; D012680:Sensitivity and Specificity
vernacular_title: Stellenwert der anorektalen Manometrie bei der Abklärung der Obstipation im Kindesalter.