Ileal manometry in children following ileostomies and pull-through operations. Neurogastroenterol Motil 2002 Dec;14(6):643-6
Date
12/05/2002Pubmed ID
12464086DOI
10.1046/j.1365-2982.2002.00365.xScopus ID
2-s2.0-0036460748 (requires institutional sign-in at Scopus site) 10 CitationsAbstract
Our aim was to analyse the patterns of ileal contractions in children. We reviewed the charts of 23 children who had ileal manometry studies (16 males), mean age 7 years (range 2 months to 17 years). We positioned the manometry catheters with 4-8 recording sites, 5 or 15 cm apart, through ileostomies fashioned for clinically indicated reasons. We studied six additional children with persistent faecal soiling following endorectal pull through for Hirschsprung's disease; the catheters were positioned through the anus and colon into the ileum. We recorded phasic and tonic intermittent contractions in all the subjects, clustered contractions (rate 5-9 min-1, duration 20-120 s) in 19 subjects with ileostomies and four with endorectal pull throughs. In 13 children there were prolonged propagated contractions, > 60 mmHg in amplitude, > 15 s in duration, propagating at rates of 2-6 cm s-1 over at least 20 cm. The migrating motor complex was rare; in 55 h of fasting recording there were two phase III sequences. There are four distinctive features of ileal manometry recordings in children: random intermittent contractions, clustered contractions, prolonged propagated contractions and tonic contractions. The features of ileal motility differ from motility in the proximal small bowel.
Author List
Sood MR, Cocjin J, Di Lorenzo C, Narasimha Reddy S, Flores AF, Hyman PEMESH terms used to index this publication - Major topics in bold
AdolescentChild
Child, Preschool
Fasting
Female
Gastrointestinal Motility
Humans
Ileostomy
Ileum
Infant
Male
Manometry
Myoelectric Complex, Migrating
Postprandial Period
Retrospective Studies
