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Tytuł:
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Does clinical score accurately support fecoflowmetry as a means to assess anorectal motor activity in pediatric patients after anorectal surgery?
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Autorzy:
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Higashidate N; Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan. Electronic address: higashidate_.
Fukahori S; Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Hashizume N; Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Ishii S; Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Saikusa N; Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Sakamoto S; Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Kurahachi T; Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Tanaka Y; Division of Medical Safety Management, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
Ohtaki M; Department of Pediatric Surgery, Tsuruoka Municipal Shonai Hospital, 4-20 Izumi-cho, Tsuruoka, Yamagata, 997-8515, Japan.
Yagi M; Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka, 830-0011, Japan.
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Źródło:
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Asian journal of surgery [Asian J Surg] 2020 Dec; Vol. 43 (12), pp. 1154-1159. Date of Electronic Publication: 2020 Mar 11.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: [Amsterdam] : Elsevier
Original Publication: [Hong Kong] : The Association, [1988-
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MeSH Terms:
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Diagnostic Techniques, Digestive System*
Gastrointestinal Motility*
Anal Canal/*physiopathology
Anorectal Malformations/*physiopathology
Anorectal Malformations/*surgery
Defecation/*physiology
Hirschsprung Disease/*physiopathology
Hirschsprung Disease/*surgery
Rectum/*physiopathology
Age Factors ; Anal Canal/surgery ; Child ; Child, Preschool ; Female ; Humans ; Male ; Rectum/surgery ; Research Design ; Sensitivity and Specificity ; Surveys and Questionnaires
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Contributed Indexing:
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Keywords: Anorectal malformation; Bowel function; Fecoflowmetry; Hirschsprung's disease; Kelly's clinical score; Krickenbeck scoring system
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Entry Date(s):
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Date Created: 20200315 Date Completed: 20210115 Latest Revision: 20210115
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Update Code:
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20240105
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DOI:
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10.1016/j.asjsur.2020.02.011
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PMID:
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32169517
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Purpose: We investigated the relationship between Krickenbeck score (KS) and fecoflowmetry (FFM) parameters and assessed the characteristics of this new questionnaire test by comparing Kelly's clinical score (KCS) in pediatric patients with anorectal surgery for anorectal malformation (ARM) and Hirschsprung's disease (HD).
Methods: We enrolled pediatric patients who underwent anorectal surgery for ARM or HD. Bowel function was assessed with KS and KCS thereafter, FFM and anorectal manometry (AM) were conducted. Patients were divided into subgroups according to each parameter of the scoring system and each FFM parameter was compared among the KCS or KS subgroups, respectively. Moreover, correlation analyses were conducted between FFM and AM parameters.
Results: The comparison of FFM parameters among the subgroups of KCS showed that F max in the KCS staining 2 group was significantly higher than that in KCS staining 1 group and the F max in KCS sphincter squeeze 1 group was significantly higher than that in KCS sphincter squeeze 0 group. Moreover, F max in the KCS "good" group was significantly higher than that in the KCS "fair" group. The comparison of FFM parameters among the subgroups of KS parameters showed that TR in the no soiling group was significantly higher than that in the KS grade 2 soiling group. FFM and AM parameters showed a significant positive correlation between F max and voluntary squeezing anal pressure.
Conclusion: FFM clarified the different characteristics of two scoring systems, namely, KCS reflects the anal sphincter performance, whereas the KS soiling score might reflect the tolerance and evacuation ability.
Competing Interests: Declaration of competing interest The authors have no competing interests to disclose.
(Copyright © 2020. Published by Elsevier Taiwan LLC.)
