Russian Journal of Pediatric Surgery, Anesthesia and Intensive CareRussian Journal of Pediatric Surgery, Anesthesia and Intensive Care2219-40612587-6554Eco-Vector28710.17816/psaic287THE FIRST EXPERIENCE OF ANORECTAL MANOMETRY IN CHILDRENPimenovaE. S.fake@neicon.ruFomenkoO. Yu.fake@neicon.ruMorozovD. A.fake@neicon.ruStarostinaI. E.fake@neicon.ruThe First Moscow I. M. Sechenov State Medical University of the Ministry of Health of Russia‘A. N. Ryzhykh State Research Center of Coloproctology’ of the Ministry of Health of Russia101220166420271006201710062017Copyright © 2016, Pimenova E.S., Fomenko O.Y., Morozov D.A., Starostina I.E.2016<p>The article presents the first results of using a modern method of functional examination of the large intestine and pelvic floor muscles in children or high-resolution anorectal manometry. 60 children aged 7 months to 17 years were examined in total (34 children had underwent different surgeries on the intestine and anorectal area due to Hirschsprung disease and anorectal malformations, 26 of them had not undergone any surgery). Apart from high-resolution anorectal manometry the children had routine anorectal profilometry and sphincterometry; no sedation was applied.</p><p>The authors noted that high-resolution anorectal manometry has wider possibilities in diagnostics of defecation disturbances in children as compared with routine methods. Usage of functional methods of the examination in children alongside with clinical and instrumental examination enables to reveal the condition requiring surgical correction. The method was proved effective in dynamic examination of children undergoing rehabilitation following intestinal surgery as the conducted procedures and manipulations could be conducted effectively.</p><p>High-resolution anorectal manometry was used for the first time to reveal the symptoms of obstructive (dyssynergic) defecation in many children both after the surgeries and in those not operated explaining the reasons for chronic constipation in the children and requiring a fundamentally new approach to their treatment.</p><p>The new method is a perspective trend in complex treatment of children with defecation disturbances. 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