Diseases, Conditions, Syndromes

Audit on awake anorectal manometry: tolerability in children

Chronic constipation (CC) and faecal incontinence (FI) in children is a considerable (0.5%–30% UK and internationally)1 and underappreciated healthcare problem that results in pain, fear of defaecation, embarrassment, poor quality of life2 (patient and family), bullying, school absence and refusal, suicidal ideation and, at worst, suicide attempts.

There is a significant discrepancy regarding the service, particularly investigations, that are offered to children compared with adults.3 Awake anorectal manometry (ARM) is the gold-standard investigation in adult practice, and its use has evolved over the last 25 years. Reasons for this discrepancy are numerous: failure to appreciate the impact, stigma and silent …

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