PEDIATRICS Vol. 71 No. 5 May 1983, pp. 774-779
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Idiopathic Disorders of Fecal Continence in Children

Pierre Arhan 1, Ghislain Devroede 1, Bertrand Jehannin 1, Claude Faverdin 1, Yann Révillon 1, Daniel Lefevre 1, and Denys Pellerin 1

1 From the Clinique Chirurgicale Infantile, Hôpital des Enfants-Malades, Paris; Laboratoire de Physiologie, Faculté Necker-Enfants-Malades, Paris; and Département de Chirurgie générale et Centre de Recherches en Physiopathologie digestive, Faculté de Médecine, Université de Sherbrooke, Quebec

A group of 176 patients aged 2 to 15 years was investigated for idiopathic disorders of bowel function other than Hirschsprung's disease. Anorectal motility, as well as colorectal transit of radiopaque markers, were investigated. Before the end of the first month of life, 70 of the patients were constipated. Resting pressure was more unstable (P < 0.001) and higher than normal in the rectal ampulla and upper anal canal (P < 0.01). Retardation of markers occurred in the proximal and/or distal large bowel of 61% of the patients. The existence of functional abnormalities was demonstrated in the majority of children with idiopathic disorders of fecal continence.

Key Words: constipation • incontinence • colonic motility • anorectal pressures

Submitted on June 5, 1981
Accepted on July 23, 1982




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