Pressures measured by manometric solid-state catheters may differ according to the type of the catheter and specific anatomy and physiology of anorectum. The aim of the study is to establish the difference in recordings between 2 types of anorectal catheters used in pediatric patients and to validate the most appropriate way to diagnose of functional disorders.
Patients enrolled in study will be investigated by both types of anorectal catheters, first by anorectal high resolution flexible, thinner, solid-state catheter and after that with rigid, thicker, solid-state catheter. Both procedures will be undertaken during one session. There will be used standard protocol of the procedure that measures conventional manometric parameters (resting pressure, squeeze pressure, bear down manoeuver, thresholds of sensation and recto anal inhibitory reflex threshold.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
100
Recording of conventional manometric parameters after insertion of the catheters.
Department of Pediatric Gastroenterology and Nutrition
Warsaw, Poland
RECRUITINGDifference in Resting pressure of the anorectal area
Resting pressure will be measured after insertion catheter into anorectum. The software automatically record pressure while patient is lying on the bed. The parameter is recorded with 2 different types of anorectal catheters and the difference is evaluated.
Time frame: 20 seconds
Maximum squeeze pressure
Pressure is recorded after the patient is asked to squeeze anorectum for 20 s (repeated 3 times).
Time frame: 1 min
Bear down manoeuver
Pressures are recorded after the patient is asked to bear down for 20 s (repeated 2 times)
Time frame: 1 min
Thresholds of sensation
The balloon at the top of the catheter is being filled with air until a patient is able to report sensation, urge and discomfort.
Time frame: 1 min
Recto anal inhibitory reflex
The balloon at the top of the catheter is being filled with air until the relaxation of anal sphincter is observed.
Time frame: 5 min
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