Imaging of constipation in infants and children |
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Authors: | R Fotter |
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Institution: | (1) Division of Pediatric Radiology, Department of Radiology, University Hospital Graz, A-8036 Graz, Austria, AT |
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Abstract: | The aims of this review article are to present epidemiology, important definitions, clinical considerations, and etiologic
and pathogenetic aspects of constipation in infants and children. Anatomy, physiology, and pathophysiology of the the anorectum
are described. Special attention is given to the indications for diagnostic imaging, imaging techniques, and imaging findings
with different causes of constipation. Other diagnostic modalities, such as anorectal manometry, electromyography, and biopsy
techniques are briefly discussed. The central question as to whether diagnostic imaging is needed for the diagnostic workup
of infants and children suffering from constipation can be answered affirmatively. Especially the combination of barium enema
or defecography and anorectal manometry allows definition of those infants and children who do not need biopsy and surgery
for Hirschsprung's disease. The special role of defecography in this context is underlined.
Received 16 May 1997; Revision received 5 August 1997; Accepted 6 August 1997 |
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Keywords: | : Infants Children Constipation Diagnostic imaging |
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