Use of Digital Rectal Exam Compared With High‐Resolution Anorectal Manometry in the Diagnosis of Dyssynergic Defecation in Pediatrics

The sensitivity and specificity of DRE for the diagnosis of dyssynergic defecation were lower than those reported for adults (75% and 85%, respectively). In some cases, DRE would be useful, especially in low-resource scenarios where HRAM is not available, and we recommend DRE prior to HRAM as a complementary approach to dyssynergic defecation.

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Journal
Neurogastroenterology & Motility
Published
2025-04-24
DOI
https://doi.org/10.1111/nmo.70061
Primary Topic
Pelvic floor disorders treatments
Type
article
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Use of Digital Rectal Exam Compared With High‐Resolution Anorectal Manometry in the Diagnosis of Dyssynergic Defecation in Pediatrics

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Use of Digital Rectal Exam Compared With High‐Resolution Anorectal Manometry in the Diagnosis of Dyssynergic Defecation in Pediatrics

Samuel Nurko, Roberto Cervantes‐Bustamante, Karen Rubí Ignorosa Arellano, Erick Manuel Toro Monjaráz, J.F. Cadena-León, Ericka Montijo Barrios, J.A. Ramírez-Mayans, Oscar Alberto Pérez-González, Flora Elva Zárate-Mondragón, Cristian Morales Pérez
article en

Abstract

The sensitivity and specificity of DRE for the diagnosis of dyssynergic defecation were lower than those reported for adults (75% and 85%, respectively). In some cases, DRE would be useful, especially in low-resource scenarios where HRAM is not available, and we recommend DRE prior to HRAM as a complementary approach to dyssynergic defecation.

Neurogastroenterology & MotilityVol. 37(10)
Boston Children's Hospital (US), Instituto Nacional de Pediatria (MX)
Decent work and economic growth
Openalex Percentile: Top 87%
Pelvic floor disorders treatments
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