Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightAnanal fissure was present in more than 80% of patients who had puborectalismuscle and external anal sphincter dysfunction.We concluded that the frequency of acquired anorectal disease in childrenwith chronic constipation is high; early diagnosis and treatment are prioritiesfor the successful management of these patients.
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Özet
To determine the frequency of anorectal disease associated with chronicconstipation in children we conducted an observational, descriptive,retrospective study. One hundred and sixty eight patients were evaluatedby anorectal manometry over a 10-year period. The population was dividedinto organic constipation (OC) and functional constipation (FC) per ROMEIII criteria. Of those: 95 (56.54%) presented with anorectal disease. The agerange was 1-17 (mean 5.3). Eighteen presented with OC and 77 with FC.Acute anal fissure was found in 45 patients (38 FC, 7 OC), chronic analfissure in 38 (30 FC, 8 OC), perianal erythema in 26 (23 FC, 3 OC), scartissue was found in 28 (24 FC, 4 OC), anal mucosa congestion in 27 (22FC, 5 OC), hemorrhoidal disease in 26 (20 FC, 6 OC) and perianal venousdilatation in 21 (16 FC, 5 OC). Anal fissure, perianal erythema, and venousdilation occurred more frequently in patients with an anterior ectopic anus. Ananal fissure was present in more than 80% of patients who had puborectalismuscle and external anal sphincter dysfunction.We concluded that the frequency of acquired anorectal disease in childrenwith chronic constipation is high; early diagnosis and treatment are prioritiesfor the successful management of these patients.