Constipation and Fecal Incontinence and Motility Disturbances of the Gut: Motility Disturbances of the Gut. New Insights from Improved Diagnostic Methods, ... (Progress in Pediatric Surgery Book 24)

This volume has been authored by internationally reputed experts from Japan and Europe and reflects the state of the art in the field of pediatric surgery. The first section on constipation and incontinence shows the fast pace of research in Japan on the subject. In particular, pathophysiological studies have led to improved diagnostic techniques and the clinical application of anorectal manometry. The second section discusses a topic that has long been of great interest: motility disturbances of the gut. New insights from improved diagnostic methods, pathophysiology and histology have induced new therapeutic trials and a better understanding of diseases such as Hirschsprung's disease and neuronal intestinal dysplasia. Despite the many recent improvements, much clinical and experimental work remains to be done to resolve these problems. Front Matter....Pages I-X Front Matter....Pages 1-1 Preface....Pages 3-3 Studies on the Rectoanal Reflex in Children and in Experimental Animals: An Evaluation of Neuronal Control of the Rectoanal Reflex....Pages 5-20 Computerized Analysis of Anorectal Manometry....Pages 21-32 The Electromyographic Examination to Evaluate the External Sphincter Muscle in Anorectal Malformations....Pages 33-39 Diagnosis of Hirschsprung’s Disease by Anorectal Manometry....Pages 40-48 Problems in Diagnosis of Hirschsprung’s Disease by Anorectal Manometry....Pages 49-58 Anorectal Manometry After Ikeda’s Z-Shaped Anastomosis in Hirschsprung’s Disease....Pages 59-66 Motility of the Anorectum After the Soave-Denda Operation....Pages 67-76 Anorectal Motility After Rectal Myectomy in Patients with Hirschsprung’s Disease....Pages 77-85 Continence and Reflex Pressure Profile After Surgery to Correct the Imperforate Anus....Pages 86-96 Management of Defecation in Spina Bifida....Pages 97-104 Anorectal Motility in Children with Complete Rectal Prolapse....Pages 105-114 Rectoanal Pressure Studies and Postoperative Continence in Imperforate Anus....Pages 115-120 Front Matter....Pages 121-121 Preface....Pages 123-123 Electrophysiological Principles of Motility Disturbances in the Small and Large Intestines — Review of the Literature and Personal Experience....Pages 125-141 The Practical Significance of Manometry in Pathology of the Rectum and Anorectum....Pages 142-154 Functional Colonic Ultrasonography: Normal Findings of Colonic Motility and Follow-Up in Neuronal Intestinal Dysplasia....Pages 155-164 The Influence of Small Bowel Contamination on the Pathogenesis of Bowel Obstruction....Pages 165-172 Diagnosis of Innervation-Related Motility Disorders of the Gut and Basic Aspects of Enteric Nervous System Development....Pages 173-185 Neuronal Intestinal Dysplasia....Pages 186-192 Front Matter....Pages 121-121 Motility Malfunction of the Gastrointestinal Tract by Rare Diseases — Fibrosis of the Intestinal Wall....Pages 193-201 Transient Functional Obstruction of the Colon in Neonates: Examination of Its Development by Manometry and Biopsies....Pages 202-216 Total Colonic Aganglionosis....Pages 217-220 Surgical Management of Chronic Intestinal Pseudo-obstruction in Infancy and Childhood....Pages 221-225 The Importance of Oral Sodium Replacement in Ileostomy Patients....Pages 226-231 Back Matter....Pages 233-235