<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-9957</journal-id>
<journal-title><![CDATA[Revista colombiana de Gastroenterología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. Gastroenterol.]]></abbrev-journal-title>
<issn>0120-9957</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Gastroenterología  ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-99572024000400424</article-id>
<article-id pub-id-type="doi">10.22516/25007440.1195</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Auditing Anorectal Manometric Disorders in Children with Constipation at a Hospital in Colombia]]></article-title>
<article-title xml:lang="es"><![CDATA[Auditando trastornos manométricos anorrectales en niños con estreñimiento en un hospital de Colombia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Cárdenas]]></surname>
<given-names><![CDATA[Julie Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Puentes-Leal]]></surname>
<given-names><![CDATA[Gerardo Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plata-García]]></surname>
<given-names><![CDATA[Clara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ardila]]></surname>
<given-names><![CDATA[Albis Hani de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rao.]]></surname>
<given-names><![CDATA[Satish]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario San Ignacio Department of Pediatrics ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalario Serena del Mar  ]]></institution>
<addr-line><![CDATA[Cartagena ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Ignacio Department of Gastroenterology ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario San Ignacio  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Augusta University  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>39</volume>
<numero>4</numero>
<fpage>424</fpage>
<lpage>434</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-99572024000400424&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-99572024000400424&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-99572024000400424&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction and Objectives: Anorectal disorders can be an underlying cause of chronic refractory constipation in pediatric patients. This study aims to identify such disorders using high-resolution anorectal manometry (HRAM) in children with chronic refractory constipation.  Materials and Methods:  A retrospective, observational, descriptive cross-sectional data analysis was conducted based on HRAM performed in patients under 18 years old with chronic refractory constipation at a hospital in Colombia between 2014 and 2018. An exploratory descriptive analysis of demographic variables and manometric parameters was performed. Conventional manometric diagnoses were compared and aligned with the London classification.  Results:  A total of 89 patients were evaluated. According to the conventional classification, 60% of the patients had abnormalities on manometry, and 8% lacked a rectoanal inhibitory reflex (RAIR). HRAM without sedation was performed in 57 patients, of whom 80% showed an abnormal balloon expulsion test (BET); 53% had alterations in sensory thresholds, and 40% exhibited dyssynergic defecation. When extrapolated to the London classification, 93% were found to have rectal sensory disorders; 84% had rectoanal coordination disorders; 39% presented tone and contractility disorders, and 11% had rectoanal areflexia.  Conclusions:  Anorectal disorders are common in children with chronic refractory constipation and are diagnosed using HRAM to guide prognosis and targeted treatments, such as for dyssynergias. A classification similar to the London system, with manometric values tailored to pediatric populations by age groups, would provide a systematic and complementary approach to traditional methods and enhance diagnostic sensitivity.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivos:  Los trastornos anorrectales pueden ser una causa subyacente de estreñimiento crónico refractario en pediatría. Este estudio tiene como objetivo identificar dichos trastornos mediante el uso de manometría anorrectal de alta resolución (MAR-AR) en niños que padecen estreñimiento crónico refractario.  Materiales y métodos:  Se llevó a cabo un estudio observacional descriptivo retrospectivo de corte transversal de exploración de datos basado en las MAR-AR realizadas en menores de 18 años con estreñimiento crónico refractario en un hospital en Colombia durante el período comprendido entre 2014 y 2018. Se realizó un análisis descriptivo exploratorio de variables demográficas y parámetros de manometría, y además se compararon diagnósticos manométricos convencionales y se homologaron con la clasificación de Londres.  Resultados:  Se evaluó a 89 pacientes y, según la clasificación convencional, el 60% de los pacientes tenían anormalidades en la manometría y el 8% no tenían reflejo rectoanal inhibitorio (RRAI). En 57 pacientes se realizó la manometría sin sedación, de los cuales el 80% tenían prueba de expulsión del balón (TEDB) anormal; el 53%, alteración del umbral sensitivo, y el 40%, disinergia defecatoria. Se extrapoló la clasificación de Londres y se obtuvo que el 93% tenían desórdenes en sensibilidad rectal; el 84%, desórdenes de la coordinación rectoanal; el 39%, trastorno del tono y la contractilidad, y el 11%, arreflexia rectoanal.  Conclusiones:  Los trastornos anorrectales son frecuentes en el estreñimiento crónico refractario en niños, y se diagnostican mediante MAR-AR para establecer pronósticos y tratamientos dirigidos, como en el caso de las disinergias. Una clasificación similar a la de Londres con valores manométricos establecidos para la población pediátrica por grupos de edades permitiría un enfoque sistemático y complementario al enfoque tradicional y aumentaría la sensibilidad diagnóstica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Constipation]]></kwd>
<kwd lng="en"><![CDATA[manometry]]></kwd>
<kwd lng="en"><![CDATA[pediatrics]]></kwd>
<kwd lng="en"><![CDATA[gastrointestinal motility]]></kwd>
<kwd lng="es"><![CDATA[Estreñimiento]]></kwd>
<kwd lng="es"><![CDATA[manometría]]></kwd>
<kwd lng="es"><![CDATA[pediatría]]></kwd>
<kwd lng="es"><![CDATA[motilidad gastrointestinal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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