ArticlePediatric surgery international2024
Assessing fecal load with ultrasound in children with colorectal pathology: ReKiSo study.
Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Retrospective Analysis of Point-of-Care Ultrasound Results in the Follow-Up of Paediatric Functional Constipation.Acta paediatrica (Oslo, Norway : 1992) · 2026Article
- Point-of-care ultrasound assessment of transrectal diameter to evaluate fecal load in children with anorectal malformations: adjunct imaging and utility in bowel management program.Pediatric surgery international · 2026Observational
- Usefulness of ultrasound in diagnosing constipation in children: a narrative review.Frontiers in pediatrics · 2026Review
- Bowel Function Score in Long-Term Follow-Up for Children with Hirschsprung Disease: OASIS-Holistic Care in Hirschsprung Disease Network Position Paper.Children (Basel, Switzerland) · 2024Article
- The Role of Patient Organisations-Patients' and Parents' Views and Experience of Hirschsprung's Disease.Children (Basel, Switzerland) · 2024Article
- Is the Transrectal Diameter (TRD) Suitable for Assessing Faecal Loads and Monitoring Bowel Management in Children with Hirschsprung Disease-ReKiSo Study: Prospective Study.Children (Basel, Switzerland) · 2024Article
- Surgical Strategies in Total Colonic Aganglionosis: Primary Pullthrough-Pathway of Care.Children (Basel, Switzerland) · 2024Article
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3 authors.
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Abstract
purposeTo evaluate bowel management for children with colorectal pathology by measuring transverse rectal diameter (TRD) and assessing fecal load with transabdominal rectal ultrasound (TRU).
methodsProspective case-control study of children receiving bowel management (BM) between 04/2023 and 04/2024 was done. There was inclusion of patients with Hirschsprung disease (HD), anorectal malformation (ARM) and functional constipation (FC). Patients with other congenital or neurological conditions were excluded. Control group consisted of inpatients and outpatients without abdominal complaints. FC was diagnosed according to ROM-IV-criteria. For HD and ARM, we followed a list of symptoms. To assess fecal load, we visualized the TRD using the Klijn (Klijn et al. in J Urol 172:1986-1988, 2004) method. The bladder was moderately full. The fecal load was assessed retrograde from the rectum. Follow-up was at 1/3/6 months. Secondary data were collected from medical records. Sample size calculated a priori and follow-up group with new gathered data.
resultsp value for TRD in all groups significant with p < 0.05 and in grouped follow-up.
conclusionUltrasound is a useful tool for assessing fecal load and helps diagnose constipation and monitor BM. Irrespective of colorectal pathology, a cut-off of 3 cm seems to discriminate between children without constipation/overload symptoms and asymptomatic patients. We present a radiation-free method for monitoring bowel management.
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