PMID- 12790987 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20030930 LR - 20191107 IS - 1462-8910 (Print) IS - 1462-8910 (Linking) VI - 3 IP - 3 DP - 2001 May TI - Does anorectal manometry predict clinical outcome after laparoscopic ACE procedures in children with spina bifida? PG - 185-8 AB - PURPOSE: The laparoscopic antegrade continence enema (LACE) procedure is used for the treatment of faecal incontinence in children with spina bifida. The purpose of this study was to relate the outcome of the LACE procedure to anorectal function, as determined by anorectal manometry. METHOD: Eleven children with spina bifida who had the LACE procedure underwent anorectal manometry (ARM) to document their anorectal function, and its relationship to the level of continence obtained following surgery. RESULTS: There was a consistently high level of functional continence achieved following surgery despite wide variability in the parameters of anorectal manometry. There was no demonstrable correlation between the outcome of the LACE procedure and anorectal function as assessed by manometry. CONCLUSION: Anorectal function as determined by manometry failed to predict outcome after the laparoscopic ACE procedure in children with spina bifida. FAU - Wing, N A AU - Wing NA AD - Department of Paediatric Surgery, Christchurch Hospital, Christchurch, New Zealand. FAU - Findlay, F J AU - Findlay FJ FAU - Beasley, S W AU - Beasley SW FAU - Frizelle, F A AU - Frizelle FA FAU - Dobbs, B R AU - Dobbs BR FAU - Robertson, R W AU - Robertson RW LA - eng PT - Journal Article PL - England TA - Colorectal Dis JT - Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland JID - 100883611 EDAT- 2003/06/07 05:00 MHDA- 2003/06/07 05:01 CRDT- 2003/06/07 05:00 PHST- 2003/06/07 05:00 [pubmed] PHST- 2003/06/07 05:01 [medline] PHST- 2003/06/07 05:00 [entrez] AID - 231 [pii] AID - 10.1046/j.1463-1318.2001.00231.x [doi] PST - ppublish SO - Colorectal Dis. 2001 May;3(3):185-8. doi: 10.1046/j.1463-1318.2001.00231.x.