{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T04:05:22Z","timestamp":1748664322794,"version":"3.41.0"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Colonic manometry catheter placement can be performed by colonoscopy or fluoroscopy. Our objective was to compare outcomes of colonoscopic to fluoroscopic catheter placement in children based on the extent of colon study and the likelihood of catheter displacement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Colonic manometry studies performed between May 2015 and May 2022 were reviewed. All studies with catheter placement per rectum were included. Data on patient demographics, medical and surgical history, and information on catheter placement (type of catheter, placement technique, position, and displacement) were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We reviewed 555 studies and included 482 studies performed on 453 children (51% female, median age 10 years, interquartile range: 7\u201314 years). The catheter was placed during colonoscopy in 274 studies and using fluoroscopy in 208 studies. Children with colonoscopic placement were significantly older (median age 11 vs. 8 years, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), more commonly male (55% vs<jats:italic>.<\/jats:italic> 41%, <jats:italic>p<\/jats:italic>\u2009=\u20090.003), and more commonly had functional constipation (85% vs. 69%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Children with fluoroscopic placement more often had pediatric intestinal pseudo\u2010obstruction (10% vs<jats:italic>.<\/jats:italic> 1%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), a diverting ostomy (21% vs. 7%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and a cecostomy (10% vs. 4%, <jats:italic>p<\/jats:italic>\u2009=\u20090.023). A successful catheter placement (reaching ascending colon) was significantly more common using colonoscopy (49% vs<jats:italic>.<\/jats:italic> 23%, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). There were no differences in frequency or extent of catheter displacement between colonoscopic and fluoroscopic placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Colonoscopic placement was superior to fluoroscopic placement in terms of the extent of the colon studied with no differences in frequency of catheter displacement. Colonoscopic placement should be the preferred method in most children with refractory constipation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpn3.12429","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T10:23:42Z","timestamp":1733739822000},"page":"282-289","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of colonoscopic versus fluoroscopic colonic manometry catheter placement in children"],"prefix":"10.1002","volume":"80","author":[{"given":"Anna E.","family":"Leone","sequence":"first","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA"},{"name":"The Ohio State University College of Medicine Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7500-7847","authenticated-orcid":false,"given":"Julia M. J.","family":"van der Zande","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA"},{"name":"Department of Pediatric Gastroenterology and Nutrition Emma Children's Hospital, Amsterdam UMC, University of Amsterdam Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shruthi","family":"Srinivas","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Pelvic Reconstructive Surgery Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Knaus","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Pelvic Reconstructive Surgery Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard J.","family":"Wood","sequence":"additional","affiliation":[{"name":"Department of Colorectal and Pelvic Reconstructive Surgery Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark J.","family":"Hogan","sequence":"additional","affiliation":[{"name":"Section of Vascular and Interventional Radiology, Department of Radiology Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc A.","family":"Benninga","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology and Nutrition Emma Children's Hospital, Amsterdam UMC, University of Amsterdam Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raul E.","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neetu Bali","family":"Puri","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla","family":"Vaz","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Desale","family":"Yacob","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Di Lorenzo","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter L.","family":"Lu","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000003429"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.12944"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-007-9745-0"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.14759"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000003907"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0b013e3181d04899"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.4.971"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.3526"},{"issue":"3","key":"e_1_2_7_10_1","first-page":"273","article-title":"Mucosal inflammation in pediatric diversion colitis: a quantitative analysis","volume":"25","author":"Grant 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