Surgically Treated Intractable Constipation in Children Evaluated with Colonic Manometry

Retrospective analysis of 56 children with intractable constipation shows colonic manometry can guide surgical intervention selection. ACE procedures achieved 61-75% success for normal or left-sided dysfunction, while ileostomy showed 100% success for pancolonic dysfunction, with 10 patients ultimately off all treatment at median 3.2-year follow-up.