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297 Surgical decision-making 14 16) For a child with functional constipation refractory to medications who has a normal anorectal and a normal colonic manometry , my initial surgical treatment would be ( check one option ): ¨ anal botox injections ¨ anal sphincter myectomy ¨ anal dilatation ¨ antegrade continence enemas (ACE) ¨ sacral neurostimulation ¨ diverting ileostomy ¨ (segmental) colonic resection ¨ colostomy ¨ ileo-anal anastomosis ¨ other:________________________________________________________________________ ¨ not applicable/I don’t know 17) For a child with functional constipation refractory to medications who has an absent recto-anal inhibitory reflex on anorectal manometry but with normal rectal biopsy and a normal colonic manometry , my initial treatment would be ( check one option ): ¨ anal botox injections ¨ anal sphincter myectomy ¨ anal dilatation ¨ antegrade continence enemas (ACE) ¨ sacral neurostimulation ¨ diverting ileostomy ¨ (segmental) colonic resection ¨ colostomy ¨ ileo-anal anastomosis ¨ other:________________________________________________________________________ ¨ not applicable/I don’t know 18) For a child with functional constipation refractory to medications who has a high anal canal resting pressure on anorectal manometry and a normal colonic manometry , my initial treatment would be ( check one option ): ¨ anal botox injections ¨ anal sphincter myectomy ¨ anal dilatation ¨ antegrade continence enemas (ACE) ¨ sacral neurostimulation ¨ diverting ileostomy ¨ (segmental) colonic resection ¨ colostomy ¨ ileo-anal anastomosis ¨ other:________________________________________________________________________ ¨ not applicable/I don’t know 19) For a child with functional constipation refractory to medications who has a normal anorectal manometry and an abnormal colonic manometry showing absence of high amplitude propagating contractions (HAPCs) of the left colon , my initial treatment would be ( check one option ): ¨ anal botox injections ¨ anal sphincter myectomy ¨ anal dilatation ¨ antegrade continence enemas (ACE) ¨ sacral neurostimulation ¨ diverting ileostomy ¨ (segmental) colonic resection ¨ colostomy ¨ ileo-anal anastomosis ¨ other:________________________________________________________________________ ¨ not applicable/I don’t know