Clinical Outcome and Long Term Follow-up of Chronic Functional Constipation in Children

안윤진,; 박재옥,

doi:10.5223/kjpgn.2006.9.2.200

Cited by 2 publications

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“…A Korean study reported that 45.5% of constipated children had stool retention and 26.4% of them had pain with BMs based on the criterion of defecation frequency (less than twice per week) (6). Another study reported that 54% of constipated children soiled, 47.6% had large stools, and 31.7% had BMs less than twice per week based on the Loening-Baucke criteria for the patients who underwent more than 1 month of treatment (15). In our study using the Rome III criteria, the accompanying symptoms of constipation were more frequently reported than the infrequent BMs.…”

Section: Discussionmentioning

confidence: 99%

“…Constipated children presented with a pelvic floor dyssynergia pattern were helped with a biofeedback therapy including a multidisciplinary approach of education, behavior modification, drug treatment and follow-up (23). The treatment duration increased for patients with a history of repeated failures (15). Early treatment and sufficient treatment time as well as follow-up should be emphasized for a successful treatment (18).…”

Section: Discussionmentioning

confidence: 99%

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Prevalence, Clinical Characteristics, and Management of Functional Constipation at Pediatric Gastroenterology Clinics

et al. 2013

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The purpose of this study was to investigate the prevalence, clinical characteristics, and management of functional constipation at pediatric gastroenterology clinics. A prospective survey using the Rome III criteria was distributed to a group of parents of children with a constipation history and its control group in May 2008. The mean prevalence of constipation was 6.4%, which was similar to those in other countries. Statistically significant variables for children without constipation were that more children had a body mass index of below the 10th percentile even though they received more mother's care and ate balanced meals compared to the constipation group. Meanwhile, the constipation group frequently showed a history of constipation in infancy, picky-eating, lack of exercise, and retentive posturing. When analyzed with the Rome III criteria, the children showed greater than 60% rate of hard stools, painful stools, a history of large fecal mass in rectum, and its disappearance of constipation symptoms after passing a large stool. Our study found different approaches amongst pediatric gastroenterologists like rectal examinations, disimpaction, or drug treatment. Several factors addressed in our study can provide better guidelines for clinicians treating constipation and its future research.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence, Clinical Characteristics, and Management of Functional Constipation at Pediatric Gastroenterology Clinics

et al. 2013

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Factors Contributing to Treatment Outcome of Functional Constipation in Children

Kim

Hong

et al. 2010

Korean J Pediatr Gastroenterol Nutr

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Purpose:The aim of this study was to evaluate the clinical features and factors contributing to treatment outcome for chronic functional constipation in children. Methods: We analyzed the medical records of patients with constipation, who visited the inpatient or outpatient clinic of the Department of Pediatrics of Pusan National University Hospital, between January 1998 and December 2007. The clinical features, outcomes, and factors affecting the treatment response according to the main drug (lactulose vs. PEG 4000) were analyzed retrospectively. Results: Two hundred forty children (142 males and 98 females) were enrolled in this study. The mean age was 51.2±37.9 months. The duration of symptoms was 32.6±33.7 months. The accompanying symptoms were as follows: encopresis, 91 (30.4%); abdominal pain, 76 (31.6%); and blood-tinged stool, 37 (15.4%). The treatment response was achieved earlier in females (p＜0.001), patients with accompanying symptoms (p＜0.05), and patients treated with PEG 4000 (p=0.001). The duration of symptoms (p＜0.05) and stool frequency before treatment (p＜0.05) were related to a delayed treatment response. Relapse occurred in 7 children, all of whom were treated successfully later. Conclusion: Factors contributing to treatment response are female gender, accompanying symptoms, duration of symptoms, and stool frequency before treatment. PEG 4000 is superior to lactulose in response time and taken into consideration as a primary drug for the treatment of functional constipation of children. Early treatment and sufficient treatment time may also be important factors to achieve an early response and prevent relapse. (Korean J Pediatr Gastroenterol Nutr 2010; 13: 36∼43)

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Clinical Outcome and Long Term Follow-up of Chronic Functional Constipation in Children

Cited by 2 publications

References 0 publications

Prevalence, Clinical Characteristics, and Management of Functional Constipation at Pediatric Gastroenterology Clinics

Prevalence, Clinical Characteristics, and Management of Functional Constipation at Pediatric Gastroenterology Clinics

Factors Contributing to Treatment Outcome of Functional Constipation in Children

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