Functional Defecation Disorders in Children: Comparing the Rome II with the Rome III Criteria

Burgers, Rosa; Levin, Alon D.; Lorenzo, Carlo Di; Dijkgraaf, Marcel G. W.; Benninga, Marc A.

doi:10.1016/j.jpeds.2012.03.060

Cited by 50 publications

(54 citation statements)

References 22 publications

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“…This was the same in the study population of both Poenaru et al [2] (5.4 ± 3.8 years) and in Burgers et al [16] (6.3 ± 3.5). There was male gender predilection in our study (70.83 % were males), this was the same finding in Burgers et al [16] study with 61 % were males; and in contrast to the findings of Poenaru et al [2] study in which almost similar numbers of boys and girls (51.4 % boys) were affected, and this ratio was maintained both in the younger and the older children.…”

Section: Discussionsupporting

confidence: 75%

Contrast enema as a guide for senna-based laxatives in managing overflow retentive stool incontinence in pediatrics

2015

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Section: Discussionsupporting

confidence: 75%

Contrast enema as a guide for senna-based laxatives in managing overflow retentive stool incontinence in pediatrics

2015

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“…Eight studies were performed in North America[8,18,20-25], five in Latin America[26-30], five in Europe[31-35], seven in Asia[6,16,36-40], and one in Africa[41]. Five studies were performed by the same Latin American consortium, the Functional International Digestive Epidemiology Research Survey, which adopted a similar methodology, thus allowing comparing the data.…”

Section: Resultsmentioning

confidence: 99%

Epidemiology of functional gastrointestinal disorders in children and adolescents: A systematic review

Boronat

Ferreira-Maia

Matijasevich

et al. 2017

WJG

103

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AIMTo assess the prevalence of functional gastrointestinal disorders (FGIDs) in children and adolescents.METHODSPubMed, EMBASE, and Scopus databases were searched for original articles from inception to September 2016. The literature search was made in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. For inclusion, each study had to report epidemiological data on FGIDs in children between 4 and 18 years old and contain standardized outcome based on Rome II, III or IV criteria. The overall quality of included epidemiological studies was evaluated in accordance with Loney’s proposal for prevalence studies of health literature. Two reviewers assessed each study for data inclusion and extraction. Discrepancies were reconciled through discussion with seniors.RESULTSA total of 659 articles were identified from the databases and 16 through manual search. A total of 43 articles fulfilled the eligibility criteria for full-text reading, with 26 remaining to be included in the final analysis. All studies were written in English and published between 2005 and 2016. Eight (30.8%) articles were performed in North America, five (19.2%) in Latin America, five (19.2%) in Europe, seven (27%) in Asia, and one (3.8%) in Africa. Sample size varied between 114 and 99416 subjects, totaling 132600 individuals. Fourteen (53.9%) studies recruited their target samples from schools, 11 (42.3%) from healthcare settings and the remaining one (3.8%) from online panel community. The overall FGID prevalence rates for student samples ranged from 9.9% to 29% to as high as 87% in clinical samples. Cyclic vomiting, irritable bowel syndrome and functional constipation were the most researched conditions, with a prevalence ranging from 0.2% to 6.2%, 0% to 45.1% and 0.5% to 86.9%, respectively. The qualitative appraisal revealed that most of the studies showed average or below average generalizability.CONCLUSIONThe heterogeneity of the studies on FGIDs must be improved in order to allow comparison. Improvements should include appropriate sampling of representative population, comparable study setting, and consistent data collection.

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“…The vast majority of patients do not have any inflammatory, anatomical, metabolic or neoplastic underlying causes and a diagnosis of functional constipation is made. 2 Functional constipation in childhood usually results in frequent absence from school, social isolation and feelings of depression. 3 Common treatments for constipation are laxatives, enemas and other invasive procedures including manual removal of impacted faeces.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for Treatment of Hospital-Induced Constipation in Children: A Retrospective Case Series Study

et al. 2012

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Objective Acupuncture is a promising option in the treatment of functional bowel disorders. The aim of this study was to evaluate the feasibility and acceptance of acupuncture for the treatment of hospital-induced constipation (HIC) in children. Methods Bilateral stimulation of acupuncture point LI11 was applied in 10 children with HIC using fixed indwelling acupuncture needles (0.9 mm long) before considering starting conventional local constipation therapy with laxative suppositories. The clinical records were studied retrospectively for feasibility, acceptance and effectiveness of acupuncture.Results Acupuncture was feasible in all children and application of the indwelling needles was tolerated without fear. Side effects were not observed. After a median of 3 days of HIC, all children defaecated within 2 h after LI11 stimulation. No patient required conventional local constipation therapy. Conclusions Acupuncture for the treatment of HIC is feasible and acceptable. Its effect should be verified in a randomised controlled trial. INTRODUCTIONConstipation is one of the most common digestive disorders of childhood, with 10-45% of children visiting paediatric gastroenterologists with constipation-related complaints.1 The pathophysiology of childhood constipation can originate from a number of factors. The vast majority of patients do not have any inflammatory, anatomical, metabolic or neoplastic underlying causes and a diagnosis of functional constipation is made.2 Functional constipation in childhood usually results in frequent absence from school, social isolation and feelings of depression.3 Common treatments for constipation are laxatives, enemas and other invasive procedures including manual removal of impacted faeces. Standard therapy is usually accompanied by unwanted side effects such as cramping, bloating, dehydration and faecal incontinence.

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Functional Defecation Disorders in Children: Comparing the Rome II with the Rome III Criteria

Cited by 50 publications

References 22 publications

Contrast enema as a guide for senna-based laxatives in managing overflow retentive stool incontinence in pediatrics

Contrast enema as a guide for senna-based laxatives in managing overflow retentive stool incontinence in pediatrics

Epidemiology of functional gastrointestinal disorders in children and adolescents: A systematic review

Acupuncture for Treatment of Hospital-Induced Constipation in Children: A Retrospective Case Series Study

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