2016
DOI: 10.1590/s0004-28032016000300004
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Reliability of Barr, Leech, and Blethyn Score in Using of Plain Radiography in Determining Fecal Impaction in Children With and Without Constipation

Abstract: - Barr, Blethyn and Leech scores were significantly higher in children with abdominal pain and constipation in contrast to children with abdominal pain and without constipation. Sensitivity of Leech score was more than Barr and Blethyn scoring systems. Specificity of Blethyn score was more than Barr and Leech score.

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Cited by 4 publications
(9 citation statements)
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“…None of the included studies recruited patients in a consecutive or random manner, or at least this was not clearly specified. While the two case-control studies [22,24] compared AXRs of children with and without a clinical diagnosis of constipation, the cohort study [23] retrospectively collected data on AXRs and calculated the sensitivity and specificity based on a later diagnosis of constipation. The diagnosis of constipation was made by the Rome III criteria in one study, and in two of the studies the definition of constipation was not specified.…”
Section: Resultsmentioning
confidence: 99%
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“…None of the included studies recruited patients in a consecutive or random manner, or at least this was not clearly specified. While the two case-control studies [22,24] compared AXRs of children with and without a clinical diagnosis of constipation, the cohort study [23] retrospectively collected data on AXRs and calculated the sensitivity and specificity based on a later diagnosis of constipation. The diagnosis of constipation was made by the Rome III criteria in one study, and in two of the studies the definition of constipation was not specified.…”
Section: Resultsmentioning
confidence: 99%
“…Table 2 shows the study findings. In the study by Rezazadeh et al [24], the authors evaluated the Barr, Leech, and Blethyn scores in children with abdominal pain and constipation and children with abdominal pain without constipation (constipation was defined as per the Rome III criteria). The mean age was 68.39 ± 33.48 months and 69.46 ± 32.60 months for the cases and controls, respectively.…”
Section: Resultsmentioning
confidence: 99%
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“…Fecal impaction refers to hard, large stool masses that are retained in the intestine [ 26 , 27 ]. Fecal impaction is diagnosed by abdominal palpation, rectal examination, and X-ray examination [ 27 , 28 ]. Abdominal palpation and rectal examination may be limited depending on the patient’s cooperation and previous laxative consumption [ 29 ].…”
Section: Discussionmentioning
confidence: 99%