Use of colonic manometry to differentiate causes of intractable constipation in children

Lorenzo, Carlo Di; Flores, Alex F. C.; Reddy, S. N.; Hyman, Paul E.

doi:10.1016/s0022-3476(05)80229-x

Cited by 168 publications

(140 citation statements)

References 16 publications

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“…The median age at the time of cecostomy placement was 8 (range, [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] years, with a median weight of 21 (range, kg. The indications for creation of the cecostomy were constipation (n = 7), fecal soiling (n = 9), or a combination of both (n = 15).…”

Section: Methods Patient Populationmentioning

confidence: 99%

Cecostomy in Children with Defecation Disorders

et al. 2006

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Administration of antegrade enemas through a cecostomy is a therapeutic option for children with severe defecation disorders. The purpose of this study is to report our 4-year experience with the cecostomy procedure in 31 children with functional constipation (n = 9), Hirschsprung's disease (n = 2), imperforate anus (n = 5), spinal abnormalities (n = 8), and imperforate anus in combination with tethered spinal cord (n = 7). Data regarding complications, antegrade enemas used, symptoms, and quality of life were retrospectively obtained. Placement of cecostomy tubes was successful in 30 of 31 patients. Soiling episodes decreased significantly in children with functional constipation (P = 0.01), imperforate anus (P < 0.01), and spinal abnormalities (P = 0.04). Quality of life improved in patients with functional constipation and imperforate anus. No difference in complications was found between percutaneous and surgical placement. Use of antegrade enemas via cecostomy improved symptoms and quality of life in children with a variety of defecation disorders.

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Section: Methods Patient Populationmentioning

confidence: 99%

Cecostomy in Children with Defecation Disorders

et al. 2006

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“…A complete blood count, biochemical profile, ation of children than adults with constipation [39,40].…”

Section: Diagnostic Proceduresmentioning

confidence: 99%

“…children with severe constipation and it differentiates patients with functional fecal retention from those with In children, an abdominal radiograph is occasionally useful to determine the presence of fecal retention in neuropathy or myopathy of the colon [40].…”

Section: Diagnostic Proceduresmentioning

confidence: 99%

Are Constipated Children Different from Constipated Adults?

Solzi

Lorenzo²

1999

Dig Dis

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Constipation represents a diagnostic category of high prevalence both in children and adults, but with low disability and hospitalization rates. This review is written to be a relatively practical guide to physicians providing information for the evaluation and management of one of the most common chronic digestive disorders. In this article we emphasize the differences between constipation in children and adults. The approach to childhood constipation needs to focus on the behavioral nature of this disorder. Diagnostic techniques often used in constipated adults may not provide useful data when applied to children. Treatment of childhood constipation requires a team effort involving the physician, parents and child.

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“…This is best measured by intraluminal manometry [116]. Although colonic manometry remains a research tool in adults, it been used to influence clinical management in highly selected pediatric cases [130][131][132][133].…”

Section: Colonic Motor Activitymentioning

confidence: 99%