Functional constipation in children: the pediatric surgeon's perspective.

作者: Tomas Wester

DOI: 10.1007/S00383-013-3354-0

关键词:

摘要: The prevalence of functional constipation in children is almost 10 %. etiology multifactorial and not fully understood. In the majority cases, there no organic explanation for symptoms. However, it very important to exclude causes, particularly neonates infants. There are warning symptoms, such as delayed passage meconium, bilious vomiting abdominal distention that should prompt further investigations. Fecal incontinence a common symptom secondary fecal impaction. first-line treatment both disimpaction maintenance use laxatives. Parental education extremely important. limited data on surgical approaches constipation.

参考文章(35)
Paul Merlob, Menachem Nitzan, Salomon H. Reisner, Yaakov Sivan, Determination of anterior displacement of the anus in newborn infants and children Pediatrics. ,vol. 73, pp. 216- 217 ,(1984)
Heather Lee-Robichaud, Kathryn Thomas, Jenna Morgan, Richard L Nelson, Lactulose versus Polyethylene Glycol for Chronic Constipation Cochrane Database of Systematic Reviews. ,(2010) , 10.1002/14651858.CD007570.PUB2
S.M. Scott, M.M. van den Berg, M.A. Benninga, Rectal sensorimotor dysfunction in constipation Best Practice & Research in Clinical Gastroenterology. ,vol. 25, pp. 103- 118 ,(2011) , 10.1016/J.BPG.2011.01.001
P.S. Malone, P.G. Ransley, E.M. Kiely, Preliminary report: the antegrade continence enema. The Lancet. ,vol. 336, pp. 1217- 1218 ,(1990) , 10.1016/0140-6736(90)92834-5
Stefan A. Muller-Lissner, Michael A. Kamm, Carmelo Scarpignato, Arnold Wald, Myths and misconceptions about chronic constipation. The American Journal of Gastroenterology. ,vol. 100, pp. 232- 242 ,(2005) , 10.1111/J.1572-0241.2005.40885.X
Lauren Bardisa-Ezcurra, Roz Ullman, Jenny Gordon, None, Diagnosis and management of idiopathic childhood constipation: summary of NICE guidance BMJ. ,vol. 340, ,(2010) , 10.1136/BMJ.C2585
BR Southwell, SK King, JM Hutson, Chronic constipation in children: organic disorders are a major cause. Journal of Paediatrics and Child Health. ,vol. 41, pp. 1- 15 ,(2005) , 10.1111/J.1440-1754.2005.00527.X
A Ghosh, D M Griffiths, Rectal biopsy in the investigation of constipation Archives of Disease in Childhood. ,vol. 79, pp. 266- 268 ,(1998) , 10.1136/ADC.79.3.266
B. Peeters, M.A. Benninga, R.C. Hennekam, Childhood constipation; an overview of genetic studies and associated syndromes Best Practice & Research in Clinical Gastroenterology. ,vol. 25, pp. 73- 88 ,(2011) , 10.1016/J.BPG.2010.12.005
L T Weaver, A Lucas, Development of bowel habit in preterm infants. Archives of Disease in Childhood. ,vol. 68, pp. 317- 320 ,(1993) , 10.1136/ADC.68.3_SPEC_NO.317