Rectal fecal impaction treatment in childhood constipation: enemas versus high doses oral PEG.

摘要: OBJECTIVE: We hypothesized that enemas and polyethylene glycol (PEG) would be equally effective in treating rectal fecal impaction (RFI) but less well tolerated colonic transit time (CTT) improve during disimpaction. METHODS: Children (4–16 years) with functional constipation RFI participated. One week before disimpaction, a examination was performed, symptoms of were recorded, the first CTT measurement started. If determined, then patients assigned randomly to receive once daily or PEG (1.5 g/kg per day) for 6 consecutive days. During this period, second started child9s behavior questionnaire administered. Successful defecation incontinence frequencies, occurrence abdominal pain watery stools, CTTs (before after disimpaction), scores assessed. RESULTS: Ninety-five eligible, whom 90 participated (male, n = 60; mean age: 7.5 ± 2.8 years). Forty-six received 44 PEG, 5 dropouts each group. disimpaction achieved (80%) (68%; P .28). Fecal stools reported more frequently (P CONCLUSION: Enemas children. Compared enemas, caused incontinence, comparable scores. The treatments should considered as first-line therapy RFI.