Effectiveness of an organized bowel management program in the management of severe chronic constipation in children

Journal of Pediatric Surgery
Katie W RussellMichael D Rollins

Abstract

Chronic constipation is a common problem in children. The cause of constipation is often idiopathic, when no anatomic or physiologic etiology can be identified. In severe cases, low dose laxatives, stool softeners and small volume enemas are ineffective. The purpose of this study was to assess the effectiveness of a structured bowel management program in these children. We retrospectively reviewed children with chronic constipation without a history of anorectal malformation, Hirschsprung's disease or other anatomical lesions seen in our pediatric colorectal center. Our bowel management program consists of an intensive week where treatment is assessed and tailored based on clinical response and daily radiographs. Once a successful treatment plan is established, children are followed longitudinally. The number of patients requiring hospital admission during the year prior to and year after initiation of bowel management was compared using Fisher's exact test. Forty-four children with refractory constipation have been followed in our colorectal center for greater than a year. Fifty percent had at least one hospitalization the year prior to treatment for obstructive symptoms. Children were treated with either high-dose laxatives s...Continue Reading

References

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Aug 17, 2011·Journal of Pediatric Surgery·Lisette T HoekstraMarc A Benninga

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Citations

Feb 15, 2016·Pediatric Surgery International·João H F ColaresAlberto Peña
Aug 25, 2020·Current Opinion in Pediatrics·Ricardo Medina-Centeno
Mar 11, 2016·Current Opinion in Pediatrics·Richard J WoodMarc A Levitt
Oct 9, 2019·The Journal of Emergency Medicine·Julie AndersonMarissa A Hendrickson

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