Electrical stimulation therapy for slow transit constipation in children: a systematic review

International Journal of Colorectal Disease
Ming-Liang LuShifeier Lu

Abstract

Slow transit constipation is a common disorder in children, which often does not respond well to ordinary treatments. We have conducted a systematic review of reported studies in order to better define the current state of knowledge about electrical stimulation treatment of slow transit constipation in children. We searched PubMed, Embase, Cochrane Library, BioMed Central, and ISI Web of Knowledge with relevant terms; six studies, all from one center, met the criteria for inclusion. Two trials were randomized clinical trials, and four were prospective studies. The number of subjects included in the studies was 8 to 39, with ages 3 to 18 years. Treatment sessions varied from 20 to 30 min 3 times per week to 1 h daily, and duration of therapy varied from 3 weeks to 6 months. Statistically significant improvements after electrical stimulation therapy were recorded in one to four outcome measures in each of the studies: frequency of defecation, soiling, Bristol Stool Scale, radionuclear transit studies, and quality of life; however, the improvements were of modest degree and of uncertain clinical significance. Quality assessment of the studies found various levels of bias, with attrition bias and reporting bias in all six. This sys...Continue Reading

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Citations

Jan 3, 2018·Journal of Neurogastroenterology and Motility·Judith S MooreRebecca E Burgell
Feb 7, 2018·Evidence-based Complementary and Alternative Medicine : ECAM·Feng JiangYu-Gen Chen
Sep 29, 2020·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Alejandra Vilanova-Sanchez, Marc A Levitt
May 11, 2018·American Journal of Physiology. Gastrointestinal and Liver Physiology·Zhaoxiu LiuJiande D Z Chen

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