Functional constipation in children: investigation and management of anorectal motility.

World Journal of Pediatrics : WJP
Zheng-Hong LiZhi-Feng Wang

Abstract

Constipation is a common disease in children. Despite many causes, constipation is most often functional. This study was undertaken to investigate the anorectal motility in children with functional constipation as compared with healthy children and to determine the efficacy of management based on the results of anorectal manometry. A multi-functional manometry was used to detect the anorectal manometry indexes of 8 patients with functional constipation (11.4+/-4.8 years) as well as those of 10 healthy children (10.5+/-3.5 years) from May 2004 to June 2005. The patients received a combined treatment regimen including probiotics (bifid triple viable bacterial tablet), prebiotics (lactulose) and regular defecation according to the results of anorectal manometry. The efficacy of these conservative measures was estimated during the course of treatment. No statistical difference was found in the indexes of effective length of the anal sphincter, anal tract maximal systolic pressure and the duration of more than 50% maximal systolic pressure between the two groups. But minimal sensitivity and maximal tolerated volume between the two groups were different significantly. Seven of the eight patients got better with the conservative treat...Continue Reading

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Citations

May 18, 2004·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Carlos ZaslavskyThemis R Da Silveira
Apr 30, 2013·Arab Journal of Gastroenterology : the Official Publication of the Pan-Arab Association of Gastroenterology·Abeer FathyAhmed F Abdalla
Aug 29, 2012·Gastroenterology Research and Practice·Guohua LiNonghua Lv
Dec 30, 2017·Journal of Pediatric Gastroenterology and Nutrition·Renato TambucciOsvaldo Borrelli
Jul 2, 2010·Organic & Biomolecular Chemistry·Chia-Hsiu ChenDuen-Ren Hou
Aug 25, 2010·Organic & Biomolecular Chemistry·Sherif B Abdel GhaniRichard C D Brown
Jun 2, 2020·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Annalisa AlessandrellaAnnamaria Staiano

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