PMID: 11930097Apr 4, 2002Paper

Management of intractable constipation with antegrade enemas in neurologically intact children

Journal of Pediatric Gastroenterology and Nutrition
Nader N YoussefCarlo Di Lorenzo

Abstract

To assess the benefit of antegrade enemas in children with severe constipation who were referred to a tertiary care center. From 1997 to 1999, 12 children (9 male, aged 8.7 +/- 4.4 years) underwent cecostomy placement. All children were neurologically normal and had been extensively examined to rule out organic causes of constipation. Follow-up included a questionnaire to interview caregivers 13.1 +/- 8.5 months after cecostomy placement. For all children, antegrade enemas led to improvement in the number of bowel movements / week (7.1 versus 1.4, P < 0.005), number of soiling accidents / week (1.0 versus 4.7, P < 0.01), abdominal pain score (0.9 versus 2.9, P < 0.005), emotional health score (3.6 versus 1.9, P < 0.005), overall health score (3.6 versus 1.7, P < 0.005), number of medications used for constipation (0.8 versus 4.0, P < 0.005), number of missed school days / month (1.5 versus 7.5, P < 0.02), and number of physician office visits / year (9.2 versus 24.0, P < 0.05). Irrigation solutions used for the antegrade enemas included polyethylene glycol (67%), saline and glycerin solution (25%), and phosphate enema (8%), administered everyday in seven children and every other day in five children. Adverse events included ski...Continue Reading

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Citations

Aug 6, 2013·Pediatric Surgery International·Tomas Wester
Nov 13, 2004·Diseases of the Colon and Rectum·Sacha M KochWim van Gemert
Sep 5, 2002·Current Treatment Options in Gastroenterology·Nader N. Youssef, Carlo Di Lorenzo
Sep 4, 2004·Current Treatment Options in Gastroenterology·Licia Pensabene, Samuel Nurko
Sep 28, 2007·Current Treatment Options in Gastroenterology·Nader N Youssef
Aug 3, 2011·Nature Reviews. Gastroenterology & Hepatology·Suzanne M MugieMarc A Benninga
May 1, 2005·Clinics in Colon and Rectal Surgery·Dinesh S Pashankar
Dec 17, 2003·Journal of Pediatric Gastroenterology and Nutrition·F Sauvat
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May 22, 2007·Current Gastroenterology Reports·Olivia LiemCarlo Di Lorenzo
Dec 28, 2010·Gastrointestinal Endoscopy·Leonel RodriguezAllan M Goldstein
Jul 29, 2009·Journal of Pediatric Surgery·Ann AspirotHayat Mousa
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Mar 24, 2006·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·D K Chitkara, C Di Lorenzo
Jan 27, 2012·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·O LiemC Di Lorenzo
Mar 29, 2006·Journal of Pediatric Surgery·Maartje M van den BergHayat M Mousa
Jul 4, 2016·Pediatric Surgery International·Luis De La TorreCatalina Correa
Mar 7, 2006·JPEN. Journal of Parenteral and Enteral Nutrition·Sudipta MisraKathy Gensel
Jan 18, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shifra KoyfmanKyle Staller
Jun 1, 2016·Journal of Pediatric Gastroenterology and Nutrition·Roberto A Gomez-SuarezJohn E Fortunato
Oct 10, 2007·Acta Cirúrgica Brasileira·Laura HelmanAlisson de Souza Costa
Nov 25, 2014·Journal of Pediatric Gastroenterology and Nutrition·Basavaraj KerurAlejandro F Flores
Jun 18, 2003·The American Journal of Gastroenterology·Licia PensabeneCarlo Di Lorenzo
Oct 15, 2009·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·C H KnowlesH Rosen
Oct 5, 2010·Journal of Pediatric Gastroenterology and Nutrition·Roberto GomezCarlo Di Lorenzo
Aug 4, 2010·Journal of Clinical Gastroenterology·Satish S C Rao, Siddharth Singh
Dec 19, 2019·Current Gastroenterology Reports·Heidi E Gamboa, Manu Sood
Jul 21, 2015·Journal of Pediatric Gastroenterology and Nutrition·Sophie Kuizenga-WesselCarlo Di Lorenzo
Jun 7, 2019·Journal of Pediatric Gastroenterology and Nutrition·Chinenye Dike, Riad Rahhal
Jan 26, 2016·American Journal of Therapeutics·Shruti AryaArun Aggarwal
Jan 20, 2012·Journal of Pediatric Gastroenterology and Nutrition·Rana F AmmouryJoseph M Croffie
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Oct 9, 2019·The Journal of Emergency Medicine·Julie AndersonMarissa A Hendrickson
Dec 22, 2020·World Journal of Clinical Cases·Chang-Zhen ZhuYuan-Xin Li

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