Colonic transit in children and adolescents with chronic constipation

Carmo, Rafael L.M.L.; Oliveira, Raquel P.M.; Ribeiro, Antonio E.A.; Lima, Mariana; Amorim, Bárbara Juarez; Ribeiro, Antonio Fernando; Ramos, Celso Darío; Bustorff‐Silva, Joaquim Murray; Lomazi, Elizete Aparecida

doi:10.1016/j.jped.2014.10.007

Cited by 10 publications

(14 citation statements)

References 25 publications

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“…The European & North American Societies for Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN and NASPGHAN) in their most recent evidence-based recommendations have also stressed the importance of enquiry about stool consistency in the evaluation of constipation in children [ 14 ]. Stool form (consistency) correlates well with gut transit time, which is delayed in children with functional constipation [ 15 16 17 18 ].…”

Section: Introductionmentioning

confidence: 99%

Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

Gulati

Komuravelly

Leb

et al. 2018

Pediatr Gastroenterol Hepatol Nutr

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PurposeRome criteria are considered the gold standard for diagnosing functional constipation. The modified Bristol stool form scale (m-BSFS) was validated to measure stool form in children. However, neither the potential use of the m-BSFS as a tool to facilitate the diagnosis of potential constipation, nor the agreement between m-BSFS and stool consistency by Rome has been studied. Our objective is to determine if m-BSFS is a reliable tool to facilitat detection of constipation; and the agreement between stool form by m-BSFS and hard stool criteria in Rome.MethodsA survey tool with the Rome III criteria and the m-BSFS was developed. A Likert-scale addressed frequency of each stool form on the m-BSFS. Responses to Rome III and m-BSFS were compared.ResultsThe sensitivity and specificity of the m-BSFS was 79.2% and 66.0% respectively; and in children <4 years. improved to 81.2% and 75.0% respectively. There was poor agreement between hard stools by m-BSFS and the painful or hard bowel movement question of Rome Criteria.ConclusionThe potential utility of m-BSFS as a reasonably good tool to facilitate the diagnosis of potential constipation in children is shown. The poor agreement between painful or hard stool question in Rome III, and ratings for hard stool on the m-BSFS illustrates that one's perception may differ between a question and a picture. A useful pictorial tool to appraise stool form may, thus, be a favorable complement in the process of enquiry about bowel habits in well-child care.

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Section: Introductionmentioning

confidence: 99%

Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

Gulati

Komuravelly

Leb

et al. 2018

Pediatr Gastroenterol Hepatol Nutr

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“…Associations of the transit pattern with the type of RFC clinical manifestation have been identified. 13 , 16 Pioneering researchers using this investigation tool have found that patients with a slow colonic transit pattern do not respond to retrograde enemas and may have neurotransmitter deficiencies. 16 Data from the pediatric population are not yet sufficient to define surgical indications based on this type of investigation.…”

Section: Discussionmentioning

confidence: 99%

“…Patients were included in a study for scintigraphic assessment of colonic transit and continued to be systematically followed-up on the same basis. 13 The evaluation was systematized, the attendance to follow-up consultations was monitored, and families were asked about their access to the medication, either with their own resources or through donations. They were also asked about possible side effects of the medication and advised against modifying medication dose without medical consultation.…”

Section: Methodsmentioning

confidence: 99%

“…Colon transit study – the nuclear study of colonic transit was carried out according to the service protocol. 13 Two types of motor patterns were observed: slow colonic transit (SCT), when 48-h images showed a large part of the marker in the proximal and transverse colon, and distal retention (DR), if the radioisotope had passed the transverse colon within 30 h after the test meal but remained retained in the rectosigmoid region for at least 48 h of observation. 13 , 14…”

Section: Methodsmentioning

confidence: 99%

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Refractory functional constipation: clinical management or appendicostomy?

Arruda

Bellomo-Brandão

Bustorff‐Silva

et al. 2020

Jornal de Pediatria

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“…Gamma scintigraphy is another technique that has long been used to study colonic transit [42,43], including within paediatric population, [44]. The method uses a γ-emitting radioactive isotope.…”

Section: Gamma Scintigraphymentioning

confidence: 99%

Imaging Measurement of Whole Gut Transit Time in Paediatric and Adult Functional Gastrointestinal Disorders: A Systematic Review and Narrative Synthesis

et al. 2019

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Background: functional gastrointestinal disorders (FGID) are common conditions in children and adults, often associated with abnormalities of whole gut transit. Currently, transit tests can be performed using several imaging methods, including tracking of radiopaque markers, gamma scintigraphy with the use of radioisotopes, magnetic tracking methods, tracking of movement of wireless motility capsules, and emerging magnetic resonance imaging (MRI) approaches. Objectives: to review recent literature on diagnostic imaging techniques used to investigate whole gut transit in FGIDs. Methods: a systematic review was carried out. The different techniques are described briefly, with particular emphasis on contemporary literature and new developments, particularly in the field of MRI. Conclusions: emerging MRI capsule marker methods are promising new tools to study whole gut transit in FGIDs.Small intestinal bacterial overgrowth (SIBO) is another common disorder of the gastrointestinal tract. It reflects excess presence of bacteria in the small bowel, and recent studies suggest SIBO can be associated with altered gut transit [6].Constipation can be caused by slow transit of chyme within the colon. Different factors can contribute to this, including diet, lifestyle and medications [7]. Constipation can also signal the presence of other underlying disorders such as diabetes, coeliac disease and cancer [8].A recent review estimated the average prevalence of constipation at 16% worldwide [9]. In the United States, the number of hospital emergency visits linked to constipation increased by 41.5% between 2006 and 2011 [10]. Constipation is thought to be twice as common in women than in men [9]. Women at the postpartum stage (several weeks after pregnancy) are often affected by the condition, with up to 25% of women reporting the incidence of constipation [11]. Constipation rates tend to be substantially higher in the elderly population and reach up to 50-75%.Most cases of constipation are caused by one of three general mechanisms: disordered and obstructed defecation caused primarily by impaired rectal evacuation, irritable bowel syndrome with constipation, and slow transit constipation [12]. These mechanisms differ substantially, even though the general symptoms of constipation appear very similar. Proper treatment in each case calls for a patient-specific differential diagnosis. This diagnosis remains challenging and about half of all patients who complain of constipation remain unsatisfied with the treatment they receive [12].Slow transit constipation, a reduced intestine motility caused by abnormalities of the enteric nerves, accounts for 15-30% of all constipated patients, with up to 37% of constipated women affected [13].Functional constipation in childhood is very common. Its prevalence has been estimated to be 14%, forming approximately 3% of all hospital paediatric referrals [14][15][16][17][18]. In the majority of paediatric cases, constipation is not linked to specific clinical disorders but rather caused by changes i...

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Colonic transit in children and adolescents with chronic constipation

Abstract: Nuclear transit study distinguished two colonic dysmotility patterns and was useful for guiding refractory patients to specific therapies.

Cited by 10 publications

References 25 publications

Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

Refractory functional constipation: clinical management or appendicostomy?

Imaging Measurement of Whole Gut Transit Time in Paediatric and Adult Functional Gastrointestinal Disorders: A Systematic Review and Narrative Synthesis

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