Chronic and Occult Stool Retention

Barr, Ronald G.; Levine, Melvin D.; Wilkinson, Robert H.; Mulvihill, Denise

doi:10.1177/000992287901801103

Cited by 109 publications

(41 citation statements)

References 12 publications

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“…Plain abdominal radiograph is performed to identify the degree of fecal loading in the colon and rectum 45-47. It is considered to be useful in children who are not willing to undergo a rectal examination due to pain and fear 5.…”

Section: Discussionmentioning

confidence: 99%

Constipation in Children: Novel Insight Into Epidemiology, Pathophysiology and Management

Rajindrajith¹,

Devanarayana²

2011

J Neurogastroenterol Motil

121

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Constipation in children is a common health problem affecting 0.7% to 29.6% children across the world. Exact etiology for developing symptoms is not clear in children and the majority is considered to have functional constipation. Alteration of rectal and pelvic floor function through the brain-gut axis seems to play a crucial role in the etiology. The diagnosis is often a symptom-based clinical process. Recently developed Rome III diagnostic criteria looks promising, both in clinical and research fields. Laboratory investigations such as barium enema, colonoscopy, anorectal manometry and colonic transit studies are rarely indicated except in those who do not respond to standard management. Treatment of childhood constipation involves several facets including education and demystification, toilet training, rational use of laxatives for disimpaction and maintenance and regular follow-up. Surgical options should be considered only when medical therapy fails in long standing constipation. Since most of the management strategies of childhood constipation are not evidence-based, high-quality randomized controlled trials are required to assess the efficacy of currently available or newly emerging therapeutic options. Contrary to the common belief that children outgrow constipation as they grow up, a sizable percentage continue to have symptoms beyond puberty.

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Section: Discussionmentioning

confidence: 99%

Constipation in Children: Novel Insight Into Epidemiology, Pathophysiology and Management

Rajindrajith¹,

Devanarayana²

2011

J Neurogastroenterol Motil

121

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“…Fekal impakt; fizik muayenede alt abdo- mende ele gelen sert kitle, rektal muayenede dilate rektumda palpe edilen sertleşmiş iri dışkı kitlesi veya karın radyografisinde kolonda gözlenen aşırı dışkı birikimi şeklinde kendini gösterebilir (13) . Oral ve/veya rektal yolla uygulanan ilaçlarla kesinlikle temizlenmelidir.…”

Section: Fonksiyonel Kabızlık Tedavisiunclassified

Relation between constipation and voiding dysfunction

Mutuş¹

2016

TCCD

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“…To date three scoring systems have been described to assess the severity of faecal loading using an abdominal radiograph in constipated children [2–4]. These papers described a good diagnostic accuracy, with more than 80% of the constipated and non-constipated patients identified correctly.…”

Section: Introductionmentioning

confidence: 99%

“…When evaluated by others however, accuracy was lower with an area under the curve (AUC) in the receiver operator characteristics of 0.68 for the Leech method [5] 0.84 and 0.74, respectively, for the Barr and Blethyn scoring methods [6]. Another important parameter for the usefulness of these methods, intraobserver and interobserver agreement, was good to excellent in the original description of these methods [2–4]. Although some investigators could reproduce this for the Leech [7] and Barr scores [8], others could not, finding a much lower intra- and interobserver agreement [5, 6, 9].…”

Section: Introductionmentioning

confidence: 99%

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Starreveld scoring method in diagnosing childhood constipation

et al. 2010

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BackgroundFour scoring methods exist to assess severity of fecal loading on plain abdominal radiographs in constipated patients (Barr-, Starreveld-, Blethyn- and Leech). So far, the Starreveld score was used only in adult patients.ObjectiveTo determine accuracy and intra- and inter-observer agreement of the Starreveld scoring method in the diagnosis of functional constipation among pediatric patients. In addition, we compared the Starreveld with the Barr scoring method.Materials and methodsThirty-four constipated and 34 non-constipated children were included. Abdominal radiographs, obtained before treatment, were rated (Starreveld- and Barr) by 4 observers. A second observation after 4 weeks was done by 3 observers. Cut-off level for the Starreveld score, accuracy as measured by the area under the receiver operator characteristics curve, and inter- and intra-observer agreement were calculated.ResultsCut-off value for the Starreveld score was 10. AUC for Starreveld score was 0.54 and for Barr score 0.38, indicating poor discriminating power. Inter-observer agreement was 0.49-0.52 4 (Starreveld) and 0.44 (Barr), which is considered moderate. Intra-observer agreement was 0.52-0.71 (Starreveld) and 0.62- 0.76 (Barr).ConclusionThe Starreveld scoring method to assess fecal loading on a plain abdominal radiograph is of limited value in the diagnosis of childhood constipation.

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Chronic and Occult Stool Retention

Cited by 109 publications

References 12 publications

Constipation in Children: Novel Insight Into Epidemiology, Pathophysiology and Management

Constipation in Children: Novel Insight Into Epidemiology, Pathophysiology and Management

Relation between constipation and voiding dysfunction

Starreveld scoring method in diagnosing childhood constipation

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