Constipação crônica na infância: quanto estamos consultando em Gastroenterologia Pediátrica?

Machado, Nilton Carlos; Carvalho, Mary de Assis

doi:10.1590/s0103-05822007000200003

Cited by 3 publications

(2 citation statements)

References 19 publications

(12 reference statements)

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“…5 Thus, FC represents a critical workload in a specialized clinic. 6 In children with FC before age 4, a long-term follow-up found that 63% had recovered, and the rate was higher in those younger than two years at initial evaluation. 7 Another follow-up study of children in the first year of life demonstrated that 69% had recovered after six months, and relapse occurred in 15% within three years.…”

Section: Introductionmentioning

confidence: 97%

Untitled

2023

JPNC

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Purpose: To assess and compares sociodemographic, clinical, anthropometric, and treatment characteristics in two subgroups of children with FC: 1) with onset in the first 12 months old and 2) with onset after 13 months old.Methods: Observational, retrospective cohort study, including consecutive cases of children/adolescents for initial evaluation of constipation. Data were collected in a predesigned standard protocol, and the parents answered all the questions during the first visit. Inclusion criteria: age between 01 month to 15 years of age, with a diagnosis of FC defined according to the Rome Criteria III and Rome IV criteria. Exclusion criteria: constipation of organic etiology; other chronic health problems such as neurological, genetic, mental/ psychiatric disorders or growth and development disorders. The stool form was evaluated according to Bristol Stool Form Scale. Two experienced pediatric gastroenterologists determined the patients' final diagnoses of FC. Approval was obtained from the ethics committee.Results: Five hundred and four children were identified with constipation at their initial visit. Thirty-two were excluded based on the inclusion and exclusion criteria. The remaining 472 children (225 with onset within the first 12 months and 247 after 13 months) were included. There was a long time to first visit in those with onset in the first 12 months of life. There is no difference in BMI/age scores between the two groups. FC onset in the first 12 months has more scybalous stools, painful defecation, bloody stools, a lower proportion with bowel toilet training, and bladder control. In FC starting in the first 12 months of life, only half of the children (55%) were treated with laxatives, and an entire group used rectal treatment. Conclusion:FC is a common Functional Gastrointestinal Disorder affecting infants during the first months of life. The primary inadequate treatment and referral delay implies worsening symptoms, chronicity, and non-implementing North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines.

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Section: Introductionmentioning

confidence: 97%

Untitled

2023

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“…Na clínica pediátrica, a constipação crônica funcional e o sobrepeso/obesidade são problemas freqüentes. A constipação crônica está entre os dez problemas mais comuns na prática pediátrica geral (1) e sua prevalência varia de 14,5 a 38,4% (2) , o que representa cerca de 30% das consultas em um serviço terciário de Gastroenterologia Pediátrica (3) .…”

Section: Introductionunclassified

Prevalência de sobrepeso/obesidade em crianças e adolescentes com constipação crônica funcional

Faleiros¹,

Omae²,

Nakazawa³

et al. 2008

Rev. paul. pediatr.

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de sobrepeso/obesidade entre as crianças com constipação crônica funcional está dentro dos valores esperados para a população pediátrica brasileira.Palavras-chave: obesidade; sobrepeso; constipação intestinal; epidemiologia. AbstRAct Objective:To determine the prevalence of overweight/ obesity in a group of children with chronic functional constipation.Methods: Retrospective chart review of 257 children with chronic functional constipation as defined by Rome II criteria, 2-15 years old, assisted in a tertiary pediatric gastroenterology clinic. Demographic, clinical, diagnostic and anthropometric information was extracted from the charts. Body mass index (BMI) was calculated and The Centers for Disease Control's BMI growth reference was used to determine age and gender-specific BMI percentiles of the children. Overweight/obesity was classified as a BMI of ≥85 th percentile, and euthrophy as BMI ≥5 th and <85 th percentile.Results: There was no statistically significant difference for demographics and clinical variables between the subgroups overweight/obesity and eutrophy. In constipated children, prevalence of overweight/obesity was 24.4%. Prevalence of overweight/obesity did not differ Artigo Original Rev Paul Pediatr 2008;26(4):357-60. Rev Paul Pediatr 2008;26(4):357-60.

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Functional constipation in the first-year-old onset at the first visit to a specialized clinic elicits a delay in referrals, the worst symptoms, and the excessive use of rectal laxatives

Carvalho¹,

Dias²,

Gamarra³

et al. 2023

JPNC

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Purpose: To assess and compares sociodemographic, clinical, anthropometric, and treatment characteristics in two subgroups of children with FC: 1) with onset in the first 12 months old and 2) with onset after 13 months old. Methods: Observational, retrospective cohort study, including consecutive cases of children/adolescents for initial evaluation of constipation. Data were collected in a pre-designed standard protocol, and the parents answered all the questions during the first visit. Inclusion criteria: age between 01 month to 15 years of age, with a diagnosis of FC defined according to the Rome Criteria III and Rome IV criteria. Exclusion criteria: constipation of organic etiology; other chronic health problems such as neurological, genetic, mental/psychiatric disorders or growth and development disorders. The stool form was evaluated according to Bristol Stool Form Scale. Two experienced pediatric gastroenterologists determined the patients' final diagnoses of FC. Approval was obtained from the ethics committee. Results: Five hundred and four children were identified with constipation at their initial visit. Thirty-two were excluded based on the inclusion and exclusion criteria. The remaining 472 children (225 with onset within the first 12 months and 247 after 13 months) were included. There was a long time to first visit in those with onset in the first 12 months of life. There is no difference in BMI/age scores between the two groups. FC onset in the first 12 months has more scybalous stools, painful defecation, bloody stools, a lower proportion with bowel toilet training, and bladder control. In FC starting in the first 12 months of life, only half of the children (55%) were treated with laxatives, and an entire group used rectal treatment. Conclusion: FC is a common Functional Gastrointestinal Disorder affecting infants during the first months of life. The primary inadequate treatment and referral delay implies worsening symptoms, chronicity, and non-implementing North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition guidelines.

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Constipação crônica na infância: quanto estamos consultando em Gastroenterologia Pediátrica?

Cited by 3 publications

References 19 publications

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Prevalência de sobrepeso/obesidade em crianças e adolescentes com constipação crônica funcional

Functional constipation in the first-year-old onset at the first visit to a specialized clinic elicits a delay in referrals, the worst symptoms, and the excessive use of rectal laxatives

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