Evaluation of the effectiveness of biofeedback therapy for functional constipation in children

Jarzębicka, Dorota; Sieczkowska, Joanna; Dądalski, Maciej; Kierkuś, Jarosław; Ryżko, Józef; Oracz, Grzegorz

doi:10.5152/tjg.2016.16140

Cited by 21 publications

(16 citation statements)

References 22 publications

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“…Voting: 9, 9, 9, 9, 9, 9, 9, 9 Chronic FI (retentive or non‐retentive) including fecal urgency Evaluation of anorectal functions before and after intervention such as surgery, botulinum toxin injection, and biofeedback Evaluation of sphincter function in children with persistent defecation problems following the treatment of congenital abnormalities of the anorectum or organic causes of constipation (eg, anorectal malformation and spinal cord lesions) …”

Section: Methodsmentioning

confidence: 99%

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Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement

Athanasakos

Cleeve

Thapar

et al. 2020

Neurogastroenterology Motil

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Defecatory disorders in children, including chronic constipation (CC) and fecal incontinence (FI), are common conditions worldwide and have a significant impact on children, their families, and the healthcare system. Anorectal manometry (ARM) and high‐resolution anorectal manometry (HRAM) are relatively novel tools for the assessment of anal sphincter function and rectal sensation and have contributed significantly to improving the understanding of the anorectum as a functional unit. ARM has been recognized as the investigation of choice for adults with symptoms of defecation disorders, including fecal incontinence (FI), evacuation difficulties, and constipation. Although it is the gold standard tool in adults, it has yet to be formally accepted as a standardized diagnostic tool in the pediatric age, with limited knowledge regarding indications, protocol, and normal values. ARM/HRAM is slowly becoming recognized among pediatricians, but given that there are currently no agreed guidelines there is a risk that will lead to diversity in practice. The British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN)—Motility Working Group (MWG) therefore has taken the opportunity to provide guidance on the use of ARM/HRAM in children with CC and/or FI.

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Section: Methodsmentioning

confidence: 99%

“…Evaluation of anorectal functions before and after intervention such as surgery, botulinum toxin injection, and biofeedback …”

Section: Methodsmentioning

confidence: 99%

Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement

Athanasakos

Cleeve

Thapar

et al. 2020

Neurogastroenterology Motil

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“…The results of a review study in 2014 demonstrated that there was insufficient evidence to evaluate the therapeutic effects of biofeedback in patients with functional constipation, considering the poor methodology of the previous studies (35). In a similar study conducted by Jarzebicka et al, the therapeutic effects of biofeedback on 44 children with constipation and pelvic floor dyssynergia have been proven (36). However, a major limitation of their study was its retrospective methodology based on the medical records of patients.…”

Section: Discussionmentioning

confidence: 99%

Biofeedback Therapy in Children with Functional Constipation in Tehran, Iran

et al. 2021

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Background: Functional constipation is a common disorder in pediatrics and affects about 30 percent of children, causing several physical and emotional complications and having a considerable impact on health expenses and quality of life. Biofeedback is a behavioral therapy that gives the patient information about the activity of pelvic floor muscles and teaches the patients how to properly contract and relax the sphincter. Biofeedback therapy is the most effective in those with constipation due to pelvic floor dyssynergia, which is the abnormal function of sphincter muscles and affects 40% of children with constipation. Objectives: This study aimed to evaluate the effect of biofeedback therapy in children with chronic functional constipation unresponsive to medical and conventional treatments. Methods: Forty-four children with functional constipation (according to ROME 4 criteria) unresponsive to at least six months of taking medical treatment and pelvic floor dyssynergia according to anorectal manometry were selected for biofeedback therapy. After six months, symptoms of patients and the need for laxative consumption were compared to those before therapy. Results: Considering ROME 4 criteria, clinical improvement was achieved in 59.1% of patients. Comparison of symptoms shows improvement in 52 - 89 % of cases. Conclusions: In pediatric patients with functional constipation and pelvic floor dyssynergia who do not respond to conventional treatments, biofeedback therapy could be an alternative therapy, and its effects last for at least six months.

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“…Anal bölgenin anatomik patolojilerinden olan fistülsüz anal atrezi hastalarında tanı yenidoğan döneminde gayta yapamama ve batın distansiyonu nedeni ile koyulabilmektedir. Ancak anal stenoz ve ektopik anüslü hastalarda tanı yaşı gecikebilmektedir (3)(4)(5)7). Kabızlık tanısı için dikkatli bir hikâye ve titiz fizik muayene yeterli olabilmektedir.…”

Section: Discussionunclassified

Infant with Delayed Diagnosis of Anal Atresa

Yıldız¹,

Yucak²,

İlçe³

2017

Turkish J Pediatr Dis

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Olgu Sunumu Case Report gastrointestinal nedenler, nöropatik durumlar, intestinal sinir ve kas yapısı bozuklukları, bağ dokusu hastalıkları gibi organik nedenler yer alır (1).Anal atrezi çocuk cerrahlarının sık olarak karşılaştığı konjenital defektlerden olup, birçok anatomik tipi mevcuttur. Sıklıkla fistül, patolojiye eşlik eder. Anal atrezi tanısı anal bölgenin fizik muayenesi ile koyulur (2,3). GİRİŞÇocuk sağlığı ve hastalıkları ve çocuk cerrahi polikliniklerine sık başvuru sebeplerinden biri kabızlıktır. Tüm çocukların %0.3-28 inde kabızlık şikâyeti olduğu bildirilmektedir. Kabızlık etiyolojisinin %95'inde neden fonksiyonel kabızlıktır. Kabızlık etiyolojisinde daha nadiren anatomik malformasyonlar, metabolik ve

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Evaluation of the effectiveness of biofeedback therapy for functional constipation in children

Cited by 21 publications

References 22 publications

Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement

Anorectal manometry in children with defecation disorders BSPGHAN Motility Working Group consensus statement

Biofeedback Therapy in Children with Functional Constipation in Tehran, Iran

Infant with Delayed Diagnosis of Anal Atresa

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