Fecal retention in childhood: Evaluation on ultrasonography

Hatori, Reiko; Tomomasa, Takeshi; Ishige, Takashi; Tatsuki, Maiko; Arakawa, Hirokazu

doi:10.1111/ped.13185

Cited by 22 publications

(21 citation statements)

References 14 publications

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“…Singh et al found that rectal crescent size in children with constipation was 3.4 versus 2.4 in healthy control subjects (21) . Contrary to studies conducted by Hatori et al (20) , Karaman et al (19) , and Doniger et al (16) , a systematic review of four studies by Berger et al found insufficient evidence regarding the clinical importance of the relationship between clinical symptoms of constipation and rectal diameter on transabdominal sonography (22) .…”

Section: Discussionmentioning

confidence: 91%

“…In a study by Hatori et al, children with fecal retention had a rectal diameter larger than that of children without constipation. The cutoff value was 27 mm at the level of symphysis pubis with high sensitivity and specificity (95.5% and 94.1%, respectively) (20) . Singh et al found that rectal crescent size in children with constipation was 3.4 versus 2.4 in healthy control subjects (21) .…”

Section: Discussionmentioning

confidence: 98%

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Ultrasonography in Determining the Rectal Diameter and Rectal Wall Thickness in Children With and Without Constipation: A Case-Control Study

Momeni

MomenGharibvand

Kulouee

et al. 2019

Arq. Gastroenterol.

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BACKGROUND: Ultrasonography has shown to be useful in the diagnosis of constipation. OBJECTIVE: The aim of this study was to compare the rectal diameter and rectal wall thickness in children with and without constipation. METHODS: Children with the diagnosis of constipation according to Rome III criteria were included in the study. The children underwent transabdominal sonography for the evaluation of rectal diameter and rectal wall thickness. Ultrasonography was performed with a full bladder. Children without constipation who underwent abdominal sonography were assigned to the control group. RESULTS: The rectal diameter was larger in children with constipation than in children without constipation (31.72±9.63 mm vs 19.85±4.37 mm; P=0.001). The rectal wall was thinner in children with constipation than in children without constipation (1.75±0.33 mm vs 1.90±0.22 mm; P=0.032). There was no significant difference between boys and girls with constipation in terms of rectal diameter (31.02±8.57 mm 32.77±11.35 mm; P=0.63). CONCLUSION: Transabdominal rectal diameter measurement may be useful in the diagnosis of constipation.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 98%

Ultrasonography in Determining the Rectal Diameter and Rectal Wall Thickness in Children With and Without Constipation: A Case-Control Study

Momeni

MomenGharibvand

Kulouee

et al. 2019

Arq. Gastroenterol.

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“…The pelvic US was used in similar studies to evaluate rectal diameter in children (9)(10)(11)13,14). Children with normal defecation patterns in the studies by Joensson at al.…”

Section: Resultsmentioning

confidence: 99%

“…Several recent studies have reported cases for which a US technique was used to diagnose constipation for measuring the rectal diameter in children. US images show a fecal mass in the rectum as a crescent-shaped acoustic shadow (9)(10)(11)(12)(13)(14). Several authors have proposed the use of US as a firstline clinical imaging and initial diagnostic technique for colon (15,16).…”

Section: Introductionmentioning

confidence: 99%

Assessment of rectal feces storage condition by a point-of-care pocket-size ultrasound device for healthy adult subjects: A preliminary study

Yabunaka

Matsumoto

Yoshida

et al. 2018

DD&T

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The aim of this study was to assess rectal feces storage condition by a pocket-size ultrasonography (PUS) in healthy adults so as to define normal rectal defecation desire. Participants were first assessed rectum by PUS imaging immediately after defecation desire (pre-defecation). Nurses checked the amount and quality of the participants' feces using King's Stool Chart and Bristol stool scale. Finally, PUS was performed for defecation with no defecation desire (post-defecation). Pre-defecation PUS detected high echo area in all patients. All of the post-defecation PUS did not detect high echo area (perfectly no recognizable high echo area in 54.5%, high echo line in 36.4%, and low echo of entire circumference in 9.1% of the patients). Average diameter of rectal crescent was 4.22 ± 0.8 cm. Bristol Stool Scale 1 or 2 (indicating hard stool) of pre-defecation PUS indicated high echo area and acoustic shadow in 100% of the patients. This study showed that healthy adult with defecation desire had high average rectal echo area of 4.0 cm in diameter. PUS may be able to define the rectum diameter for defecation desire of elderly people. PUS is capable of assessing fecal retention of the rectum for point-of-care examinations in home care.

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“…Eine abdominelle Sonografie erfolgt zur Einschätzung von Schweregrad und Chronizität unter der Fragestellung: Kolondilatation, Rektumdilatation (transversaler Diameter >27 mm spricht für Stuhlretention, zudem guter Verlaufsparameter [5]), Restharn, Auffälligkeiten der Nieren und oder der ableitenden Harnwege.…”

Section: Sonografie Abdomenunclassified

Update Chronische Obstipation im Kindes- und Jugendalter

Scholz¹,

Gosemann²,

Flemming³

2018

Kinder- und Jugendmedizin

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ZusammenfassungDie chronische Obstipation gehört zu den häufigsten Vorstellungsgründen beim Kinder-arzt. In über 95 % der Fälle liegt eine funktionelle Obstipation (keine organische Erkrankung) vor, die Genese ist meist multikausal. Die Differenzialdiagnostik sollte sich nach den Befunden einer gezielten und strukturierten Anamnese und Untersuchung richten, um ressourcensparend strukturelle, endokrine und metabolische Ursachen auszuschließen. Der Ausschluss organischer Erkrankungen ist unerlässlich, um umgehend eine adäquate Therapie durch entsprechende Spezialisten zu initiieren. Alle Kinder und Jugendlichen mit einer (funktionellen) Obstipation profitieren von einer prompten und sorgfältigen therapeutischen Intervention. Eine verzögerte oder inadäquate Behandlung kann zu einem Stuhlvermeidungsverhalten mit konsekutiver Verschlechterung der Obstipation und ernst-haften psychosozialen Konsequenzen führen. Die besten Ergebnisse hinsichtlich des lang-fristigen Therapieerfolges werden durch eine multimodale Therapie erreicht.

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Fecal retention in childhood: Evaluation on ultrasonography

Abstract: Ultrasound rectal diameter measurement can be used to detect fecal retention in children.

Cited by 22 publications

References 14 publications

Ultrasonography in Determining the Rectal Diameter and Rectal Wall Thickness in Children With and Without Constipation: A Case-Control Study

Ultrasonography in Determining the Rectal Diameter and Rectal Wall Thickness in Children With and Without Constipation: A Case-Control Study

Assessment of rectal feces storage condition by a point-of-care pocket-size ultrasound device for healthy adult subjects: A preliminary study

Update Chronische Obstipation im Kindes- und Jugendalter

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