Idiopathic Disorders of Fecal Continence in Children

Arhan, Pierre; Devroede, Ghislain; Jehannin, B; Faverdin, C; Révillon, Y.; Lefevre, Didier; Pellerin, D

doi:10.1016/s0022-5347(17)50299-2

Cited by 8 publications

(11 citation statements)

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“…The 2 boxes appear to be differentiated from this point. The group with MR can benefit from anorectal manometry [1] and anorectal motility studies [21] to look for outlet problems.…”

Section: Discussionmentioning

confidence: 99%

Use of pelvic ultrasound in the diagnosis of megarectum in children with constipation

Singh¹,

Gibbons²,

Vincent³

et al. 2005

Journal of Pediatric Surgery

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“…The 2 boxes appear to be differentiated from this point. The group with MR can benefit from anorectal manometry [1] and anorectal motility studies [21] to look for outlet problems.…”

Section: Discussionmentioning

confidence: 99%

Use of pelvic ultrasound in the diagnosis of megarectum in children with constipation

Singh¹,

Gibbons²,

Vincent³

et al. 2005

Journal of Pediatric Surgery

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“…Merecem destaque o início precoce da CICF, em geral não relacionado com o TE ou com problemas psicológicos detectados pela história, e a longa duração da mesma, como também referido por diversos outros autores 5,[13][14][15][16][17][18][19][20][21] . Dois terços de nossas crianças tinham iniciado a CIC no 1º ano de vida, o que confirma observação retrospectiva anteriormente realizada no serviço 22 , sendo que praticamente 30% já a tinham iniciado no 1º mês de vida e mais que a metade no 1º semestre, embora só procurassem o serviço, em geral, após anos, freqüentemente após surgir alguma complicação que preocupasse mais a família (Figura 1, Tabelas 3,7).…”

Section: Discussionunclassified

Clinical and alimentary history of children attending a pediatric gastroenterology outpatient clinic with functional chronic constipation and its possible complications

Maffei

Moreira²,

Kissimoto³

et al. 1994

J Pediatr (Rio J)

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In order to better understand the natural history of chronic functional constipation, a questionary was applied to 163 children and infants, before beginning standardized treatment. Median age (range) at start was 3mo(0-108mo) but age at arrival at the Pediatric Gastroenterology Unit was 53mo(2-146mo). In 62,4% of the cases symptoms began before or up to 3mo after cow's milk introduction and rarely around (±6mo) toilet training. Possible complications appeared progressively, often at preschool or school age or as the first noticeable manifestation: recurrent abdominal pain (61,1%), fecal soiling (45,4%), fecal blood (35%), enuresis (23,3%), vomiting (19%), urinary infection (17,9%), urinary retention (8,6%). Abdominal distension was rarely detected on physical examination and was usually discrete. In conclusion, children attended in Botucatu begin their constipation at an early age, frequently associated with weaning, and important complications may ensue along years. This evolution should be avoided by prevention and early treatment of constipation.

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“…A 28% prevalence among school children has been reported in Brazil (3). Stool frequency may be normal in constipated patients (4) who may present normal or prolonged transit time in the colon and/or rectosigmoid (5)(6)(7). In general, increased intake of dietary fiber is recommended as treatment for functional constipation of adults and children (2,8,9).…”

Section: Introductionmentioning

confidence: 99%

Dietary fiber intake, stool frequency and colonic transit time in chronic functional constipation in children

Guimarães

Goulart

Penna

2001

Braz J Med Biol Res

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The objective of the present study was to evaluate associations between fiber intake, colonic transit time and stool frequency. Thirtyeight patients aged 4 to 14 years were submitted to alimentary evaluation and to measurement of colonic transit time. The median fiber intake of the total sample was age + 10.3 g/day. Only 18.4% of the subjects presented a daily dietary fiber intake below the levels recommended by the American Health Foundation. In this group, the median left colonic transit time was shorter than in the group with higher dietary fiber intake (11 vs 17 h, P = 0.067). The correlation between stool frequency and colonic transit time was negative and weak for left colon (r = -0.3, P = 0.04), and negative and moderate for rectosigmoid and total colon (r = -0.5, P<0.001 and r = -0.5, P<0.001, respectively). The stool frequency was lower in the group with slow transit time (0.8 vs 2.3 per week, P = 0.014). In conclusion, most patients with chronic functional constipation had adequate dietary fiber intake. The negative correlation between stool frequency and colonic transit time increased progressively from proximal segments to distal segments of the colon. Patients with normal and prolonged colonic transit time differ in terms of stool frequency.

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Idiopathic Disorders of Fecal Continence in Children

Cited by 8 publications

References 0 publications

Use of pelvic ultrasound in the diagnosis of megarectum in children with constipation

Use of pelvic ultrasound in the diagnosis of megarectum in children with constipation

Clinical and alimentary history of children attending a pediatric gastroenterology outpatient clinic with functional chronic constipation and its possible complications

Dietary fiber intake, stool frequency and colonic transit time in chronic functional constipation in children

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