Occult constipation: faecal retention as a cause of recurrent abdominal pain in children

Gijsbers, Carolien; Kneepkens, C. M. F.; Vergouwe, Yvonne; Büller, Hans A.

doi:10.1007/s00431-013-2257-3

Cited by 23 publications

(23 citation statements)

References 12 publications

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“…Not all patients with FAP have OC, but the number of patients with FAP and OC was higher than we expected. Our results correspond to previous studies in which the proportion of patients with FAP and OC was reported to be 42.6%–46.0% (515). …”

Section: Discussionsupporting

confidence: 92%

“…The association between OC and FAP has been reported in various studies (5715). Approximately 52.4% of all patients with FAP and a Leech score ≥ 8 were presumed to have OC in this study.…”

Section: Discussionmentioning

confidence: 90%

“…OC was diagnosed in patients in group 2 whose clinical status satisfied the definition of OC as described in the Introduction (1517). Group 1 patients were only treated with prokinetic drugs.…”

Section: Methodsmentioning

confidence: 99%

“…Although some have suggested laxatives (7131516), evidence of efficacy is limited. Furthermore, there are few studies assessing the prevalence of OC among patients with FAP (715). …”

Section: Introductionmentioning

confidence: 99%

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Therapeutic Response for Functional Abdominal Pain in Children with Occult Constipation: Laxatives versus Prokinetic Drugs

Jang

Jeong

2017

J Korean Med Sci

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The relationship between functional abdominal pain (FAP) and occult constipation (OC) in children who did not meet the Rome III criteria for constipation has rarely been reported. This study aimed to estimate the prevalence of OC in patients with FAP and to compare the effectiveness of prokinetic drugs and laxatives for FAP and OC. Pediatric outpatients (n = 212; aged 4–15 years) who satisfied the Rome III criteria for childhood FAP were divided into 2 groups based on Leech scores: group 1 < 8; group 2 ≥ 8. Group 2 received either prokinetic drugs or laxatives and pain severity was assessed after 2 weeks, 1 month, and 3 months. A total 52.4% (111/212) of patients had OC in this study. More patients who received laxatives had reduced pain scores compared with those who received prokinetic drugs. Those treated with laxatives in group 2 had a better response than those treated with prokinetic drugs throughout the study period (P < 0.001, P < 0.001, and P = 0.002 after 2 weeks, 1 month, and 3 months, respectively). OC was frequently encountered in children with FAP. Laxatives can be more effective than prokinetic drugs for relieving symptoms of FAP in children with a Leech score ≥ 8 and suspected OC.

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Section: Discussionsupporting

confidence: 92%

“…The association between OC and FAP has been reported in various studies (5715). Approximately 52.4% of all patients with FAP and a Leech score ≥ 8 were presumed to have OC in this study.…”

Section: Discussionmentioning

confidence: 90%

Section: Methodsmentioning

confidence: 99%

“…Although some have suggested laxatives (7131516), evidence of efficacy is limited. Furthermore, there are few studies assessing the prevalence of OC among patients with FAP (715). …”

Section: Introductionmentioning

confidence: 99%

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Therapeutic Response for Functional Abdominal Pain in Children with Occult Constipation: Laxatives versus Prokinetic Drugs

Jang

Jeong

2017

J Korean Med Sci

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“…Based on these findings the term occult retention was introduced. In recent years, two studies from Israel and the Netherlands described that more than 45% of patients presenting with abdominal pain have occult constipation 26 27. Occult constipation in the Israeli study was defined as no complaints of constipation on initial medical history and no symptoms to indicate the presence of constipation, but at least one of the following signs: (A) hard consistency of stools (described as ‘rock-like’ or ‘pellet-like’) on rectal examination, and (B) plain abdominal radiograph showing distended large intestines loaded with faecal material.…”

Section: Clinical Questionsmentioning

confidence: 99%

How to use a plain abdominal radiograph in children with functional defecation disorders

Benninga

Tabbers

Rijn

2016

Arch Dis Child Educ Pract Ed

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Defecation-related functional gastrointestinal disorders (FGIDs), such as infant dyschezia, functional constipation and functional non-retentive faecal incontinence, as defined by the Rome IV criteria, are common problems in childhood. The symptomatology varies from relatively mild, such as crying before passage of soft stools or infrequent defecation to severe problems with faecal impaction and the daily involuntary loss of faeces in the underwear. Conventional radiography is widely available, relatively cheap and is non-invasive. The drawback however, is radiation exposure. This review describes and evaluates the value of different existing scoring methods to assess faecal loading on an abdominal radiograph with or without the use of radio-opaque markers, to measure colonic transit time, in the diagnosis of these defecation-related FGIDs. Insufficient evidence exists for a diagnostic association between clinical symptoms of functional constipation or functional nonretentive faecal incontinence and faecal loading on an abdominal radiograph. Furthermore, evidence does not support the routine use of colonic transit studies to diagnose functional constipation. Colonic transit time measurement may be considered in discriminating between functional constipation and functional non-retentive faecal incontinence and in patients in which the diagnosis is not clear such as having an unreliable medical history. In children with the suspicion of defecation-related FGIDs, the diagnosis should be made based on the Rome IV criteria.

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Reizdarm bei Kindern und Jugendlichen

Claßen

2018

Monatsschr Kinderheilkd

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Occult constipation: faecal retention as a cause of recurrent abdominal pain in children

Abstract: Laxatives played a pivotal role in the recovery of patients with RAP. We developed a simple model to identify patients at risk of having (occult) constipation.

Cited by 23 publications

References 12 publications

Therapeutic Response for Functional Abdominal Pain in Children with Occult Constipation: Laxatives versus Prokinetic Drugs

Therapeutic Response for Functional Abdominal Pain in Children with Occult Constipation: Laxatives versus Prokinetic Drugs

How to use a plain abdominal radiograph in children with functional defecation disorders

Reizdarm bei Kindern und Jugendlichen

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