Reliability of Barr, Leech, and Blethyn Score in Using of Plain Radiography in Determining Fecal Impaction in Children With and Without Constipation

Rezazadeh, Afshin; Javaherizadeh, Hazhir; Chahardahcherik, Farzaneh; Yavarahmadi, Mohammad Hossein; Sadjadei, Nooshin; Tahmasebi, Morteza

doi:10.1590/s0004-28032016000300004

Cited by 3 publications

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fecal impaction refers to hard, large stool masses that are retained in the intestine [ 26 , 27 ]. Fecal impaction is diagnosed by abdominal palpation, rectal examination, and X-ray examination [ 27 , 28 ]. Abdominal palpation and rectal examination may be limited depending on the patient’s cooperation and previous laxative consumption [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department

et al. 2021

View full text Add to dashboard Cite

Objectives: We determined whether glycerin enemas were appropriately prescribed in pediatric fecal impaction patients using the Leech score and identified factors that influenced the prescription of glycerin enemas in the pediatric emergency department (PED). Methods: We included patients who received a glycerin enema at the PED of a tertiary teaching hospital. We divided the study subjects into two groups on the basis of their Leech scores: an appropriate enema group (Leech score ≥ 8), and an inappropriate enema group (Leech score < 8). Logistic regression was performed to determine the factors associated with glycerin enema administration. Results: The data of 998 patients, including 446 patients in the inappropriate enema group (Leech score 5.2 ± 1.7) and 552 patients in the appropriate enema group (Leech score 10.1 ± 1.7), were analyzed. A discharge diagnosis of fecal impaction was observed significantly more frequently (57.1%) in the appropriate enema group, and nonspecific abdominal pain (8.3%) and acute gastroenteritis (40.8%) were diagnosed significantly more frequently in the inappropriate enema group (p < 0.05). Constipation (2.8%) and irritability (3.0%) were slightly more common in the appropriate enema group than in the inappropriate enema group (p < 0.05). According to multiple logistic regression, subjects aged 2–8 years (2–4 years, OR 4.24; 4–8 years, OR 2.83), with vomiting (OR 1.72), with irritability (OR 4.52), and with a prolonged last defecation day (OR 1.2) were most likely to receive appropriate enema administration (p < 0.05). Conclusion: The results showed that in those aged 2–8 years, with vomiting and irritability, and with a prolonged last defecation day, an enema was generally administered appropriately.

show abstract

Section: Discussionmentioning

confidence: 99%

The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department

et al. 2021

View full text Add to dashboard Cite

show abstract

Radiographic stool quantification: an equivalence study of 484 symptomatic and asymptomatic subjects

et al. 2018

View full text Add to dashboard Cite

The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the Literature

Rodriguez,

Dahlwi,

Gould

et al. 2024

Gastrointestinal Disorders

View full text Add to dashboard Cite

Background: Previous systematic reviews have found insufficient and conflicting evidence for an association between the clinical and radiographic diagnosis of functional constipation. Abdominal X-ray is frequently used for the diagnosis of functional constipation in clinical practice. The objective of this study was to evaluate the diagnostic accuracy of abdominal X-ray for the evaluation of functional constipation in children. Results: Three studies were included in the final qualitative analysis. They were heterogeneous in their study design, definition of constipation, and radiologic parameters used to evaluate the abdominal X-rays. Sensitivities ranged from 73–92%, specificities ranged from 26–92%, and diagnostic accuracies ranged from 78–90%. Methods: This study involved a systematic review of English literature published between 2012 and 2022 covering children 2–18 years of age with a diagnosis of functional constipation in whom abdominal X-ray was performed. The databases searched include Medline, Embase, and Scopus. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) guidelines were followed. PROSPERO ID: CRD42022301833. Conclusions: There is insufficient evidence to support the use of abdominal X-ray as part of the diagnostic workup of functional constipation. More methodologically rigorous studies are needed to determine the utility of abdominal X-ray in the evaluation of functional constipation. The diagnosis of functional constipation should be based on history and clinical findings.

show abstract

Reliability of Barr, Leech, and Blethyn Score in Using of Plain Radiography in Determining Fecal Impaction in Children With and Without Constipation

Cited by 3 publications

References 16 publications

The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department

The Appropriateness of Glycerin Enema in Pediatric Patients Visiting the Emergency Department

Radiographic stool quantification: an equivalence study of 484 symptomatic and asymptomatic subjects

The Diagnostic Accuracy of Abdominal X-ray in Childhood Constipation: A Systematic Review of the Literature

Contact Info

Product

Resources

About