Use of <scp>R</scp>ome <scp>II</scp> versus <scp>R</scp>ome <scp>III</scp> criteria for diagnosis of functional constipation in young children

Osatakul, Seksit; Puetpaiboon, A

doi:10.1111/ped.12194

Cited by 25 publications

(26 citation statements)

References 16 publications

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“…, 7 - 9 In the aforementioned clinical case, symptom duration was not stated (if>2 months), a factor that can be considered a study limitation. The ESPGHAN and NASPGHAN guidelines recommend that the Rome III criteria be used to define the presence of constipation, except for symptom duration, considering that the two-month interval recommended for older children can contribute to treatment delay 7…”

Section: Discussionmentioning

confidence: 99%

Pediatrician's knowledge on the approach of functional constipation

Vieira

Negrelle

Webber

et al. 2016

Revista Paulista de Pediatria (English Edition)

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Objective:To evaluate the pediatrician's knowledge regarding the diagnostic and therapeutic approach of childhood functional constipation.Methods:A descriptive cross-sectional study was performed with the application of a self-administered questionnaire concerning a hypothetical clinical case of childhood functional constipation with fecal incontinence to physicians (n=297) randomly interviewed at the 36th Brazilian Congress of Pediatrics in 2013.Results:The majority of the participants were females, the mean age was 44.1 years, the mean time of professional practice was 18.8 years; 56.9% were Board Certified by the Brazilian Society of Pediatrics. Additional tests were ordered by 40.4%; including abdominal radiography (19.5%), barium enema (10.4%), laboratory tests (9.8%), abdominal ultrasound (6.7%), colonoscopy (2.4%), manometry and rectal biopsy (both 1.7%). The most common interventions included lactulose (26.6%), mineral oil (17.5%), polyethylene glycol (14.5%), fiber supplement (9.1%) and milk of magnesia (5.4%). Nutritional guidance (84.8%), fecal disimpaction (17.2%) and toilet training (19.5%) were also indicated.Conclusions:Our results show that pediatricians do not adhere to current recommendations for the management of childhood functional constipation, as unnecessary tests were ordered and the first-line treatment was not prescribed.

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Section: Discussionmentioning

confidence: 99%

Pediatrician's knowledge on the approach of functional constipation

Vieira

Negrelle

Webber

et al. 2016

Revista Paulista de Pediatria (English Edition)

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“…All patients were diagnosed with constipation according to the Rome III criteria: children with at least two of; hard, large-diameter stools, frequency ≤2 stools per week, soiling episodes ≥1 per week, pain on defecation and presence of a large palpable fecal mass in the rectum [12]. Stool type was described according to the Bristol Stool Chart [13].…”

Section: Methodsmentioning

confidence: 99%

Predictors of slow colonic transit in children

2014

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“…General guidelines for the treatment of constipation include removal of faecal impaction before initiation of maintenance therapy with education on toileting, use of laxatives and dietary modification to include more water and unprocessed foods [66][67][68][69][70][71]. We have added this treatment before TES and found that there is a greater increase in defecation frequency.…”

Section: Box 1 Effects Of Tes In Patients In Stcmentioning

confidence: 97%

Transabdominal electrical stimulation (TES) for the treatment of slow-transit constipation (STC)

et al. 2015

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Slow-transit constipation (STC) is a newly described subtype of intractable constipation in children which we originally identified with deficiency of substance P in axons supplying the proximal colonic muscle. When nuclear transit studies became available, the patients were found to have slow proximal colonic transit, and responded to antegrade enemas. Using the appendicostomy, we found that there was reduced frequency in propagating sequences throughout the colon. We began testing whether transcutaneous electrical stimulation (TES) could improve motility and symptoms, and over several trials have now shown that TES is remarkably effective in treating children with STC, with long-lasting effects. TES holds promise for treating STC, as well as a range of gastrointestinal motility disorders.

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Use of Rome II versus Rome III criteria for diagnosis of functional constipation in young children

Abstract: The prevalence of FC in young Thai children is low. For unselected young children, the Rome II criteria for FC are still appropriate for diagnosis of FC.

Cited by 25 publications

References 16 publications

Pediatrician's knowledge on the approach of functional constipation

Pediatrician's knowledge on the approach of functional constipation

Predictors of slow colonic transit in children

Transabdominal electrical stimulation (TES) for the treatment of slow-transit constipation (STC)

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