Evaluation and Management of Intractable Constipation in Children

Intractable constipation has a negative impact on quality of life and well-being of children. The evaluation includes a thoroughhistory and physical examination with diagnostic testing to rule out metabolic, systemic, anatomic, and neurological etiologies. Inchildren with refractory symptomswhofaile...

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Autores principales:	Lusine Ambartsumyan, Leonel Rodriguez
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2018
Materias:	constipation children refractory Medicine R
Acceso en línea:	https://doaj.org/article/54567891217d4173b74188ed01528bfc
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spelling	oai:doaj.org-article:54567891217d4173b74188ed01528bfc2021-11-16T07:43:51ZEvaluation and Management of Intractable Constipation in Children2783-2430https://doaj.org/article/54567891217d4173b74188ed01528bfc2018-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47180_1ae203fdf320f02a89f4a3a21e0a93ff.pdfhttps://doaj.org/toc/2783-2430Intractable constipation has a negative impact on quality of life and well-being of children. The evaluation includes a thoroughhistory and physical examination with diagnostic testing to rule out metabolic, systemic, anatomic, and neurological etiologies. Inchildren with refractory symptomswhofailed aggressive medical management, colonic transit studies help guide need for invasivetesting. Manometric testing of the anorectum and the colon are recommended to evaluate for enteric neuromuscular compromiseand guide novel medical and surgical therapies. Goals of management are to facilitate colonic emptying, ensure fecal continence,and preserve colonic neuromuscular integrity. Treatments range from aggressive medical therapy with stimulant laxatives thatmodify transit to antegrade continence enemas that facilitate colonic emptying. Surgery, including diverting ostomy and resection,has a limited role and should only be considered in select patients after medical and manometric evaluation. The aim of this articleis to provide an update on the evaluation and management of childhood intractable constipation.Lusine AmbartsumyanLeonel RodriguezShiraz University of Medical SciencesarticleconstipationchildrenrefractoryMedicineRENIranian Journal of Colorectal Research, Vol 6, Iss 4 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	constipation children refractory Medicine R
spellingShingle	constipation children refractory Medicine R Lusine Ambartsumyan Leonel Rodriguez Evaluation and Management of Intractable Constipation in Children
description	Intractable constipation has a negative impact on quality of life and well-being of children. The evaluation includes a thoroughhistory and physical examination with diagnostic testing to rule out metabolic, systemic, anatomic, and neurological etiologies. Inchildren with refractory symptomswhofailed aggressive medical management, colonic transit studies help guide need for invasivetesting. Manometric testing of the anorectum and the colon are recommended to evaluate for enteric neuromuscular compromiseand guide novel medical and surgical therapies. Goals of management are to facilitate colonic emptying, ensure fecal continence,and preserve colonic neuromuscular integrity. Treatments range from aggressive medical therapy with stimulant laxatives thatmodify transit to antegrade continence enemas that facilitate colonic emptying. Surgery, including diverting ostomy and resection,has a limited role and should only be considered in select patients after medical and manometric evaluation. The aim of this articleis to provide an update on the evaluation and management of childhood intractable constipation.
format	article
author	Lusine Ambartsumyan Leonel Rodriguez
author_facet	Lusine Ambartsumyan Leonel Rodriguez
author_sort	Lusine Ambartsumyan
title	Evaluation and Management of Intractable Constipation in Children
title_short	Evaluation and Management of Intractable Constipation in Children
title_full	Evaluation and Management of Intractable Constipation in Children
title_fullStr	Evaluation and Management of Intractable Constipation in Children
title_full_unstemmed	Evaluation and Management of Intractable Constipation in Children
title_sort	evaluation and management of intractable constipation in children
publisher	Shiraz University of Medical Sciences
publishDate	2018
url	https://doaj.org/article/54567891217d4173b74188ed01528bfc
work_keys_str_mv	AT lusineambartsumyan evaluationandmanagementofintractableconstipationinchildren AT leonelrodriguez evaluationandmanagementofintractableconstipationinchildren
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Evaluation and Management of Intractable Constipation in Children

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