De la Torre ML, Hernández VG

Language: Spanish
References: 32
Page: 411-422
PDF size: 1115.14 Kb.

ABSTRACT

Constipation is a common disease and one of the most frequent reasons of visits in pediatric clinics, complications related to constipation denote an inadequate diagnosis and/or treatment. This article is addressed for physicians who provide care to children with functional constipation and, it proposes in a practical manner how to diagnose this problem, emphasizing the essential information that should be obtained from the clinical history and from the workup helpful for its diagnosis.
The “bowel management program” is the proposed treatment; this program has a rate success higher than 90%, even, in patients with severe chronic constipation with frequent relapses and multiple treatments.

REFERENCES

1. Loening-Baucke V. Prevalence, symptoms and outcome of constipation in infants and toddlers. J Pediatr 2005;146:359-63.

2. Van der Berg MM, Benninga MA, Di Lorenzo C. Epidemiology of childhood constipation: a systematic review. Am J Gastroenterol 2006;101:2401-9.

3. Di Lorenzo C, Benninga M. Pathophysiology of pediatric fecal incontinence. Gastroenterol 2004;126:33-40.

4. Gattuso JM, Kamm MA, Talbot IC. Pathology of idiopathic megarectum and megacolon. Gut 1997;41:252-7.

5. Autschbach F, Gassler N. Idiopathic megacolon. Eur J Gastroenterol Hepatol 2007;19:399-400.

6. Baker S. S., Liptak G. S. Colleti R. B. Et al. Clinical Practice Guideline. Evaluation and Treatment of Constipation in infant and children: Recommendations of the NASPGHAN. J. Pediatr Gastroenterol Nutr 2006;43(3):e1-e13.

7. Wessel S, Benninga M. Constipation in children. New York: Nova Science Publishers; c2013. Chapter 8 Diagnostic testing of defecation disorders; pp. 167-84.

8. De la Torre L. El niño con estreñimiento crónico severo o enfermedad de Hirschsprung. Bol Pediatr 2010;50(Supp 1):48-52.

9. Constipation Guideline Committee of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (CGCNASPGHAN). Evaluation and treatment of constipation in infants and children: Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr 2006;43:e1–e13.

10. Eda Dolgun, Meryem Yavuz, Ahmet Çelik, M. Orkan Ergün. The effects of constipation on the quality of life of children and mothers. The Turkish Journal of Pediatrics 2013;55:180-185.

11. Williams CL, Bollella M, Wynder EL. A new recommendation for dietary fiber in childhood. Pediatrics 1995;96:985-8.

12. Castillejo G, Bulló M, ANguera A, Escribano J, Salas-Salvadó J. A controlled, randomized, double-blinded trial to evaluate the effect of a supplement of cocoa husk that is in dietary fiber on colonic transit in constipated pediatrict patients. Pediatrics 2006;118:e641-648.

13. Youssef NN, Peters JM, Henderson W, Shultz-Peters S, Lockhart DK, Di Lorenzo C. Dose response of PEG 3350 for the treatment of childhood fecal impaction. J Pediatr 2002;141:410-4.

14. Gattuso JM, Kamm MA, Halligan SM, Bartram CI. The anal sphincterin idiopathic megarectum: The effects of manual disimpaction under general anesthetic. Dis Colon Rectum 1996;39:435-9.

15. Anne Rowan-Legg; Managing functional constipation in Children. Canadian Paediatric Society, Community Paediatrics Committee. Paediatr Child Health 2011;16(10):661-5.

16. Thomson MA, Jenkins HR, Bisset WM, et al. Polyethylene glicol 3350 plus electrolytes for chronic constipation in children: A double blind, placebo controlled, crossover study. Arch Dis Child 2007;92:996-1000.

17. Voskuijl W, de Lorijn F, Verwijs W, et al. PEG 3350 (Transipeg) versus lactulose in the treatment of childhood functional constipation: A double blind, randomised, controlled, multicentre trial. Gut 2004;53:1590-4.

18. Loening-Baucke V, Pashankar DS. A randomized, prospective, comparison study of polyethylene glycol 3350 without electrolytes and milk of magnesia for children with constipation and fecal incontinence. Pediatrics 2006;118:528-35.

19. Bongers ME, van den Berg MM, Reitsma JB, Voskuijl WP, Benninga MA. A randomized controlled trial of enemas in combination with oral laxative therapy for children with chronic constipation. Clinical Gastroenterol Hepatol 2009;7:1069-74.

20. Perkin J. Constipation in childhood: A controlled comparison between lactulose and standard senna. Curr Med Res Opin 1977;4(8):540-3.

21. Pijpers Ma., Tabbers M. M. Benninga M. A. Currently recommended treatments of chilhood constipation are not evidenced based: a systematic literature review on the effect of laxative treatment and dietary measures. Arch Dis Child 2009;94:117-31.

22. Remes J. M., Chávez J. A., González B., et al. Guías de diagnóstico y tratamiento del estreñimiento en México. Evaluación y tratamiento del estreñimiento en población pediátrica. Rev Gastroenterol Mex 2011;76(2):155-168.

23. Worona Dibner Liliana. Constipación en Pediatría. Nutrición y Gastroenterología pediátrica. Mc Graw Hill. México 2013. Capítulo 15; pp. 408-421.

24. King S., Sutcliffe J., Southwell B., et al. The antegrade continence enema successfully treats idiophatic slow-transit constipation. J Ped Surg 2008,49:1935-40.

25. Yeung AK, Carlo Di Lorenzo. Constipation in children. New York: Nova Science Publishers 2013; Chapter 11: Medical management and prevention of chronic constipation in children. pp. 225-51.

26. Bischoff A, Levitt MA, Bauer C, Jackson L, Holder M, Peña A. Treatment of fecal incontinence with a comprehensive bowel management program. J Pediatr Surg 2009;44:1278–84.

27. Bischoff A, Levitt MA, Peña A. Bowel management for the treatment of pediatric fecal incontinence. Pediatr Surg Int 2009;25:1027–42.

28. Bischoff A, Tovilla M. A practical approach to the management of pediatric fecal incontinence. Semin Pediatr Surg 2010;19:154–9.

29. Levitt M, Mathias K, Pemberton J. Surgical treatment for constipation in children and adults. Best Pract Res Clin Gastroenterol 2011;25:167-79.

30. Levitt MA, Kant A, Peña A. The morbidity of constipation in patients with anorectal malformations. J Pediatr Surg 2010;45,1228-1233.

31. Blesa E, Cavaco R. Constipation in children. New York: Nova Science Publishers; 2013. Chapter 17: Functional constipation: long-term follow-up; pp. 349-56.

32. Rubin G, Dale A. Chronic constipation in children. BMJ 2006;333:1051-1055.