Refractory functional constipation: clinical management or appendicostomy?
نویسندگان
چکیده
منابع مشابه
Treatment of Functional Constipation
Childhood constipation is ofton a long_term problem requiring treatment over months or years. There is no single treatment metod for constipation and many children do not respond and continue to have chronic problems. Treatment is consisted of: Disimpaction,Drug adminstration , Diet modilation, and behaverial therapy. It is necessary in all cases that not responding to conventional therapy, un ...
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BACKGROUND Open studies have reported favourable results for sacral nerve stimulation in the treatment of refractory constipation. Here, its efficacy was assessed in a double-blind crossover RCT. METHODS Patients with at least two of the following criteria were included: fewer than three bowel movements per week; straining to evacuate on more than 25 per cent of attempts; or sensation of inco...
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Almost 1/3 of gastrointestinal consultations are related to constipation, and over 90% of them are of functional origin. Proper diagnosis and adequate treatment (both nonpharmacological and pharmacological) may limit the number of specialist visits and can be beneficial for therapeutic effects. The treatment is long lasting and requires unique discipline of parents/guardians and coordination su...
متن کاملUnderstanding and treating refractory constipation.
Chronic constipation is a frequently encountered disorder in clinical practice. Most constipated patients benefit from standard medical approaches. However, current therapies may fail in a proportion of patients. These patients deserve better evaluation and thorough investigations before their labeling as refractory to treatment. Indeed, several cases of apparent refractoriness are actually due...
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The purpose of this study was to investigate the prevalence, clinical characteristics, and management of functional constipation at pediatric gastroenterology clinics. A prospective survey using the Rome III criteria was distributed to a group of parents of children with a constipation history and its control group in May 2008. The mean prevalence of constipation was 6.4%, which was similar to ...
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ژورنال
عنوان ژورنال: Jornal de Pediatria
سال: 2020
ISSN: 0021-7557
DOI: 10.1016/j.jped.2018.09.001