Prognosis of constipation: clinical factors and colonic transit time
| Autor: | Jan A.J.M. Taminiau, M. P. van Wijk, Marc A. Benninga, F de Lorijn, R. van Ginkel, Johannes B. Reitsma |
|---|---|
| Přispěvatelé: | Faculteit der Geneeskunde, Pediatric surgery, General Paediatrics, Paediatric Gastroenterology, APH - Amsterdam Public Health, Epidemiology and Data Science, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism |
| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Constipation Colon Rectum Fecal Impaction Gastroenterology Severity of Illness Index Sex Factors Internal medicine Severity of illness medicine Humans Child Defecation Gastrointestinal Transit Chronic constipation Encopresis business.industry digestive oral and skin physiology Fecal impaction medicine.disease Prognosis medicine.anatomical_structure El Niño Pediatrics Perinatology and Child Health Chronic Disease Original Article Female medicine.symptom business |
| Zdroj: | Archives of disease in childhood, 89(8), 723-727. BMJ Publishing Group de Lorijn, F, van Wijk, M P, Reitsma, J B, van Ginkel, R, Taminiau, J A J M & Benninga, M A 2004, ' Prognosis of constipation : clinical factors and colonic transit time ', Archives of Disease in Childhood, vol. 89, no. 8, pp. 723-7 . https://doi.org/10.1136/adc.2003.040220 Archives of Disease in Childhood, 89(8), 723-7. BMJ Publishing Group |
| ISSN: | 0003-9888 |
| DOI: | 10.1136/adc.2003.040220 |
| Popis: | BACKGROUND: Measurement of colonic transit time (CTT) is sometimes used in the evaluation of patients with chronic constipation.AIM: To investigate the relation between symptoms and CTT, and to assess the importance of symptoms and CTT in predicting outcome.METHODS: Between 1995 and 2000, 169 consecutive patients (median age 8.4 years, 65% boys) fulfilling the criteria for constipation were enrolled. During the intervention and follow up period, all kept a diary to record symptoms. CTT was measured at entry to the study.RESULTS: At entry, defecation frequency was lower in girls than in boys, while the frequency of encopresis episodes was higher in boys. CTT values were significantly higher in those with a low defecation frequency (< or =1/week) and a high frequency of encopresis (> or =2/day). However, 50% had CTT values within the normal range. Successful outcome occurred more often in those with a rectal impaction. CTT results 100 hours were less likely to have had a successful outcome.CONCLUSION: The presence of a rectal impaction at presentation is associated with a better outcome at one year. A CTT >100 hours is associated with a poor outcome at one year. |
| Databáze: | OpenAIRE |
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