Investigation and management of long-standing chronic constipation in childhood
| Autor: | G S Clayden, J O Lawson |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
Adult
medicine.medical_specialty Constipation Adolescent medicine.medical_treatment Laxative Anal Canal Megacolon Muscle hypertrophy medicine Methods Humans Child Chronic constipation Medical treatment business.industry Anorectal manometry Infant Newborn Infant Anal canal medicine.disease Dilatation Surgery medicine.anatomical_structure Child Preschool Pediatrics Perinatology and Child Health Chronic Disease medicine.symptom business Research Article |
| Zdroj: | Archives of disease in childhood. 51(12) |
| ISSN: | 1468-2044 |
| Popis: | The anorectal physiology of 106 children with long-standing chronic constipation, who had failed to response to a trial of medical treatment, was assessed. 10 (9%) were shown to have ultrashort-segment Hischsprung's disease, later confirmed on histology, The remainder showed evidence of hypertrophy of the internal sphicter on anorectal manometry and had a vigorous anal dilatation (to accept 4 fingers) under general anesthesia. After this, 38% were able to be weaned off all medication and most of the remainder improved. Further anal dilatation and internal sphincterotomy allowed a further 10 children to stop laxative, bringing the total to 48%. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|