Surgical Management of Idiopathic Constipation in Pediatric Patients
| Autor: | Lily S. Cheng, Allan M. Goldstein |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Constipation business.industry Gastroenterology medicine.disease Diagnosis of exclusion Review article 03 medical and health sciences 0302 clinical medicine Refractory 030225 pediatrics medicine Functional constipation 030211 gastroenterology & hepatology Surgery medicine.symptom Intensive care medicine business Clinical evaluation Colorectal resection |
| Zdroj: | Clinics in Colon and Rectal Surgery. 31:089-098 |
| ISSN: | 1530-9681 1531-0043 |
| DOI: | 10.1055/s-0037-1609023 |
| Popis: | Constipation is a common childhood problem, but an anatomic or physiologic cause is identified in fewer than 5% of children. By definition, idiopathic constipation is a diagnosis of exclusion. Careful clinical evaluation and thoughtful use of imaging and other testing can help exclude specific causes of constipation and guide therapy. Medical management with laxatives is effective for the majority of constipated children. For those patients unresponsive to medications, however, several surgical options can be employed, including anal procedures, antegrade colonic enemas, colorectal resection, and intestinal diversion. Judicious use of these procedures in properly selected patients and based on appropriate preoperative testing can lead to excellent outcomes. This review summarizes the surgical options available for managing refractory constipation in children and provides guidance on how to choose the best procedure for a given patient. |
| Databáze: | OpenAIRE |
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