Prevalence, Clinical Characteristics, and Management of Functional Constipation at Pediatric Gastroenterology Clinics
| Autor: | Sung Kil Kang, Hye Ran Yang, So Young Na, Ji Hyun Uhm, Soo Hee Chang, Ki Soo Kang, Kie Young Park, Eell Ryoo |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Constipation Adolescent Rectum Severity of Illness Index Body Mass Index Rome III Criteria Severity of illness Prevalence medicine Humans Prospective Studies Child Prospective cohort study Pediatric gastroenterology business.industry Infant General Medicine medicine.disease Rome iii Hospitals medicine.anatomical_structure Laxatives Child Preschool Functional constipation Female Original Article medicine.symptom business Body mass index |
| Zdroj: | Journal of Korean Medical Science |
| ISSN: | 1598-6357 1011-8934 |
| DOI: | 10.3346/jkms.2013.28.9.1356 |
| Popis: | 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 those in other countries. Statistically significant variables for children without constipation were that more children had a body mass index of below the 10th percentile even though they received more mother's care and ate balanced meals compared to the constipation group. Meanwhile, the constipation group frequently showed a history of constipation in infancy, picky-eating, lack of exercise, and retentive posturing. When analyzed with the Rome III criteria, the children showed greater than 60% rate of hard stools, painful stools, a history of large fecal mass in rectum, and its disappearance of constipation symptoms after passing a large stool. Our study found different approaches amongst pediatric gastroenterologists like rectal examinations, disimpaction, or drug treatment. Several factors addressed in our study can provide better guidelines for clinicians treating constipation and its future research. |
| Databáze: | OpenAIRE |
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