Related Experiment Video

Updated: Aug 11, 2026

Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System
15:49

Flexible Colonoscopy in Mice to Evaluate the Severity of Colitis and Colorectal Tumors Using a Validated Endoscopic Scoring System

Published on: October 16, 2013

[Features of colonic fixation in children with chronic abdominal pain]

I A Komissarov, K M Komarov, A A Umenushkin

    Vestnik Khirurgii Imeni I. I. Grekova
    |April 24, 2003
    PubMed

    Insights

    Abnormal colon fixation causes chronic abdominal pain and constipation in children. Conservative treatment is effective in 75% of cases, with surgery offering good results for persistent symptoms.

    Area of Science:

    • Pediatric Gastroenterology
    • Surgical Gastroenterology

    Background:

    • Chronic abdominal pain and constipation are common in children.
    • Impaired colonic fixation is a potential underlying cause.
    • Understanding colonic positional variants is crucial for diagnosis.

    Purpose of the Study:

    • To investigate the role of abnormal colonic fixation in pediatric chronic abdominal pain.
    • To identify and classify variants of colonic malposition.
    • To evaluate treatment outcomes for conservative and surgical interventions.

    Main Methods:

    • Complex examination including clinical assessment, radiological imaging, endorectal ultrasonography, and colodynamics.
    • Detailed analysis of 73 children presenting with chronic abdominal pain.
    • Classification of four main variants of abnormal colon position.
    • Assessment of conservative and surgical treatment efficacy.

    Main Results:

    • Four variants of abnormal colon position identified: "moving" cecum, right-sided colonoptosis, total colonoptosis, and Payr syndrome.
    • Payr syndrome most frequently associated with abdominal pain and constipation.
    • Conservative therapy effective in 75% of cases.
    • Surgical correction yielded good results in 8 out of 10 patients.
    • Internal sphincterotomy effective for constipation due to internal anal sphincter hypertrophy.

    Conclusions:

    • Impaired colonic fixation is a significant cause of chronic abdominal pain and constipation in children.
    • Conservative management should be the first line of treatment.
    • Surgical intervention is indicated for refractory cases and improved quality of life.
    • Specific surgical techniques, like internal sphincterotomy, address underlying causes of constipation.

    More Related Videos

    Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis06:19

    Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis

    Published on: May 16, 2025

    Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists03:43

    Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

    Published on: July 11, 2025

    Related Concept Videos

    Chronic Bowel Disorders: Introduction01:17

    Chronic Bowel Disorders: Introduction

    Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
    Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
    Assessment of the Rectum and Anus01:25

    Assessment of the Rectum and Anus

    Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
    Rectal Inspection
    Begin by inspecting the perianal and anal areas for color, texture, rashes,...
    Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

    Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

    Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
    Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
    Inflammatory Bowel Disease V: Surgical Management01:21

    Inflammatory Bowel Disease V: Surgical Management

    Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
    Here are some common surgical interventions for IBD:
    Inflammatory Bowel Disease IV: Clinical Manifestations01:20

    Inflammatory Bowel Disease IV: Clinical Manifestations

    Inflammatory bowel disease (IBD) encompasses two major chronic disorders—ulcerative colitis and Crohn’s disease—each characterized by relapsing episodes of gastrointestinal inflammation. Although they share certain clinical features, their patterns of involvement and manifestations differ in ways that aid diagnosis and guide management.Ulcerative ColitisUlcerative colitis is limited to the colon and rectum and involves continuous inflammation of the mucosal layer. The disease course is marked...
    Diverticular Disease of the Colon01:27

    Diverticular Disease of the Colon

    Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...