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[Encopresis].

Alexander von Gontard1

  • 1Klinik für Kinder- und Jugendpsychiatrie und Psychoterapie, Universitätsklinikum des Saarlandes, Homburg/Saar. alexander.von.gontard@uniklinik-saarland.de

Praxis Der Kinderpsychologie Und Kinderpsychiatrie
|October 2, 2007
PubMed
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Encopresis, or functional faecal incontinence in children over 4, requires behavioral therapy and laxatives for constipation. Other treatments like biofeedback are ineffective, and outcomes need improvement.

Area of Science:

  • Pediatric Gastroenterology
  • Child Behavioral Health

Context:

  • Encopresis affects 1-3% of school-aged children.
  • Commonly presents with or without constipation, and may co-occur with toilet refusal syndrome and urinary incontinence.

Purpose:

  • To provide an overview of the current understanding of encopresis, including its causes, assessment, and treatment options.
  • To evaluate the effectiveness of different therapeutic approaches for encopresis.

Summary:

  • A symptom-oriented behavioral approach, such as toilet training, is the most effective treatment for encopresis.
  • Polyethylene glycol laxatives are recommended for encopresis with constipation.
  • Biofeedback is not effective, and psychotherapy is reserved for cases with comorbid behavioral disorders.

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Impact:

  • Highlights the need for improved long-term outcomes in encopresis management.
  • Emphasizes the importance of a tailored, symptom-based approach for pediatric functional faecal incontinence.