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Encopretic children: experience with fifty cases
Insights
This study on encopresis in children found that a multidisciplinary approach is key. Effective treatment for this motility disorder requires close cooperation between parents, children, and doctors.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Child Psychology
Background:
- Encopresis is a common pediatric condition often linked to abnormal bowel motility.
- Effective management strategies for encopresis require a comprehensive approach.
Purpose of the Study:
- To evaluate the effectiveness of two different treatment regimens for encopresis in children.
- To highlight the importance of a multidisciplinary approach in managing encopresis.
Main Methods:
- A cohort of 50 children diagnosed with encopresis was studied.
- Two treatment protocols were compared: mineral oil/glycerine suppositories versus rectal irrigations/Lactulose.
- Patients were followed for a six-month treatment schedule.
Main Results:
- Forty patients completed the six-month treatment schedule; five were lost to follow-up.
- The study suggests encopresis is a complex motility disorder.
- Optimal outcomes depend on strong parent-child-doctor collaboration and consistent follow-up.
Conclusions:
- Encopresis necessitates a multidisciplinary treatment strategy.
- Successful management hinges on integrated care involving medical professionals and family participation.
- Close monitoring and consistent follow-up are crucial for pediatric encopresis patients.
Abstract:
Fifty children with encopresis were admitted to the Pediatric Surgery Department of Sişli Children's Hospital between October 1, 1987 and January 1, 1990. Two treatment regimens were used. Thirteen patients received mineral oil and glycerine suppositories and 37 patients received rectal irrigations and Lactulose. Five patients were lost to follow-up and 40 patients have completed their six month treatment schedule. The results of our study suggest that encopresis is a complex abnormal motility disorder, requiring a multidisciplinary approach. Best results will be obtained by good parent-child-doctor cooperation and close follow-up.