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Recent advances in chronic constipation.
Ritu Walia1, Lori Mahajan, Rita Steffen
1Department of Pediatric Gastroenterology and Nutrition, The Children's Hospital, Cleveland Clinic, Cleveland, Ohio44195, USA.
Current Opinion in Pediatrics
|July 17, 2009
Summary
Chronic constipation in children is common and costly. Recent research offers new diagnostic tools and treatments, improving evidence-based care and long-term outcomes for pediatric constipation.
Area of Science:
- Pediatric Gastroenterology
- Clinical Pediatrics
Background:
- Chronic constipation is a frequent pediatric complaint with significant emotional and economic impact.
- Advances in understanding pathophysiology and treatment options are emerging.
Purpose of the Study:
- To review current strategies for diagnosing and treating chronic constipation in children.
- To discuss recent advances in pathophysiology, diagnostic technologies, and therapeutic options.
Main Methods:
- Review of recent literature on chronic constipation in children.
- Analysis of diagnostic techniques, current laxatives, and novel pharmacological approaches.
- Discussion of long-term complications, growth effects, quality of life, and dietary fiber.
Main Results:
- New information on diagnostic techniques and long-term complications of childhood constipation.
- Comparative data on existing laxatives and emerging treatments with novel mechanisms.
- Discussion of studies on growth, quality of life, and coexisting symptoms.
Conclusions:
- Recent literature provides new, evidence-based knowledge for treating pediatric chronic constipation.
- Understanding the scope, cost, and natural history of constipation is enhanced by long-term outcome data.
- Newer pharmacological approaches offer optimism for managing this common pediatric issue.
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