Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation

Leanne C Y Leong1, Yee Ian Yik, Anthony G Catto-Smith

  • 1Murdoch Children's Research Institute, Melbourne, VIC 3052, Australia.

Insights

Transcutaneous electrical stimulation (TES) shows promise for treating slow-transit constipation (STC) in children. While one-third experienced lasting improvement, others saw symptom recurrence within six months.

Area of Science:

  • Pediatric Gastroenterology
  • Neuromodulation Therapies
  • Functional Gastrointestinal Disorders

Background:

  • Slow-transit constipation (STC) is a challenging condition in children.
  • Current treatments for STC have limitations.
  • Transcutaneous electrical stimulation (TES) is an emerging therapeutic option.

Purpose of the Study:

  • To evaluate the long-term efficacy of transcutaneous electrical stimulation (TES) in children with slow-transit constipation (STC).
  • To determine if TES treatment for STC leads to sustained improvements in bowel function and symptoms.

Main Methods:

  • A randomized controlled trial involving 39 children with STC treated with TES for 1-2 months.
  • Long-term follow-up of 30 patients (mean 3.5 years post-treatment) via questionnaires.
  • Outcomes assessed using statistical methods including confidence intervals and paired t-tests.

Main Results:

  • 73% of children reported perceived improvement with TES.
  • Sustained improvement (>2 years) was observed in 33%, while 25-33% experienced recurrence within 6 months.
  • Significant improvements noted in soiling (75%), abdominal pain (59%), and continence scores (81%).

Conclusions:

  • Transcutaneous electrical stimulation (TES) demonstrates potential as a treatment for pediatric STC.
  • TES can lead to significant short- and long-term benefits for a subset of children with STC.
  • Further research may optimize TES protocols for sustained symptom relief in STC.
Abstract

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