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Encopresis in children. Outcome and predictive factors of successful management

Adnan A Mohammed1, Farag M Mekael

  • 1Department of Pediatric Surgery, Medical Faculty, Omar Al-Mukhtar University, Al-Beida, PO Box 919, Libya. dr.adnanmoh@gmail.com

Saudi Medical Journal
|June 26, 2012
PubMed

Insights

Childhood encopresis management can be successful with clinical evaluation. Factors like patient cooperation, female gender, age over five, and non-retentive encopresis predict a good response to medical treatment.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Child Health

Background:

  • Encopresis, or soiling, is a common functional gastrointestinal disorder in children.
  • It significantly impacts a child's quality of life and family well-being.
  • Effective management strategies are crucial for successful outcomes.

Purpose of the Study:

  • To review the experience and outcomes of childhood encopresis management.
  • To identify predictors of successful treatment in pediatric patients.
  • To emphasize the importance of clinical evaluation in encopresis cases.

Main Methods:

  • A prospective study conducted from September 2003 to September 2011 in Libya.
  • Involved 132 pediatric patients aged 4-9 years diagnosed with encopresis.
  • Classified patients into non-retentive (Group I) and retentive (Group II) encopresis.

Main Results:

  • Overall successful conservative treatment rate was 70.5%, with 94.4% in Group I and 61.5% in Group II.
  • Common contributing factors included delayed toilet training (75%), low fiber diet (68.9%), and low fluid intake (65.9%).
  • Predictors for good treatment response included patient/parent cooperation, female gender, age over 5 years, and non-retentive encopresis.

Conclusions:

  • Encopresis management requires thorough clinical evaluation.
  • Good treatment outcomes are achievable with appropriate strategies.
  • Key predictors for successful medical treatment include patient cooperation, female gender, older age, and non-retentive encopresis.
Abstract

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