[Treatment of chronic constipation in children]
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Cecilie Ejerskov Pedersen1, Iben Møller Jønsson, Charlotte Siggaard
1Børneafdeling A, Aarhus Universitetshospital, Brendstrupgaardsvej 100, 8200 Aarhus N, Denmark. cecilie@ejerskov.dk
Insights
Polyethylene glycol (PEG) is an effective treatment for chronic functional constipation in children, showing superiority over placebo and lactulose for maintenance therapy. Further research is needed to confirm its efficacy in curing constipation.
Area of Science:
- Pediatric Gastroenterology
- Pharmacology
Background:
- Chronic functional constipation is a prevalent pediatric disorder.
- Standard treatment involves education, disimpaction, and maintenance therapy.
Purpose of the Study:
- To evaluate the efficacy of polyethylene glycol (PEG) in the maintenance treatment of chronic functional constipation in children.
Main Methods:
- A review of a recent Cochrane analysis comparing PEG to placebo and other laxatives.
- Analysis aligns with current practices in Danish pediatric departments.
Main Results:
- Polyethylene glycol (PEG) demonstrated superiority over placebo and lactulose in maintenance treatment.
- Findings support the widespread use of PEG in pediatric care.
Conclusions:
- PEG is a preferred agent for maintenance therapy in childhood constipation.
- Larger randomized controlled trials are required to establish PEG's efficacy as a curative treatment.
Abstract:
Chronic functional constipation is a common disorder in childhood. The treatment most often consists of the modalities education, disimpaction and maintenance. In a recent Cochrane review of maintenance treatment polyethylene glycol (PEG) seems to be superior to placebo and to other laxatives including lactulose. This conclusion is in line with practice at most paediatric departments in Denmark. Still, larger randomized controlled studies with the curing of constipation as the primary end point are needed.
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