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[Chronic constipation in children].

P Campobasso1, G Belloli

  • 1Divisione di Chirurgia Pediatrica, Ospedale Regionale di Vicenza, Italia.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|May 1, 1988
PubMed
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Anorectal manometry effectively diagnoses Hirschsprung's disease in children. This diagnostic tool helps differentiate functional constipation from aganglionic conditions, guiding appropriate medical or surgical treatment for better outcomes.

Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Surgery

Background:

  • Chronic constipation in children can indicate various underlying conditions, including functional constipation and aganglionic diseases.
  • Differentiating these causes is crucial for effective treatment and management.

Purpose of the Study:

  • To evaluate the diagnostic utility of anorectal manometry in childhood constipation.
  • To differentiate functional constipation from ultrashort segment Hirschsprung's disease.

Main Methods:

  • Detailed patient history and physical examination.
  • Anorectal manometry to assess the rectoanal inhibitory reflex.
  • Analysis of diagnostic accuracy in children over two years of age.

Main Results:

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  • Anorectal manometry accurately diagnoses ultrashort segment Hirschsprung's disease.
  • The rectoanal inhibitory reflex is present in functional constipation but absent in aganglionic conditions.
  • The diagnostic error rate for anorectal manometry is very low in children over two years old.

    • Conclusions:

    • Anorectal manometry is a safe and effective diagnostic tool for childhood constipation.
    • Surgical intervention is recommended for ultrashort segment Hirschsprung's disease.
    • Medical management is indicated for functional constipation and post-surgery, requiring adequate treatment duration to prevent relapses.