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[Idiopathic constipation in children. Value of treatment by biofeedback]
M Veyrac1, D Granel, G Parelon
1Clinique des maladies de l'appareil digestif, Hôpital Saint-Eloi, Montpellier, France.
Insights
Biofeedback training using anorectal manometry effectively improved idiopathic constipation in children with outlet obstruction. This treatment shows promise for pediatric patients when accepted and understood by the child and parents.
Area of Science:
- Pediatric Gastroenterology
- Clinical Biofeedback
- Anorectal Physiology
Context:
- Idiopathic constipation in children often presents with outlet obstruction.
- Sphincteric disorders contribute to defecatory dysfunction.
- Biofeedback offers a non-invasive therapeutic approach.
Purpose:
- To evaluate the efficacy of biofeedback training utilizing anorectal manometry in children with idiopathic constipation.
- To assess the improvement in children with outlet obstruction due to sphincteric disorders.
Summary:
- Fourteen children aged 7-12 with constipation due to sphincteric disorders underwent biofeedback sessions.
- Ten out of twelve children who completed the training showed significant improvement.
- The treatment's success is linked to patient and parental acceptance and understanding of the manometric signals.
Impact:
- Biofeedback training is a potentially effective complementary treatment for pediatric idiopathic constipation.
- Successful implementation requires child comprehension and home-based practice.
- This approach aligns with existing literature supporting biofeedback in similar pediatric cases.
Abstract:
Anorectal manometry was used in the training by biofeedback of children with idiopathic constipation. Fourteen children 7 to 12 years old with outlet obstruction due to sphincteric disorders were submitted to a biofeedback session. There was a good improvement in 10 of the 12 children who accepted this treatment. This result is in agreement with the data published in literature. This complementary treatment appears useful when it is well accepted by the parents and the child and when the manometric signal is well understood by the child who must be also able to apply the technique at home.