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Long-term management of chronic constipation in children
C Katz1, R A Drongowski, A G Coran
1Section of Pediatric Surgery, Mott Children's Hospital, University of Michigan, Ann Arbor 48109.
Journal of Pediatric Surgery
|October 1, 1987
Summary
Long-term daily enemas effectively treated chronic constipation and fecal soiling in children. Most patients (85.8%) experienced excellent to good results, with varying treatment durations based on underlying medical conditions.
Area of Science:
- Pediatric Gastroenterology
- Clinical Medicine
Background:
- Chronic constipation is a common pediatric issue.
- Fecal soiling often accompanies chronic constipation in children.
- Effective long-term management strategies are crucial.
Purpose of the Study:
- To evaluate the success of a strict regimen using prolonged daily enemas.
- To assess the efficacy of this treatment in eliminating constipation and fecal soiling.
- To determine treatment duration based on patient's medical history.
Main Methods:
- Retrospective clinical study.
- Involved 203 children with chronic constipation.
- Utilized a strict regimen of prolonged daily enemas.
Main Results:
- 85.8% of children achieved excellent to good results.
- Daily enemas successfully eliminated constipation and fecal soiling.
- Treatment duration varied: functional constipation (5.9 months), other conditions (13 months), imperforate anus (32.6 months), Hirschsprung's disease (20.1 months).
Conclusions:
- Prolonged daily enema use is a successful treatment for chronic constipation and fecal soiling in children.
- Treatment duration is influenced by the presence of specific medical conditions.
- This regimen offers a viable long-term solution for pediatric constipation.