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Updated: Jun 20, 2025

Electroacupuncture Combined with Chinese Medicine Ironing Therapy for Functional Constipation
Published on: July 5, 2024
Recent advances in treating constipation in children
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Insights
New therapies are emerging for pediatric functional constipation (FC), a common condition. While linaclotide is now FDA-approved for children, further research on safety and efficacy is crucial for personalized FC management.
Area of Science:
- Pediatric Gastroenterology
- Pharmacology
- Surgical Interventions
Background:
- Functional constipation (FC) affects a significant number of children, with approximately 30% not responding to standard treatments.
- Current management often involves lifestyle changes and osmotic laxatives, but new therapeutic avenues are becoming available.
Purpose of the Study:
- To review current and emerging pharmacologic, surgical, and neuromodulatory therapies for pediatric functional constipation.
- To discuss the efficacy and safety data for these diverse treatment modalities in children.
Main Methods:
- Literature review of existing and novel therapeutic options for pediatric FC.
- Analysis of efficacy and safety data from clinical studies and expert opinions.
Main Results:
- The first pharmacologic agent, linaclotide, received FDA approval in 2023 for treating FC in children aged 6-17 years.
- Various pharmacologic, surgical, and neuromodulatory approaches are being explored for pediatric FC management.
Conclusions:
- Further investigation into the safety and efficacy of new FC treatments in pediatric populations is essential.
- A personalized approach to pediatric FC management, considering distinct pathophysiology from adults, is predicted to improve outcomes.
Introduction:
Functional constipation (FC) is a common childhood condition, diagnosed via the Rome IV criteria. Standard therapy includes lifestyle and dietary modification followed by initiation of osmotic laxative therapy. About 30% of children continue to experience symptoms related to FC despite appropriate management. New pharmacologic, surgical, and neuromodulatory therapies for FC are now available for use in adult and pediatric populations. In 2023, the first pharmacologic agent, linaclotide, obtained FDA approval for treatment of FC in children 6-17 years old.
Areas Covered:
This article reviews current and emerging pharmacologic, surgical, and neuromodulation therapies for the management of FC in pediatric patients. Efficacy and safety data regarding each of these modalities was reviewed and discussed.
Expert Opinion:
Advancements in therapeutics available for the management of FC necessitate further investigation on safety and efficacy in pediatric populations. Careful consideration should be taken in choosing an available treatment with limited pediatric evidence as adult and pediatric FC have different underlying pathophysiology and require a different therapeutic approach. Standardization of methodology and pediatric endpoints are needed to optimize ability to compare efficacy of different treatments. We predict the future of pediatric FC management will include a personalized approach to care, resulting in improved outcomes.
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