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Who should accept primary responsibility for the encopretic child? A successful pediatric program based on dietary
Clinical Pediatrics
|January 1, 1978
Insights
A treatment program helped 17 of 18 encopretic children improve, with 14 becoming completely free of soiling. Most encopretic children can be managed by pediatricians, avoiding psychiatric referrals.
Area of Science:
- Pediatric Gastroenterology
- Child Psychology
Background:
- Encopresis is a common childhood condition characterized by fecal incontinence.
- Effective management strategies are crucial for improving children's quality of life.
Purpose of the Study:
- To evaluate the effectiveness of a specific program in treating encopretic children.
- To determine the role of pediatricians versus psychiatrists in managing encopresis.
Main Methods:
- A treatment program was implemented for 18 children diagnosed with encopresis.
- Outcomes were assessed based on improvement in soiling and overall condition.
Main Results:
- 17 out of 18 encopretic children showed improvement.
- 14 children achieved complete resolution of soiling.
- The majority of cases were successfully managed within a pediatric setting.
Conclusions:
- The evaluated program demonstrates high efficacy in treating childhood encopresis.
- Pediatrician-led management is effective for most encopretic children.
- Psychiatric referral is typically reserved for cases with severe emotional disturbances.
Abstract:
Such a program was used to treat 18 encopretic children; 17 improved and 14 became completely free of soiling. Most encopretic children can be managed by pediatricians and only those children with severe emotional disorders require psychiatric referral.