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[Clinical approach to constipation: proposal of a diagnostic and therapeutic protocol]
Insights
This study on childhood constipation in 20 children achieved good results in 18 cases by applying a homogeneous approach. Diagnoses included Hirschsprung
Area of Science:
- Pediatric Gastroenterology
- Pediatric Surgery
Context:
- Constipation is a common pediatric issue requiring a standardized management approach.
- University Department of Pediatrics and Division of Pediatric Surgery in Parma collaborated on this study.
Purpose:
- To establish a homogeneous approach for diagnosing and treating constipation in children.
- To evaluate the effectiveness of various therapeutic strategies for pediatric constipation.
Summary:
- Twenty children with constipation were classified into mild, moderate, and severe groups.
- Barium enema and rectal manometry identified ultrashort Hirschsprung's disease (2 cases) and functional megarectum (7 cases).
- Tailored treatments led to positive outcomes in 18 out of 20 children.
Impact:
- Demonstrates the efficacy of a unified approach in managing pediatric constipation.
- Highlights the importance of accurate diagnosis for effective therapeutic interventions.
- Provides insights into multidisciplinary treatment options including diet, medication, psychotherapy, and surgery.
Abstract:
A study concerning constipation in children has been carried out in the University Department of Pediatrics and in the Division of Pediatric Surgery of Parma with the aim of reaching an homogeneus approach: it has been applied to 20 children up to now observed for such a problem. According to clinical and anamnestic criteria, children were divided into 3 groups on the basis of different degree of constipation: 1) moderate, 2) mild, 3) severe. Children belonging to the 2nd and 3rd group underwent barium enema and rectal manometry; two cases of ultrashort Hirschprung's disease and 7 cases of functional megarectum were diagnosed. Different treatment have been employed for each group and good results were observed in 18 cases. The AA. briefly discuss the different aspects concerning constipation and its therapy in childhood including diet, drugs, psychotherapy and surgical treatment.