Advanced Search
ORIGINAL ARTICLE
Korean J Pediatr 2004 November;47(11) :1186-1192.
A Clinical Study of Chronic Functional Constipation in Children Treated for more than Five Months
Young Min Kim (Kim YM)1, Sung Yun Choi (Choi SY)1, Sun Hwan Bae (Bae SH)2, Young Min Ahn (Ahn YM)1
1Department of Pediatrics, College of Medicine, Eulji University, Seoul, Korea
2Department of Pediatrics, College of Medicine, Konkuk University, Seoul, Korea
Corresponding Author: Sun Hwan Bae ,Email: baedori@hanafos.com
Copyright © 2004 by The Korean Pediatric Society
ABSTRACT
Purpose : The purpose of this study was to evaluate the clinical features and the courses and effects of long-term treatment, and to analyze the association between clinical features and duration of therapy in chronic functional constipation in children. Methods : This study enrolled 57 children with chronic functional constipation who were treated in the Eulji Hospital for more than five months between May, 2000 and February, 2004. We analyzed the clinical features and the courses and results of the phase of disimpaction, maintenance, weaning retrospectively. Results : Mean age at diagnosis was 3.32.3 years and the male to female ratio was 24:33. The mean duration of symptoms was 12.513.9 months in 49 patients. Mean defecation frequency per week was 5.74.0 and hard stools were seen in 59.7% of patients. The clinical presentations were as follows : abdominal pain(45.6%), rectal blood loss(28.1%), vomiting(19.3%). Fifty-four patients had successful disimpaction with lactulosebisacodyl/glycerine enema or only lactulose, except for three patients with polyethylene glycol(PEG) solution. After a maintenance phase with lactulose or lactulosemineral oil, a significant increase in defecation frequency per week was observed(5.74.0 to 6.31.8(P<0.05)), discomfort in defecation was not observed in all patients and hard stools were not observed except in four patients. The mean duration of the maintenance phase was 5.54.3 months and mean duration of total therapy was 10.83.8 months in 42 patients who finished the weaning phase. Duration of the maintenance phase and of total therapy had no statistical correlation with age, duration of symptoms and frequency of stools, and had no association with clinical presentations. Conclusion : Long-term treatment is necessary for effective treatment of chronic functional constipation in children. Further long-term follow up would have to be perfomed to evaluate successful treatment.
Keywords: Constipation | Lactulose | Mineral oil | Child
TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Supplementary Material  Supplementary Material
  E-Mail
  Print
Share:      
METRICS
1,360
View
3
Download
Clinical aspects of chronic urticaria in children  2009 February;52(2)
Clinical Features of Benign Infantile Convulsions with Gastroenteritis  2005 July;48(7)
A Clinical Study of Acute Poststreptococcal Glomerulonephritis in Children, from 1994 to 2003  2005 June;48(6)
A Clinical Study on the Etiologies of Acute Seizures in Children Who Visited Emergency Department  2004 December;47(12)
A Clinical Study on Benign Convulsions with Mild Gastroenteritis  2004 December;47(12)
Register for e-submission
Register here to access the e-submission system of Korean J Pediatr for authors and reviewers.
Manuscript Submission
To submit a manuscript, please visit the Korean J Pediatr e-submission management system at http://submit.kjp.or.kr, read the Instructions for Authors, and log into the Korean J Pediatr e-submission system. For assistance with manuscript submission, please contact: kjpped@gmail.com.
Free archive
Anyone may access any past or current articles without logging in.
Korean Pediatric Society Office
#1606, Seocho World Officetel, 19 Seoun-ro, Seocho-gu, Seoul 137-070, Korea
TEL : +82-2-3473-7305    FAX : +82-2-3473-7307   E-mail: kjpped@gmail.com
BrowseCurrent IssueFor Authors and ReviewersAbout
Copyright© The Korean Pediatric Society. All right reserved.