Constipation in Children

소아 변비의 이해와 치료의 실제

  • Received : 2005.03.19
  • Accepted : 2005.03.22
  • Published : 2005.04.15

Abstract

Constipation is very common phenomenon during childhood that accounts approximately 3% of general pediatric outpatient visits and up to 25% of visit to the pediatric gastroenterologist. The diagnosis of functional constipation is based on the historical features and absence of physical abnormalities. Most infants and children with chronic constipation require no diagnostic tests. Constipation and subsequent fecal retention behavior often begins soon after experience of painful defecation. The effective management of childhood chronic constipation consist of education, prolonged support by physicians and parents, medications, and long term follow up.

Keywords

References

  1. Loening-Baucken V. Chronic constipation in children. Gastroenterology 1993;105:1557-64 https://doi.org/10.1016/0016-5085(93)90166-A
  2. Kim KM. Constipation in children. J Pediatr Gastroenterol Nutr 2004;Spring Symposium:13-21
  3. Chung KS. Chronic constipation in children. Korean J Pediatr 2004;9(3 Suppl):631S-42S
  4. Croffie JM, Fitzgerald JF. H Idiopathic constipation. In : Walker WA, Goulet O, Kleiman RE, Sherman PM, Shneider B, Sanderson IR. editors. Pediatric gastrointestinal disease. 4th ed. Hamilton, Ontario : BC Decker Inc, 2004:1000-15
  5. Baker SS, Liptak GS, Colletti RB, Croffie JM, Lorenzo CD, Ector W, et al. Constipation in infants and children : Evaluation and treatment. J Pediatr Gastroenterol Nutr 1999;29: 612-26 https://doi.org/10.1097/00005176-199911000-00029
  6. Benninga MA, Voskuijl WP, Taminiau JM. Childhood constipation : Is there new light in the tunnel. J Pediatr Gastroenterol Nutr 2004;39:448-64 https://doi.org/10.1097/00005176-200411000-00002
  7. Voskuijl WP, Heijmans J, Heijmans HSA, Benninga MA. Use of Rome II criteria in children defecation disorders : Applicability in clinical and research practice. J Pediatr 2004;145:213-7 https://doi.org/10.1016/j.jpeds.2004.04.050
  8. Finkel Y. The Paris consensus on childhood constipation terminology(PACCT) group. J Pediatr Gastroenterolo Nutr 2005;40:273-5 https://doi.org/10.1097/01.MPG.0000158071.24327.88
  9. Baucke VL. Prevalence, symptoms and outcome of constipation in infants and toddlers. J Pediatr 2005;146:359-63 https://doi.org/10.1016/j.jpeds.2004.10.046
  10. Colletti R. Constipation and fecal soiling. In : Brandt LJ. editor. Clinical practice of gastroenterology. Philadelphia : Current Medicine Inc, 1999:1392-99
  11. Cuerrero RA, Cavender CP. Constipation : Physical and psychological sequelae. Pediatr Ann 1999;28:312-6
  12. Baucke VL. Encopresis. Curr Opin Pediatr 2002;14:570-5 https://doi.org/10.1097/00008480-200210000-00002
  13. Dupont C. PEG versus lactulose in childhood constipation. J Pediatr Gastroenterol Nutr 2004;39 suppl 1:553
  14. Bulloch B, Tenenbein M. Constipation : Diagnosis and management in the pediatric department. Pediatr Emerg Care 2002;18:254-8 https://doi.org/10.1097/00006565-200208000-00006
  15. Park JO. Constipation : Diagnosis and treatment in children. Pediatr 1998;41:1041-6
  16. Seo JW. Defecation disorders in children-functional constipation and encopresis. J Korean Med Asso 2001;44:59-68
  17. Ko JS. Diagnosis and treatment of constipation in children. 2000;Spring Symposium:49-53
  18. Schonwald AS, Rappaport L. Encopresis : assessment and management. Pediatr Rev 2004;25:278-82 https://doi.org/10.1542/pir.25-8-278