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- Title
Functional constipation in children: the pediatric surgeon's perspective.
- Authors
Wester, Tomas
- Abstract
The prevalence of functional constipation in children is almost 10 %. The etiology is multifactorial and not fully understood. In the majority of cases, there is no organic explanation for the symptoms. However, it is very important to exclude organic causes, particularly in neonates and infants. There are warning symptoms, such as delayed passage of meconium, bilious vomiting and abdominal distention that should prompt further investigations. Fecal incontinence is a very common symptom secondary to fecal impaction. The first-line treatment for both disimpaction and maintenance is use of laxatives. Parental education is extremely important. There are very limited data on surgical approaches for functional constipation.
- Subjects
CONSTIPATION in children; PEDIATRIC surgeons; MECONIUM; BILIOUS diseases &; biliousness; FECAL incontinence in children; HIRSCHSPRUNG'S disease; LAXATIVES
- Publication
Pediatric Surgery International, 2013, Vol 29, Issue 9, p883
- ISSN
0179-0358
- Publication type
Article
- DOI
10.1007/s00383-013-3354-0