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- Title
MULTIDISCIPLINARY APPROACH TO CHRONIC CONSTIPATION ASSOCIATED WITH FECAL INCONTINENCE IN CHILDREN.
- Authors
Olaru, Claudia; Diaconescu, Smaranda; Lupu, Valeriu V.; Gimiga, Nicoleta; Paduraru, Gabriela; Ignat, Ancuta; Olaru, Radian A.; Drug, Vasile; Burlea, Marin
- Abstract
Constipation is a common symptom in clinical practice. Definition include abnormal transit difficulty during defecation and abnormal stool consistency. Limited diagnostic methods and the many diseases that lead to symptoms, leading to more cases of drug resistance. Treatment includes dietary and behavioral approaches, pharmacological therapy and surgery in carefully selected cases. Surgery is recommended in patients with severe constipation resistant to conservative treatment. Confirmation of indication for surgical treatment requires colonic transit studies, defecation function and conducting anorectal manometry. Therefore, a close collaboration between pediatric gastroenterologists and surgeon pediatricians is essential for the careful preoperative evaluation and gastrointestinal function. Postoperative complications include intestinal obstruction, abdominal pain, flatulence and diarrhea. The effectiveness of surgery and prevalence of postoperative complications are determined by a careful preoperative evaluation of the gastrointestinal function.
- Subjects
FECAL incontinence in children; CONSTIPATION in children; SYMPTOMS; DRUG resistance; DRUG therapy; COLON surgery; SURGICAL complications; THERAPEUTICS
- Publication
Romanian Journal of Pediatrics / Revista Romana de Pediatrie, 2015, Vol 64, Issue 1, p14
- ISSN
1454-0398
- Publication type
Article
- DOI
10.37897/rjp.2015.1.3