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Chronic constipation in children
      02/19/05 05:53 PM
HeatherAdministrator

Reged: 12/09/02
Posts: 7799
Loc: Seattle, WA

Journal of Paediatrics and Child Health
Volume 41 Issue 1-2 Page 1 - January 2005
doi:10.1111/j.1440-1754.2005.00527.x


Review article

Chronic constipation in children: Organic disorders are a major cause

BR Southwell 1,3, SK King 2,4,5 and JM Hutson 2,4,5

Abstract: Diagnostic tools for paediatric chronic constipation have been limited, leading to over 90% of patients with treatment-resistant constipation being diagnosed with chronic idiopathic constipation, with no discernible organic cause. Work in our institution suggests that a number of children with intractable symptoms actually have slow colonic transit leading to slow transit constipation.

This paper reviews recent data suggesting that a significant number of the children with chronic treatment-resistant constipation may have organic causes (slow colonic transit and outlet obstruction) and suggests new approaches to the management of children with chronic treatment-resistant constipation.

http://www.blackwell-synergy.com/links/doi/10.1111/j.1440-1754.2005.00527.x/abs/

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