Ins and outs of therapy of functional proctogenic constipation in children
https://doi.org/10.21518/2079-701X-2016-07-66-69
Abstract
In recent years, chronic constipation has become one of the key challenges in pediatric gastroenterology. Motility disorders in children are often functional; there are mixed (cologenic and proctogenic) and proctogenic disorders. Treatment of constipation in children should be comprehensive. If non-pharmacological treatments fail, medications are used. Therapy of proctogenic and mixed constipation should imply softening of the stool and facilitating evacuation. The first aim is achieved through the use of laxatives (osmotic laxatives). Administration of glycerol suppositories in combination with osmotic laxatives facilitates evacuation and helps to overcome fear of defecation.
About the Author
M. L. Babayan
Clinical Research Institute of Pediatrics named after acad. Y.E. Veltischev, Russian National Research Medical University named after N.I. Pirogov, Russia’s Ministry of Health
Russian Federation
PhD in Medicine
Russian Federation
PhD in Medicine
References
1. University of Michigan Medical Center. Idiopathic constipation and soiling in children. Ann Arbor (MI): University of Michigan Health System; 1997. 5: 4.
2. Баранов А.А., Климанская Е.В. Заболевания органов пищеварения у детей (тонкая и толстая кишка). М., 1999. 210 с.
3. Хавкин А.И., Жихарева Н.С., Рачкова Н.С. Хронические запоры у детей. Лечащий врач. 2003. 5 (42): 4.
4. Benninga M.A. Constipation and Faecal Incontinence in Childhood. Stockholm. Blackwell Pub., 1998, ISBN 0-632-04918-9.
5. Stendal C. Practical Guide to Gastrointestinal Function Testing. Amsterdam. Blackwell Pub. 1994, ISBN 90-9007144-Х.
6. Румянцев В.Г. Практическая колопроктология. Запоры: тактика ведения пациента в поликлинике. www.proctolog.ru.
7. Paul E. Hyman, Peter J. Milla, Marc A. Benninga. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology, 2006:1519-1526.
8. Andrée Rasquin, Carlo Di Lorenzo, David Forbes, Ernesto Guiraldes, Jerrey S.Hyams, Annamaría Staiano, and Lyn S.Walker. Childhood functional gastrointestinal disorders: Child/Adolescent. Gastroenterology, 2006, 1517-1537.
9. Constipation in children and young people, NICE Clinical Guideline (May 2010).
10. Потапов А.С., Полякова С.И.. Возможности применения лактулозы в терапии хронического запора у детей. Вопросы современной педиатрии. 2003. (2) 2: 65-70.
Review
For citations:
Babayan ML. Ins and outs of therapy of functional proctogenic constipation in children. Meditsinskiy sovet = Medical Council. 2016;(7):66-69. (In Russ.) https://doi.org/10.21518/2079-701X-2016-07-66-69
Views:
592
Email this article 