Problemi correnti
Stipsi 2013
Constipation 2013
Sergio Amarri
Pediatria, AO Arcispedale Santa Maria Nuova, IRCCS, Reggio Emilia
Gennaio 2013 - pagg. 23 -28
Abstract
Constipation in children can be a long-lasting paediatric functional gastrointestinal disorder
with a high prevalence in the western world. A complete medical history and physical
examination, in combination with a bowel movements description, can lead to diagnose
constipation in the majority of cases. Typical diagnostic findings of functional constipation
can be pointed out instead of warning symptoms for organic constipation; diagnostic
help can be eventually found in few and simple blood exams. Chronic functional
constipation can bring to a decreased quality of life and to higher prevalence of behavioural
problems. The current standard treatment consists of education, initial faecal disimpaction,
toilet training, maintenance therapy and long-term follow-up. In the past decade,
well-designed treatment trials in the paediatric population have emerged and
long-term outcome studies have been completed, more recently several review and metaanalysis
have brought lights on this issue. This article summarizes the current knowledge
of functional childhood constipation applied to a single clinical case, with particular
emphasis on the latest available evidence based data.
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Corrispondenza: sergio.amarri@asmn.re.it