Bağırsak-Mesane Disfonksiyonu: Konstipasyon Üriner Sistem Hastalıklarının İlk Belirtisi Olabilir mi?

S Çam

doi:10.18521/ktd.19880

-

Yıl 2015, Cilt: 7 Sayı: 3, 186 - 191, 20.11.2015

S Çam

https://doi.org/10.18521/ktd.19880

Öz

Functional defecation disorders compromise a common clinical entity for pediatricians. The diagnosis and management of these problems are complex and time consuming. Currently, Rome III criteria provide a standard terminology in clinical practice. Functional voiding symptoms are also common in children. It is well known that both constipation and voiding symptoms can be a risk factor for each other. In a certain group of patients, functional defecation and voiding symptoms may be a component of a single disorder as dysfunctional elimination or bowelbladder syndrome. Therefore, constipation should be investigated in children with voiding symptoms, and treatment of constipation must also be included in the management. Similarly, possibility of lower urinary tract symptoms and urinary infections should be considered in children presenting with constipation

Anahtar Kelimeler

Functional Constipation, Functional Fecal Incontinence

Kaynakça

Loening-Baucke V. Prevalence rates for constipation and faecal and urinary incontinence. Arch Dis Child 2007; 92(6): 486–9.
Benninga MA, Büller HA, Heymans HS, et al. Is encopresis always the result of constipation? Arch Dis Child 1994; 71(3): 186–93.
Loening-Baucke V. Functional fecal retention with encopresis in childhood. J Pediatr Gastroenterol Nutr 2004; 38(1): 79–84.
Loening-Baucke V. Factors determining outcome in children with chronic constipation and faecal soiling. Gut 1989; 30(7): 999–1006.
Voskuijl WP, Heijmans J, Heijmans HS, et al. Use of Rome II criteria in childhood defecation disorders: applicability in clinical and research practice. J Pediatr 2004; 145(2): 213–7.
Rasquin A, Di Lorenzo C, Forbes D et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology 2006; 130(5):1527-37.
Nevéus T, von Gontard A, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children's Continence Society. J Urol 2006; 176(1): 314-24.
Mugie SM, Di Lorenzo C, Benninga MA. Constipation in childhood. Nat Rev Gastroenterol Hepatol 2011; 8(9): 502-11.
Gutiérrez C, Marco A, Nogales A, et al. Total and segmental colonic transit time and anorectal manometry in children with chronic idiopathic constipation. J Pediatr Gastroenterol Nutr 2002; 35(1): 31-8.
Di Lorenzo C, Flores AF, Reddy SN, et al. Use of colonic manometry to differentiate causes of intractable constipation in children. J Pediatr 1992; 120(5): 690-5.
Koff SA, Wagner TT, Jayanthi VR. The relationship among dysfunctional elimination syndromes, primary vesicoureteral reflux and urinary tract infections in children. J Urol 1998; 160(3 Pt 2): 1019-22.
Burgers RE, Mugie SM, Chase J et al. Management of functional constipation in children with lower urinary tract symptoms: report from the Standardization Committee of the International Children's Continence Society. J Urol 2013; 190(1): 29-36.
Burgers R, Liem O, Canon S et al. Effect of rectal distention on lower urinary tract function in children. J Urol 2010;184(4 Suppl): 1680-5.
Yazbeck S, Schick E, O'Regan S. Relevance of constipation to enuresis, urinary tract infection and reflux. A review. Eur Urol 1987; 13(5): 318-21.
O'Regan S, Yazbeck S. Constipation: a cause of enuresis, urinary tract infection and vesico-ureteral reflux in children. Med Hypotheses 1985; 17(4): 409-13.
Loening-Baucke V. Urinary incontinence and urinary tract infection and their resolution with treatment of chronic constipation of childhood. Pediatrics 1997; 100(2 Pt 1): 228-32.
Lucanto C, Bauer SB, Hyman PE, et al. Function of hollow viscera in children with constipation and voiding difficulties. Dig Dis Sci 2000; 45(7): 1274-80.
De Paepe H, Renson C, Van Laecke E, et al. Pelvic-floor therapy and toilet training in young children with dysfunctional voiding and obstipation. BJU Int 2000; 85(7): 889-93.
Erickson BA, Austin JC, Cooper CS, et al. Polyethylene glycol 3350 for constipation in children with dysfunctional elimination. J Urol 2003; 170(4 Pt 2): 1518-20.
Robson WL, Leung AK, Van Howe R. Primary and secondary nocturnal enuresis: similarities in presentation. Pediatrics 2005; 115(4): 956-9.
Kasirga E, Akil I, Yilmaz O, et al. Evaluation of voiding dysfunctions in children with chronic functional constipation. Turk J Pediatr 2006; 48(4): 340-3.
Bael AM, Benninga MA, Lax H et al. European Bladder Dysfunction Study and EU#BMH-CT. Functional urinary and fecal incontinence in neurologically normal children: symptoms of one 'functional elimination disorder'? BJU Int 2007; 99(2): 407-12.
Chrzan R, Klijn AJ, Vijverberg MA, et al. Colonic washout enemas for persistent constipation in children with recurrent urinary tract infections based on dysfunctional voiding. Urology 2008; 71(4): 607-10.
Kim JH, Lee JH, Jung AY, et al. The prevalence and therapeutic effect of constipation in pediatric overactive bladder. Int Neurourol J 2011; 15(4): 206-10.
Vaz GT, Vasconcelos MM, Oliveira EA, et al. Prevalence of lower urinary tract symptoms in school-age children. Pediatr Nephrol 2012; 27(4): 597-603.
Thom M, Campigotto M, Vemulakonda V, et al. Management of lower urinary tract dysfunction: a stepwise approach. J Pediatr Urol 2012; 8(1): 20-4.
Burgers R, de Jong TP, Visser M, et al. Functional defecation disorders in children with lower urinary tract symptoms. J Urol 2013; 189(5): 1886-91.
Chung JM, Lee SD, Kang DI, et al. Korean Enuresis Association. An epidemiologic study of voiding and bowel habits in Korean children: a nationwide multicenter study. Urology 2010; 76(1): 215-9.
Kutlu T. Fonksiyonel bağırsak hastalıkları. Türkiye Klinikleri J Pediatr Sci 2007; 3(7): 1-9.