Çocukluk çağı kronik kabızlıklarının değerlendirilmesinde tanısal testlerin gerekliliği

Abstract

Amaç: Kabızlık şikayeti ile getirilen çocuklarda organik nedenlerin elenmesi amacıyla tanısal testlere ihtiyaç duyulmaktadır. Bu çalışmada amacımız kabızlık şikayeti olan çocukların değerlendirilmesinde tanısal testlerin gerekliliğini araştırmaktır. Gereç-yöntem: Çalışmamızda Ocak 2002 - Kasım 2003 tarihleri arasında kabızlık ile polikliniğimize başvuran 100 çocukta kabızlık nedenleri ve kullanılan tanısal testlerin sıklığı yaşa göre incelendi. Bulgular: Çocukların %62’ine tanısal test uygulandı ve %11’inde organik bir hastalık tespit edildi. Tanısal testlerden distal kolon grafisi ve rektal biyopsinin bir yaş altında daha fazla kullanıldığı görüldü. Bir yaş altında tanısal teste başvurma sıklığı, bir yaşından büyüklerden anlamlı olarak yüksek bulundu p

Keywords

• Defekasyon sorunları,tanısal testler,fonksiyonel kabızlık

The necessity of diagnostic tests for the assessment of constipation in childhood

Abstract

Background: To eliminate the organic diseases in children with constipation, the diagnostic tests are required occasionally in diagnosis. In this study, we aimed to investigate the necessity of additional diagnostic tests for the evaluation of children with constipation. Methods: Between January 2002 and November 2003, we reviewed 100 children with chronic constipation who had admitted in our department. The most used diagnostic tests and results, and final diagnosis were noted according to the age. Results: We found that the diagnostic tests were used in 62% of children; the cause of constipation was organic diseases in 11%. The barium enema and rectal biopsy were most practical tests under one year old. The incidence of application of diagnostic tests in the first age was significantly higher than older p

Keywords

• Defecation problems,diagnostic tests,functional constipation

References

1. Hyams JS. Functional gastrointestinal disorders. Curr Opin Pediatr, 1999375-8.
2. Loening-Baucke V. Constipation in children. Curr Opin Pediatr, 1994; 6: 61.
3. Loening-Baucke V: Chronic constipation in children. Gastroenterology, 1993; 105: 1557
4. Youssef NN, Di Lorenzo C. Childhood Constipation: Evaluation and Treatment. J Clin Gastroenterol, ; 33: 199-205. Amendola S, De Angelis P, Dall'oglio L, Di Abriola GF, Di Lorenzo M. Combined approach to functional constipation in children, J Pediatr Surg, 2003; 38: 819-23.
5. Nowicki MJ, Bishop PR. Organic causes of constipation in infants and children. Pediatr Ann, 1999; 28: 293
6. Rasquin-Weber A, Hyman PE, Cucchiara S, et al. Childhood functional gastrointestinal disorders. Gut, 1999; 45: 60-8.
7. Tander B, Guven A, Demirbag S, et al. A prospective, randomized, double-blind, placebo-controlled trial of glyceryl-trinitrate ointment in the treatment of children with anal fissure. J Pediatr Surg, 1999;34: 2.
8. Hyman PE, Fleisher DR. Pediatric functional gastrointestinal disorders. J Pediatr Gastroenterol Nutr, 1997; : 11-2.

9. Swenson O. Hirschsprung's disease: a review. Pediatrics, 2002; 109: 914-8.
10. Boruchow IB, Miller CD, Fitts WT Jr. Paralytic in myxedema. Arch Surg, 1966; 92:960-3.
11. Leape LL, Ramenofsky ML. Anterior ectopic anus: a common cause of constipation in children. J Pediatr Surg, 1978; 13: 627-30.
12. Van Kuyk EM, Wissink-Essink M, Brugman-Boezeman ATM, et al. Multidisciplinary behavioral treatment of defecation problems: a controlled study in children with anorectal malformations. J Pediatr Surg, 2001; 36: 1350-6.
13. Rosemberg AJ, Vela AR. A new simplified technique for pediatric anorectal manometry. Pediatrics, ; 71: 240-5. Meier-Ruge W, Lutterbeck PM, Herzog B, et al. Acetylcholinesterase activity in suction biopsies of the rectum in the diagnosis of Hirschsprung's disease. J Pediatr Surg, 1972; 7:11-7.