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Çocukluk çağı kronik kabızlıklarının değerlendirilmesinde tanısal testlerin gerekliliği

Year 2004, Volume: 1 Issue: 3, 10 - 14, 01.04.2004

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

References

  • Hyams JS. Functional gastrointestinal disorders. Curr Opin Pediatr, 1999375-8.
  • Loening-Baucke V. Constipation in children. Curr Opin Pediatr, 1994; 6: 61.
  • Loening-Baucke V: Chronic constipation in children. Gastroenterology, 1993; 105: 1557
  • 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.
  • Nowicki MJ, Bishop PR. Organic causes of constipation in infants and children. Pediatr Ann, 1999; 28: 293
  • Rasquin-Weber A, Hyman PE, Cucchiara S, et al. Childhood functional gastrointestinal disorders. Gut, 1999; 45: 60-8.
  • 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.
  • Hyman PE, Fleisher DR. Pediatric functional gastrointestinal disorders. J Pediatr Gastroenterol Nutr, 1997; : 11-2.
  • Swenson O. Hirschsprung's disease: a review. Pediatrics, 2002; 109: 914-8.
  • Boruchow IB, Miller CD, Fitts WT Jr. Paralytic in myxedema. Arch Surg, 1966; 92:960-3.
  • Leape LL, Ramenofsky ML. Anterior ectopic anus: a common cause of constipation in children. J Pediatr Surg, 1978; 13: 627-30.
  • 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.
  • 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.

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

Year 2004, Volume: 1 Issue: 3, 10 - 14, 01.04.2004

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

References

  • Hyams JS. Functional gastrointestinal disorders. Curr Opin Pediatr, 1999375-8.
  • Loening-Baucke V. Constipation in children. Curr Opin Pediatr, 1994; 6: 61.
  • Loening-Baucke V: Chronic constipation in children. Gastroenterology, 1993; 105: 1557
  • 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.
  • Nowicki MJ, Bishop PR. Organic causes of constipation in infants and children. Pediatr Ann, 1999; 28: 293
  • Rasquin-Weber A, Hyman PE, Cucchiara S, et al. Childhood functional gastrointestinal disorders. Gut, 1999; 45: 60-8.
  • 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.
  • Hyman PE, Fleisher DR. Pediatric functional gastrointestinal disorders. J Pediatr Gastroenterol Nutr, 1997; : 11-2.
  • Swenson O. Hirschsprung's disease: a review. Pediatrics, 2002; 109: 914-8.
  • Boruchow IB, Miller CD, Fitts WT Jr. Paralytic in myxedema. Arch Surg, 1966; 92:960-3.
  • Leape LL, Ramenofsky ML. Anterior ectopic anus: a common cause of constipation in children. J Pediatr Surg, 1978; 13: 627-30.
  • 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.
  • 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.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Mete Kaya This is me

Mehmet Emin Boleken This is me

Dost Zeyrek This is me

Turan Kanmaz This is me

Selçuk Yücesan This is me

Publication Date April 1, 2004
Published in Issue Year 2004 Volume: 1 Issue: 3

Cite

Vancouver Kaya M, Boleken ME, Zeyrek D, Kanmaz T, Yücesan S. Çocukluk çağı kronik kabızlıklarının değerlendirilmesinde tanısal testlerin gerekliliği. Harran Üniversitesi Tıp Fakültesi Dergisi. 2004;1(3):10-4.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty