Abstract
Objective: Diagnostic tests may be needed to exclude organic disease in children with constipation. Constipation may be the presenting symptom of celiac disease. We aimed to determine the characteristics of defecation and the prevalence of celiac disease in children with functional constipation. Material and Methods: The medical records of 150 children diagnosed with functional constipation according to Rome III criteria were evaluated retrospectively. Results: One-hundred and fifty children [74 girls (49.3%)], with a mean age of 6.5 ± 4.2 years, had a history of constipation for a median duration of 24 months. The mean presentation age of constipation was 3.6 ± 3.7 years. Children with painful defecation were younger than the others (3.1 ± 3.4 years, vs. 5 ± 4.3 years, respectively, p= 0.018). Children with large and firm stools (7.7 ± 4.3 years) were older than children with pebble stone like stools (5.2 ± 4.2 years) and children with both large and pebble stone like stools (5 ± 3.5 years) (p = 0.002, p = 0,003, respectively). Painful defecation, rectal bleeding and encopresis were more frequent in children with stool holding behaviour (p = 0.034, p = 0.001, p = 0.001, respectively). History of urinary tract infection was more frequent in older children and girls (36 girls, 67.9%) (p = 0.008, p = 0.001, respectively). One (0.65%) patient who had tissue transglutaminase IgA positivity was diagnosed as celiac disease with small bowel biopsy.Conclusion: Celiac disease was not found more frequent in children with functional constipation
Keywords
References
- Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, et al. Childhood functional gastrointestinal disorders: Child/adolescent. Gastroenterology 2006;130:1527-37.
- Morais MB, Maffei HV. Constipation. J Pediatr (Rio J) 2000;76 Suppl 1:S147-S56.
Abstract
Amaç: Kabızlık yakınması ile getirilen çocuklarda organik nedenlerin dışlanması için tanısal testlere ihtiyaç duyulabilir. Kabızlık çölyak hastalığının ilk bulgusu olabilir. Çalışmada fonksiyonel kabızlık tanısı alan çocuklarda dışkılama özelliklerinin ve çölyak hastalığı sıklığının belirlenmesi amaçlandı.Gereç ve Yöntemler: Roma III ölçütlerine göre fonksiyonel kabızlığı olan 150 çocuk dosya taraması ile geriye dönük olarak değerlendirildi.Bulgular: Ortalama 6,5 ± 4,2 (1-17) yaşında olan, 150 çocuğun [74 kız (% 49.3)], ortanca 24 (1-198) aydır kabızlığı vardı. Ortalama kabızlık başlangıç yaşı 3,6 ± 3,7 yıldı. Ağrılı dışkılaması olanlar (ortalama 3.1 ± 3.4 yıl), diğerlerinden (ortalama 5 ± 4.3 yıl) daha küçüktü (p= 0.018). Büyük ve sert dışkılaması olanlar (ortalama 7.7 ± 4.3 yıl), çakıl taşı benzeri küçük ve sert yapanlara (ortalama 5.2 ± 4.2 yıl) ve her iki tipte de dışkılaması olanlara (ortalama 5 ± 3.5 yıl) göre daha büyüktü (sırasıyla p = 0.002, p = 0.003). Dışkı tutma davranışı olanlarda, ağrılı dışkılama, kanama ve dışkı kaçırma sıklığı daha yüksekti (sırasıyla p = 0.034, p = 0.001, p = 0.001). İdrar yolu enfeksiyonu öyküsü büyük çocuklarda ve kızlarda (36 kız, %67.9) daha sıktı (sırasıyla p = 0.008, p = 0.001). Olguların 1’inde (% 0.65) doku transglutaminaz IgA (+) olup ince bağırsak biyopsisi ile çölyak hastalığı tanısı aldı.Sonuç: Fonksiyonel kabızlığı olan çocuklarda çölyak hastalığı sıklığı yüksek bulunmamıştır.
Keywords
References
- Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, et al. Childhood functional gastrointestinal disorders: Child/adolescent. Gastroenterology 2006;130:1527-37.
- Morais MB, Maffei HV. Constipation. J Pediatr (Rio J) 2000;76 Suppl 1:S147-S56.
Details
| Other ID | JA78DK79SV |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 1, 2016 |
| Submission Date | December 1, 2016 |
| Published in Issue | Year 2016 Volume: 10 Issue: 4 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 10 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
The aim of the Turkish Journal of Pediatrics is to publish high-quality original research articles that will contribute to the international literature in the field of general pediatric health and diseases and its sub-branches. It also publishes editorial opinions, letters to the editor, reviews, case reports, book reviews, comments on previously published articles, meeting and conference proceedings, announcements, and biography. In addition to the field of child health and diseases, the journal also includes articles prepared in fields such as surgery, dentistry, public health, nutrition and dietetics, social services, human genetics, basic sciences, psychology, psychiatry, educational sciences, sociology and nursing, provided that they are related to this field. can be published.