Gennaio 2013 - Volume XXXII - numero 1

Medico e Bambino

Problemi correnti

Stipsi 2013

Sergio Amarri

Pediatria, AO Arcispedale Santa Maria Nuova, IRCCS, Reggio Emilia

Indirizzo per corrispondenza:

Constipation 2013

Key words: Childhood, Functional constipation, Case-management, Oral laxatives, Polyethylene glycol, Review

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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S. Amarri
Stipsi 2013
Medico e Bambino 2013;32(1):23-28

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