The magnitude and management of functional constipation at pediatric gastroenterology clinics: A survey study of various countries

• DOI: 10.1111/jgh.15671
• Publication Date: 2021-08-23T16:07:05Z
• Authors: Seksit Osatakul; Marc A. Benninga; Nikhil Thapar; Suporn Treepongka...; Areeruk Puetpaiboon
• Keywords: Pediatric gastroenterology; Functional constipation; Enema; Outpatient clinic; Anorectal manometry

There have been no large-scale epidemiological study of functional constipation pediatric gastroenterology services. This survey was undertaken to investigate the prevalence and magnitude related problems in hospital settings various countries as well practice gastroenterologists management these conditions.The conducted by sending questionnaires members Societies for Pediatric Gastroenterology Hepatology Nutrition continents.A total 274 from 41 participated this study. Functional accounted overall 30% patients attending outpatient clinics. In comparison with non-western countries, respondents western reported significantly higher median annual numbers new intractable (10 [4,25] vs 5 [2,10], P < 0.001), dyssynergic defecation (3 [0,15] 1 [0,4], colonic inertia (2 [0,5] 0 [0,1], 0.001). The use high dose polyethylene glycol fecal disimpaction more commonly among whereas rectal enema favored countries. Respondents different continents significant discrepancies choices investigations inertia.Functional is a major problem services worldwide. were variations choice therapeutic constipation, geographic regions.