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Role of daily anal stimulation for intractable functional constipation in infants
World Journal of Pediatric Surgery Pub Date : 2020-07-01 , DOI: 10.1136/wjps-2020-000135
Tianqi Zhu 1 , Xiaoyi Sun 1 , Dan Zhu 1 , Qian You 1 , Xiaoting Wan 1 , Xinyao Meng 1 , Jiexiong Feng 1
Affiliation  

Objective Functional constipation is one of the most common problems in pediatric gastroenterology. The aim of the present study was to evaluate the effectiveness of daily anal stimulation in infants with intractable functional constipation (IFC). Our evaluation was based on clinical improvement and on changes in manometric parameters through time. Methods Infants with IFC treated between January 2018 and December 2019 were included in this retrospective study. Treatment processing included daily anal stimulation for infants and psychological counseling for parents. All cases underwent a complete intervention program and were evaluated for improvement in symptoms and for changes in anorectal manometry within 1 year of follow-up. Results A total of 161 patients were included in this study. Positive response was achieved in all patients. Frequency of defecation, change in stool form and decrease in the defecatory pain were significantly relieved in all infants after intervention. On anorectal manometry, no significant difference was found in the peristaltic frequency of distal rectum before and after treatment. There was a significant increase in the mean amplitude of peristalsis and improvement in the rhythm after intervention. In the 1 year of follow-up, three patients had recurrence of constipation requiring colectomy. Conclusion In terms of the high clinical efficacy and limited side effects, daily anal stimulation may be included in the initial part of an intervention program for IFC in infants.

中文翻译:

每日肛门刺激对婴儿顽固性功能性便秘的作用

目的功能性便秘是小儿消化科最常见的问题之一。本研究的目的是评估每日肛门刺激对顽固性功能性便秘 (IFC) 婴儿的有效性。我们的评估基于临床改善和测压参数随时间的变化。方法 本回顾性研究纳入了 2018 年 1 月至 2019 年 12 月期间接受治疗的 IFC 婴儿。治疗过程包括每天对婴儿进行肛门刺激和对父母进行心理疏导。所有病例都接受了完整的干预计划,并在随访 1 年内评估了症状的改善和肛门直肠测压的变化。结果 本研究共纳入 161 例患者。所有患者均获得阳性反应。干预后所有婴儿的排便频率、大便形状改变和排便疼痛减轻均显着缓解。肛门直肠测压,治疗前后远端直肠蠕动频率无显着差异。干预后平均蠕动幅度显着增加,节律改善。在 1 年的随访中,3 名患者便秘复发,需要进行结肠切除术。结论 鉴于临床疗效高、副作用小,每日肛门刺激可纳入婴儿IFC干预方案的初始部分。治疗前后远端直肠蠕动频率无明显差异。干预后平均蠕动幅度显着增加,节律改善。在 1 年的随访中,3 名患者便秘复发,需要进行结肠切除术。结论 鉴于临床疗效高、副作用小,每日肛门刺激可纳入婴儿IFC干预方案的初始部分。治疗前后远端直肠蠕动频率无明显差异。干预后平均蠕动幅度显着增加,节律改善。在 1 年的随访中,3 名患者便秘复发,需要进行结肠切除术。结论 鉴于临床疗效高、副作用小,每日肛门刺激可纳入婴儿IFC干预方案的初始部分。
更新日期:2020-07-01
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