CONSTIPATIONS IN CHILDREN
https://doi.org/10.15690/vsp.v11i3.309
Abstract
The questions of childhood constipations epidemiology, complications frequency and some statements of foreign conciliatory recommendation are discussed in this article. The authors show data on prevalence of this disorder in various countries. The importance of control of the clinical manifestations, which can be evidences of organic disorder, is highlighted. Also the authors pay special attention to age specificities of constipations development in children. The mechanisms and peculiarities of lactulose actions, indications and contraindications to its usage are discussed in detail. The article includes the data obtained from randomized clinical trials.
About the Authors
A. R. Polishchuk
I.M. Setchenov First Moscow State Medical University
Russian Federation
Russian Federation
S. I. Erdes
I.M. Setchenov First Moscow State Medical University
Russian Federation
Erdes Svetlana Il’inichna, PhD, professor, Head of the Department of Propedeutics of Child Diseases of Pediatric Faculty
Russian Federation
Erdes Svetlana Il’inichna, PhD, professor, Head of the Department of Propedeutics of Child Diseases of Pediatric Faculty
B. O. Matsukatova
I.M. Setchenov First Moscow State Medical University
Russian Federation
Russian Federation
References
1. Цимбалова Е. Г., Потапов А. С., Баранов К. Н. Хронические запоры у детей. Вопросы современной педиатрии. 2002; 1 (6): 56–61.
2. Хавкин А. И. Функциональные нарушения желудочно-кишечного тракта у детей раннего возраста. М.: Правда. 2000. 72 с.
3. Loening-Baucke V. Prevalence rates for constipation and faecal and urinary incontinence. Arch. Dis. Child. 2007; 92 (6): 486–489.
4. Saps M., Sztainberg M., Di Lorenzo C. A prospective communitybased study of gastroenterological symptoms in school-age children. J. Pediatr. Gastroenterol. Nutr. 2006; 43 (4): 477–482.
5. Yong D., Beattie R. M. Normal bowel habit and prevalence of constipation in primary-school children. Ambulatory Child. Health. 1998; 4: 277–282.
6. Ludvigsson J. F. Epidemiological study of constipation and other gastrointestinal symptoms in 8000 children. Acta Paediatrica. 2006; 95 (5): 573–580.
7. de Araujo Sant Anna A. M., Calcado A. C. Constipation in schoolaged children at public schools in Rio de Janeiro, Brazil. J. Pediatr. Gastroenterol. Nutr. 1999; 29 (2): 190–193.
8. Rajindrajith S., Devanarayana N. M., Mettananda S. et al. Constipation and functional faecal retention in a group of school children in a district in Sri Lanka. J. Child. Health. 2009; 38: 60–64.
9. Constipation and Soiling in Children. Guideline Team. University of Michigan Health System. Functional. UMHS functional constipation and soiling guideline. Ann. Arbor. 2003.
10. Constipation in children and young people. Diagnosis and management of idiopathic childhood constipation in primary and secondary care. NICE clinical guideline 99. Developed by the National Collaborating Centre for Women’s and Children’s Health. London. 2010.
11. Evaluation and Treatment of Constipation in Infants and Children: Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. JPGN. 2006; 43: e1–e13.
12. Montgomery E., Hudson C. S. Transformation of lactose to a new disaccharide, lactoketose. Science. 1929; 69: 556–557.
13. Mayerhofer F., Petuely F. Untersuchungenzur Regulation der Darmtrdgheit des ErwachsenenmitHilfe der Lactulose (Bifidus- Faktor). Wien. Klin. Wochenschr. 1959; 71: 865–869.
14. Menzies I. S., Pounder R., Heyer S. et al. Abnormal intestinal permeability to sugars in villous atrophy. Lancet. 1979; 2: 1107–1109.
15. Managing Constipation in Children. DTB. 2000; 38 (8): 57–60.
16. Bush R. T. Lactulose: An ideal laxative for children. NZ. Med. J. 1970; 71: 364–365.
17. Engelhardt F., Schreier K. Lactulose in der Behandlung der Sduglings und Kleinkinderobstipation. Med. Erndhr. 1972; 13: 124–125.
18. Muller M., Jaquenoud-Sirot E. Behandlung der chronischen Obstipation bei Kindernmit Lactulose. Ars. Medici. 1994; 84: 568–74.
19. Palmie P. E. ZurBehandlung der Obstipation imKindes- und Jugendalter. Therapiewoche. 1980; 30: 4045–4049.
20. Perkin J. M. Constipation in childhood: a controlled comparison between lactulose and standardized senna. Curr. Med. Res. Opin. 1977; 4: 540–543.
21. Von Klinggrdff C. ZurTherapie der Obstipation beiKleinkindern, Kindern und Jugendlichen. Kinderarzt. 1981; 6: 1–3.
22. Gleason W., Figueroa-Colon R., Robinson L. H. et al. A doubleblind, parallel-group, placebo-controlled study of lactu-lose in the treatment of encopresis in children with chronic constipation. Gastroenterol. 1995; 108 (Suppl. 4): A606.
23. Ghisolfi J. Dietary fibre and prebiotics in infant formulas. The Proceedings of the Nutrition Society. 2003; 62 (1): 183–185.
24. Aggett P. J., Agostoni C., Axelsson I. et al. Nondigestible carbohydrates in the diets of infants and young children: A commentary by the ESPGHAN Committee on Nutrition. Journal of pediatric gastroenterology and nutrition. 2003; 36 (3): 329–337.
25. Schumann C. Medical, nutritional and technological properties of lactulose. Anupdate. Eur. J. Nutr. 2002; 41 (Suppl. 1): 17–25.
26. Haschke F., Firmansyah A., Meng M. et al. Functional food for infants and children; FunktionelleSaeuglings und Kindernahrung. Monatsschrift Kinderheilkunde — Organ der Deutschen Gesellschaftfuer Kinderheilkunde und Jugendmedizin. 2001; 149 (13): 66–70.
27. Marini A., Negretti F., Boehm G. Pro- and pre-biotics administration in preterm infants: colonization and influence on faecal flora. Actapaediatrica. 2003; 91 (441): 80–81.
28. Kokke F. A Dietary Fiber Mixture versus Lactulose in the Treatment of Childhood Constipation: A Double-blind Randomized Controlled Trial. JPGN. 2008; 47 (5): 592–597.
29. Connolly P. Comparison of ‘Duphalac’ and ‘irritant’ laxatives during and after treatment of chronic constipation: a preliminary study. Curr. Med. Res. Opin. 1975; 2 (10): 620–625.
Review
For citations:
Polishchuk A.R., Erdes S.I., Matsukatova B.O. CONSTIPATIONS IN CHILDREN. Current Pediatrics. 2012;11(3):112-115. (In Russ.) https://doi.org/10.15690/vsp.v11i3.309
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