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Clin Pediatr (Phila). 2009 Jan;48(1):26-31. doi: 10.1177/0009922808320599. Epub 2008 Oct 2.

Outcome of functional constipation in childhood: a 10-year follow-up study.

Author information

1
Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Faculty of Medicine and Children's Hospital, Lille University, France. l-michaud@chru-lille.fr

Abstract

OBJECTIVES:

To assess the outcome of patients presenting with functional constipation in childhood during a 10-year period and to determine any risk factors for developing persistent constipation throughout adolescence and adulthood.

PATIENTS AND METHODS:

72 children (mean age 4 years; 40 boys) referred for constipation were included in a longitudinal set of observations. Initial workup included segmental colonic transit time and anorectal manometry; 45 of the 72 patients could be reevaluated 10 to 12 years later.

RESULTS:

21 of 45 patients (46%; 95% confidence interval 29% to 67%) remained constipated at follow-up. Encopresis and recurrent abdominal pain were present in 25% and 56% of patients, respectively. Patients with anorectal dyssynergia remained more frequently constipated at follow-up than the others: 61% versus 29% (P < .05).

CONCLUSION:

Almost 50% of patients presenting with constipation during childhood remained constipated on long-term follow-up. Anorectal dyssynergia is associated with a worse prognosis.

PMID:
18832547
DOI:
10.1177/0009922808320599
[Indexed for MEDLINE]

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