ArticlePediatric surgery international2009
Gastrointestinal transit in children with chronic idiopathic constipation.
Article in Pediatric surgery international, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Thirty years of paediatric colonic motility assessment modalities: a systematic review.Frontiers in pediatrics · 2026Pooled it
- Slow-transit constipation with concurrent upper gastrointestinal dysmotility and its response to transcutaneous electrical stimulation.Pediatric surgery international · 2011Trial
- Proceedings of the 2018 Advances In Motility and In NeuroGastroenterology: AIMING for the Future Single Topic Symposium.Journal of pediatric gastroenterology and nutrition · 2020Article
- 'Rapid transit' constipation in children: a possible genesis for irritable bowel syndrome.Pediatric surgery international · 2020Review
- Surgical Management of Idiopathic Constipation in Pediatric Patients.Clinics in colon and rectal surgery · 2018Review
- Nuclear transit study in children with chronic faecal soiling after Hirschsprung disease (HSCR) surgery has revealed a group with rapid proximal colonic treatment and possible adverse reactions to food.Pediatric surgery international · 2016Article
- The effect of food withdrawal in children with rapid-transit constipation.Pediatric surgery international · 2016Article
- Novel techniques to study colonic motor function in children.Current gastroenterology reports · 2013Review
- Gender differences in reduced substance P (SP) in children with slow-transit constipation.Pediatric surgery international · 2011Article
- Standard medical therapies do not alter colonic transit time in children with treatment-resistant slow-transit constipation.Pediatric surgery international · 2009Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledChronic constipation in children is common and produces significant morbidity. Identification of the site of dysmotility in constipation may determine the cause and permit directed management. Scintigraphy differentiates constipated patients with anorectal hold-up from those with colonic slowing. Adults with colonic slowing demonstrate variation in the site of hold-up. However, in children with colonic slowing, variability in the site of hold-up has not been investigated. PURPOSE: The current study aimed to characterise colonic transit patterns in 64 children with chronic idiopathic constipation.
methodsScintigraphic images were grouped visually by their transit patterns. Intra-observer variation was assessed. Scintigraphic data were analysed quantitatively.
resultsVisual analysis of scintigraphy studies demonstrated normal transit (11/64), anorectal hold-up (7/64) and slow colonic transit (46/64). Transit characteristics in the slow transit group demonstrated three possible subgroups: pancolonic slowing (28/46), discrete hold-up in the transverse colon (10/46) and abnormal small and large bowel transit (8/46). Kappa testing demonstrated consistent characterisation (k = 0.79). Statistical analysis of scintigraphic data demonstrated highly significant differences from normal (P < 0.001) in the subgroups.
conclusionScintigraphy demonstrates three possible transit patterns in children with chronic constipation secondary to slow colonic transit.
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