ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2020
Functional constipation or redundancy of the colon?
Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- How do we define therapy-resistant constipation in children aged 4-18 years old? A systematic review with meta-narrative synthesis.BMJ paediatrics open · 2024Pooled it
- Deep learning for automatic volumetric bowel segmentation on body CT images.European radiology · 2025Article
- Colonic Volvulus Associated with Hirschsprung's Disease in the Pediatric Age.International journal of colorectal disease · 2025Review
- Artificial intelligence-powered early identification of refractory constipation in children.Translational pediatrics · 2024Article
- Can Infant Dyschezia Be a Suspect of Rectosigmoid Redundancy?Children (Basel, Switzerland) · 2022Article
- Patients with Specific Gastrointestinal Motility Disorders are Commonly Diagnosed as Functional GI Disorders in the Early Stage by Community Physicians due to Lack of Awareness.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021Article
- Author's reply to comment on article: Redundant colon and refractory constipation in children.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2020Article
- Redundant colon and refractory constipation in children.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2020Article
- Editorial commentary on the Indian Journal of Gastroenterology March-April 2020 issue.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesConstipation is a common problem in children, and most of the time, the cause is defined as functional. Our hypothesis is that children with functional refractory constipation had anatomic alterations of the colon.
methodsAll children with chronic refractory constipation who visited our centre underwent accurate clinical examination, contrast enema (CE), anorectal manometry (ARM) and rectal suction biopsies (RSB). In case of functional constipation, three operators measured the size of the colon using radiograms and calculated the ratio based on the width of the second lumbar vertebra. The measurements carried out were compared with those reported in the literature on patients of the same age without constipation.
resultsOver a period of 24 months, 69 patients with chronic refractory constipation, aged between 1 and 14 years, visited our department. A CE was performed on 67, and 2 were excluded because of anal stenosis. Sixty-five underwent anorectal manometry. Rectal suction biopsies were needed in 14 children, and 2 of them were found to have colonic aganglionosis. After a complete evaluation, 57 (82.61%) patients were diagnosed having functional constipation. By comparing the data of the patients with those of normal children reported by the other authors, we found that none of the measurements was statistically significant except for the rectosigmoid length: the mean value in one-year-old patients was 19.03 vs. 9.75, and in older children, it was 19.46 vs. 9.59.
conclusionsRecognizing an anatomic anomaly in patients suffering from functional constipation is important for specific treatment, especially when the ratio (rectosigmoid length/L2) is higher than 15.
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