Abstract
Abstract:
Purpose: Constipation is a common problem in childhood.
There are many causes of constipation in children from
congenital anomalies to metabolic diseases. Many examinations are required to
exclude organic causes from each patient.
Materials
and Methods: Total 200 patients aged between 0-18 years who were admitted to
the Pediatric Gastroenterology Clinic with the complaint of constipation were
retrospectively reviewed. Patients’ age, sex, glucose, calcium, phosphorus,
magnesium, potassium, free thyroxine (fT4), thyroid stimulating hormone (TSH)
values and duration of treatment were analyzed.
Results: Of the 200 patients included in the study,
105 (52.5%) were female and 95 (47.5%) were male. The mean age of the patients
was 4.91±4.63
years (range 0-18 years). None of the patients
had hyperglycemia or hypokalemia. Only one patient had high TSH whose fT4 was
normal. Thirty-one (15.5%), 1 (0.5%), 1 (0.5%) had
hypercalcemia, hyperphosphatemia
and hypermagnesemia respectively. Of the 31 patients with hypercalcemia, 19
were under one, seven were 1-2 years old. Conclusion: Considering the cost, it is
not appropriate to send thyroid function tests, calcium, phosphorus, potassium
and glucose to every child with constipation. However, it may be beneficial to
administer calcium in children under 2 years of age in our region. Further
researches are needed for this.
Keywords
References
- 1- Baran M, Eliaçık K. Etiology and pathogenesis of chronic constipation in childhood. İzmir Dr. Behçet Uz. Çocuk Hast. Dergisi 2013;3:12-17.2- Mugie SM, Benninga MA, Di Lorenzo C. Epidemiology of constipation in children and adults: a systematic review. Best Pract Res ClinGastroenterol. 2011;25:3-18.3- Lu PL, Mousa HM. Constipation: Beyond the Old Paradigms. Gastroenterol Clin North Am. 2018;47:845-862.4- Chogle A, Saps M. Yield and cost of performing screening tests for constipation in children. Can J Gastroenterol. 2013;27:35-8.5- Bennett WE Jr, Heuckeroth RO. Hypothyroidism is a rare cause of isolated constipation. J Pediatr Gastroenterol Nutr. 2012;54:285-7.6- Buluş A, Andıran N. Thyroid Disorders in Childhood and Adolescence. Türkiye Klinikleri J Fam Med- Special Topics 2015;6: 48-53.7- North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Evaluation and treatment of constipation in children: summary of updated recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2006;43:405-7. Review.8- Tabbers MM, DiLorenzo C, Berger MY,et al. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr. 2014;58:258-74.9- Hyams JSS, Di Lorenzo C, Saps M, et al. Functional disorders: children and adolescents. Gastroenterology 2016;150:1456–68. 10- Benninga MA, Faure C, Hyman PE, et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology 2016; 150:1443.e2–55.e2.11- Koppen IJN, Vriesman MH, Tabbers MM, Di Lorenzo C, Benninga MA. Awareness and Implementation of the 2014 ESPGHAN/NASPGHAN Guideline for Childhood Functional Constipation. J Pediatr Gastroenterol Nutr. 2018;66:732-737.
Abstract
Amaç: Kabızlık, çocukluk
yaş grubunda sık görülen bir dışkılama bozukluğudur. Çocuklarda kabızlığın
konjenital anomalilerden metabolik hastalıklara kadar birçok nedeni
bulunmaktadır. Organik nedenlerin
dışlanması için her hastadan birçok tetkik istenmektedir.
Gereç ve Yöntem:
Çocuk Gastroenteroloji Polikliniği’ ne kabızlık şikayeti ile başvuran 0-18
yaşları arası toplam 200 hasta retrospektif olarak incelendi. Hastaların yaşı,
cinsiyeti, glukoz, kalsiyum, fosfor, magnezyum, potasyum, serbest
tiroksin(sT4), tiroid stimule edici hormon (TSH) değerleri ve tedavi süreleri
değerlendirildi.
Bulgular: Çalışmaya dahil edilen 200 hastanın
105(%52,5)’i kız, 95(%47,5)’i erkek idi. Hastaların ortalama yaşı 4,91 ± 4,63
(0-18) yaş bulundu. Hastaların hiçbirinde hiperglisemi ve hipokalemi görülmedi.
Sadece bir hastada TSH yüksek bulundu. Bu hastanın da sT4’ ü normaldi. Hastaların
31(%15,5)’ inde kalsiyum, 1(%0,5)’ inde fosfor ve 1(%0,5)’ inde magnezyum
yüksek bulundu. Hiperkalsemisi olan 31 hastanın 19’ u bir yaş altı, 7’ si ise
1-2 yaş arasındaydı.
Sonuç: Maliyet
düşünüldüğünde kabızlığı olan her çocukta tiroid fonksiyon testleri, kalsiyum,
fosfor, potasyum ve glukoz gönderilmesi uygun değildir. Ancak bölgemiz koşullarında
2 yaş altı çocuklarda kalsiyum gönderilmesi faydalı olabilir. Bu konuda daha
fazla araştırmaya ihtiyaç vardır.
References
- 1- Baran M, Eliaçık K. Etiology and pathogenesis of chronic constipation in childhood. İzmir Dr. Behçet Uz. Çocuk Hast. Dergisi 2013;3:12-17.2- Mugie SM, Benninga MA, Di Lorenzo C. Epidemiology of constipation in children and adults: a systematic review. Best Pract Res ClinGastroenterol. 2011;25:3-18.3- Lu PL, Mousa HM. Constipation: Beyond the Old Paradigms. Gastroenterol Clin North Am. 2018;47:845-862.4- Chogle A, Saps M. Yield and cost of performing screening tests for constipation in children. Can J Gastroenterol. 2013;27:35-8.5- Bennett WE Jr, Heuckeroth RO. Hypothyroidism is a rare cause of isolated constipation. J Pediatr Gastroenterol Nutr. 2012;54:285-7.6- Buluş A, Andıran N. Thyroid Disorders in Childhood and Adolescence. Türkiye Klinikleri J Fam Med- Special Topics 2015;6: 48-53.7- North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Evaluation and treatment of constipation in children: summary of updated recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2006;43:405-7. Review.8- Tabbers MM, DiLorenzo C, Berger MY,et al. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr. 2014;58:258-74.9- Hyams JSS, Di Lorenzo C, Saps M, et al. Functional disorders: children and adolescents. Gastroenterology 2016;150:1456–68. 10- Benninga MA, Faure C, Hyman PE, et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology 2016; 150:1443.e2–55.e2.11- Koppen IJN, Vriesman MH, Tabbers MM, Di Lorenzo C, Benninga MA. Awareness and Implementation of the 2014 ESPGHAN/NASPGHAN Guideline for Childhood Functional Constipation. J Pediatr Gastroenterol Nutr. 2018;66:732-737.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Paediatrics |
| Journal Section | Research Article |
| Authors | |
| Publication Date | September 30, 2019 |
| Submission Date | April 16, 2019 |
| Acceptance Date | July 12, 2019 |
| Published in Issue | Year 2019 Volume: 12 Issue: 3 |
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