Xu Weili.Standardized diagnosis and treatment of slow transit constipation in children[J].Journal of Clinical Pediatric Surgery,,19():7-11.[doi:10.3969/j.issn.1671-6353.2020.01.002]
Click Copy

Standardized diagnosis and treatment of slow transit constipation in children

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第19卷 Number: 2020 01 Page: 7-11 Column: 述评 Date of publication: 2020-01-01
Author(s):
Xu Weili
Department of Pediatric Surgery, the Second Hospital of Hebei Medical University, 050000
Keywords:
Slow Transit Constipation/DI; Slow Transit Constipation/TH; Child
CLC:
R726;R574.4;R574.62
DOI:
10.3969/j.issn.1671-6353.2020.01.002
Abstract:
Slow transit constipation (STC) is a common type of functional constipation in children,with the increasing trendency.Fully understanding the harmfulness,pathophysiology and pathogenesis of STC is the basis of its individualized treatment.In clinical work,the diagnosis and differential diagnosis of STC in children should be done better,and the best treatment plan should be selected according to the different etiology of STC.With the development of minimally invasive techniques,laparoscopic surgery has become the first choice by most surgeons for the treatment of refractory STC failed in conservative treatment.The author aims to put forward his own thoughts and suggestions on the standardized diagnosis and treatment of STC in combination with his own clinical experience.

References:

1 杨敏,王宝西,冯哲,等.慢传输型便秘的诊断及治疗[J].实用儿科临床杂志,2003,18(12):969-971.DOI:10.3969/j.issn.1003-515X.2003.12.015. Yang M,Wang BX,Feng Z,et al.Diagnosis and treatment of slow transit constipation in children[J].J Appl Clin Pediatr,2003,18(12):969-971.DOI:10.3969/j.issn.1003-515X.2003.12.015.
2 Poddar U.Approach to constipation in children[J].Indian Pediatr,2016,53(4):319-327.DOI:10.1007/s13312-016-0845-9.
3 Benninga MA,Büller HA,Tytgat GN,et al.Colonic transit time in constipated children:does pediatric slow-transit constipation exist?[J]J Pediatr Gastroenterol Nutr,1996,23(3):241-251.DOI:10.1097/00005176-199610000-00007.
4 Sailer M.Slow transit constipation[J].Zentralbl Chir,2019,144(2):179-189.DOI:10.1055/a-0860-5960.
5 莫平,童卫东,崔明.慢传输性便秘患者全结肠Cajal间质细胞的分布[J].中华普通外科杂志,2009,24(3):251-252.DOI:10.3760/cma.j.issn.1007-631X.2009.03.028. Mo P,Tong WD,Cui M.Distribution of Cajal cells in the entire colon in patients with slow transit constipation[J].Chin J Gen Surg,2009,24(3):251-252.DOI:10.3760/cma.j.issn.1007-631X.2009.03.028.
6 Ridha Z,Quinn R,Croaker GD.Predictors of slow colonic transit in children.Pediatr Surg Int,2015,31(2):137-142.DOI:10.1007/s00383-014-3651-2.
7 Nimrouzi M,Zarshenas MM.Functional constipation in children:non-pharmacological approach[J].J Integr Med,2015,13(2):69-71.DOI:10.1016/S2095-4964(15)60152-2.
8 Zhang SC,Wang WL,Qu RB,et al.Preliminary study on diagnostic standard of functional constipation in children from five cities in North China[J].Zhonghua Wei Chang Wai Ke Za Zhi,2010,13(9):656-660.DOI:10.3760/cma.j.issn.1671-0274.2010.09.008.
9 朱兴,李勇芳,韩美蓉,等.改良型结肠传输试验在儿童功能性便秘诊治中的应用价值[J].中国药物与临床,2017,17(6):852-854.DOI:10.11655/zgywylc2017.06.026. Zhu X,Li YF,Han MR,et al.Application value of modified colon transit test in diagnosis and treatment of functional constipation in children[J].Chinese Remedies & Clinics,2017,17(6):852-854.DOI:10.11655/zgywylc2017.06.026.
10 Yoo HY,Kim MR,Park HW,et al.Colon transit time test in Korean children with chronic functional constipation[J].Pediatr Gastroenterol Hepatol Nutr,2016,19(1):38-43.DOI:10.5223/pghn.2016.19.1.38.
11 Yoo HY,Son JS,Park HW,et al.Value of 24-hour delayed film of barium enema for evaluation of colon transit function in young children with constipation[J].J Neurogastroenterol Motil,2016,22(3):483-489.DOI:10.5056/jnm15128.
12 Singh S,Heady S,Coss-Adame E,et al.Clinical utility of colonic manometry in slow transit constipation[J].Neurogastroenterol Motil,2013,25(6):487-495.DOI:10.1111/nmo.12092.
13 李伟强,杨舟.慢传输性便秘患者乙状结肠动力的测定[J].第二军医大学学报,2005,26(8):960.DOI:10.3321/j.issn:0258-879X.2005.08.046. Li WQ,Yang Z.Determination of sigmoid colon dynamics in patients with slow transit constipation[J].Acad J Sec Mil Med Univ,2005,26(8):960.DOI:10.3321/j.issn:0258-879X.2005.08.046.
14 张永刚,李国栋.慢传输性便秘治疗进展[J].中国中西医结合外科杂志,2010,16(4):507-510.DOI:10.3969/j.issn.1007-6948.2010.04.048. Zhang YG,Li GD.Progress in the treatment of slow transit constipation[J].Chin J Integr Surg,2010,16(4):507-510.DOI:10.3969/j.issn.1007-6948.2010.04.048.
15 Yik YI,Hutson J,Southwell B.Home-based transabdominal interferential electrical stimulation for six months improves pediatric slow transit constipation (STC)[J].Neuromodulation,2018,21(7):676-681.DOI:10.1111/ner.12734.
16 Lu ML,He J,Lu S.Electrical stimulation therapy for slow transit constipation in children:a systematic review[J].Int J Colorectal Dis,2015,30(5):697-702.DOI:10.1007/s00384-015-2180-3.
17 Tian H,Ding C,Gong J,et al.Treatment of slow transit constipation with fecal microbiota transplantation:a pilot study[J].J Clin Gastroenterol,2016,50(10):865-870.DOI:10.1097/MCG.0000000000000472.
18 Wong SW,Lubowski DZ.Slow-transit constipation:evaluation and treatment[J].ANZ J Surg,2007,77(5):320-328.DOI:10.1111/j.1445-2197.2007.04051.x.
19 魏东.慢传输型便秘外科手术方法的治疗进展[J].中华胃肠外科杂志,2018,21(3):357-360.DOI:10.3760/cma.j.issn.1671-0274.2018.03.025. Wei D.Progress in the treatment of surgical procedures for slow transit constipation[J].Chin J Gastrointest Surg,2018,21(3):357-360.DOI:10.3760/cma.j.issn.1671-0274.2018.03.025.
20 Tillou J,Poylin V.Functional disorders:slow-transit constipation[J].Clin Colon Rectal Surg,2017,30(1):76-86.DOI:10.1055/s-0036-1593436.
21 孟荣贵,郝立强,傅传刚,等.结肠慢传输型便秘的诊断和治疗[J].中国实用外科杂志,2002,22(l2):719-721.DOI:10.3321/j.issn:1005-2208.2002.12.009. Meng RG,Hao LQ,Fu CG,et al.Diagnosis and treatment of slow t ansit constipation[J].Chin J Practi Surg,2002,22(l2):719-721.DOI:10.3321/j.issn:1005-2208.2002.12.009.
22 Macha MR.The feasibility of laparoscopic subtotal colectomy with cecorectal anastomosis in community practice for slow transit constipation[J].Am J Surg,2019,217(5):974-978.DOI:10.1016/j.amjsurg.2019.03.018.
23 Yang D,He L,Su TR,et al.Outcomes of laparoscopic subtotal colectomy with cecorectal anastomosis for slow-transit constipation:a single center retrospective study[J].Acta Chir Belg,2019,119(2):83-87.DOI:10.1080/00015458.2018.1467145.
24 雷海燕,李康,汤绍涛,等.腹腔镜辅助Duhamel结肠次全切除术治疗肠神经元发育不良症[J].临床小儿外科杂志,2015,14(2):84-91.DOI:10.3969/j.issn.1671-6353.2015.02.002. Lei HY,Li K,Tang ST,et al.Modified laparoscopic Duhamel procedure with subtotal coletomy for intestinal neuronal dysplasia[J].J Clin Pediatr Surg,2015,14(2):84-91.DOI:10.3969/j.issn.1671-6353.2015.02.002.
25 苏毅,李索林,孙驰,等.腹腔镜辅助经肛门Soave拖出术治疗先天性巨结肠症及同类性疾病[J].中华普通外科杂志,2012,27(9):736-739.DOI:10.3760/cma.j.issn.1007-631X.2012.09.013. Su Y,Li SL,Sun C,et al.Laparoscopic-assisted transanal Soave pull-through procedure for Hirschsprung’s disease and allied disorders[J].Chin J Gen Surg,2012,27(9):736-739.DOI:10.3760/cma.j.issn.1007-631X.2012.09.013.

Memo

收稿日期:2019-11-15。
基金项目:河北省重点研发计划健康医疗与生物医药专项项目（编号：18277747D）
作者简介:徐伟立,Email:drxwl99@126.com

Last Update: 1900-01-01