Huang Yixuan,Liu Zhifeng.Recent advances in the diagnosis and treatment of intractable constipation due to redundant colon in children[J].Journal of Clinical Pediatric Surgery,,21():1040-1044.[doi:10.3760/cma.j.cn101785-202012016-008]
Recent advances in the diagnosis and treatment of intractable constipation due to redundant colon in children
- Keywords:
- Anorectal Malformations; Constipation; Colonic Diseases
- Abstract:
- Children of intractable constipation present frequently with dilated and redundant colon leading to long-term fecal impaction and not responding to conventional treatments for over 3 months.As a result, bowel loses normal function.Intractable constipation may adversely affect the growth, development and even quality-of-life.In conjunctions with contrast enema for determining whether or not colon location and morphological changes are abnormal, colonic transit time, anorectal manometry, colonic manometry and pathological findings aid in differentiating bowel movement disorders for individualized comprehensive managements.If medically unmanageable, antegrade continence enema (ACE), sacral nerve stimulation (SNS) and surgical interventions may be adopted.
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Memo
收稿日期:2020-12-06。
基金项目:南京市卫生科技发展专项资金项目(ZKX20042)
通讯作者:刘志峰,Email:zfliu@njmu.edu.cn