Southwell B R, King S K, Hutson J M
Department of Gastroenterology, Royal Children's Hospital, Melbourne, Victoria, Australia.
J Paediatr Child Health. 2005 Jan-Feb;41(1-2):1-15. doi: 10.1111/j.1440-1754.2005.00527.x.
Diagnostic tools for paediatric chronic constipation have been limited, leading to over 90% of patients with treatment-resistant constipation being diagnosed with chronic idiopathic constipation, with no discernible organic cause. Work in our institution suggests that a number of children with intractable symptoms actually have slow colonic transit leading to slow transit constipation. This paper reviews recent data suggesting that a significant number of the children with chronic treatment-resistant constipation may have organic causes (slow colonic transit and outlet obstruction) and suggests new approaches to the management of children with chronic treatment-resistant constipation.
儿科慢性便秘的诊断工具一直有限，导致超过90%治疗抵抗性便秘患者被诊断为慢性特发性便秘，并无明显的器质性病因。我们机构的研究表明，许多有顽固性症状的儿童实际上存在结肠传输缓慢，导致慢传输型便秘。本文回顾了近期数据，这些数据表明相当数量的慢性治疗抵抗性便秘儿童可能存在器质性病因（结肠传输缓慢和出口梗阻），并提出了治疗慢性治疗抵抗性便秘儿童的新方法。
