Department of Pediatric Surgery, Kobe Children's Hospital. 1-6-7, Minatojima Minamimach, Chuoku, Kobe, Japan 650-0047.
Department of Pediatric Surgery, Kobe Children's Hospital. 1-6-7, Minatojima Minamimach, Chuoku, Kobe, Japan 650-0047.
J Pediatr Surg. 2021 Jul;56(7):1141-1144. doi: 10.1016/j.jpedsurg.2021.03.024. Epub 2021 Mar 26.
Few reports have determined the efficacy of olive oil enemas for severe constipation. Here, we review our experience with olive oil enemas in children with severe chronic constipation.
In our outpatient pediatric surgery department, the charts of 118 patients prescribed with olive oil enemas between January 2010 and November 2019 were retrospectively reviewed. A 1-2 ml/kg olive oil enema was given either alone or followed several hours later by a glycerin enema. Ratings included "very effective (VE)," "effective (E)," "limited (L)," "ineffective (I)," and "unknown (U)."
One hundred and fifteen (97.5%) patients were able to use olive oil enemas at home. Forty-nine had functional constipation; 43 had anorectal malformation; 40 had Hirschsprung disease; 12 had spina bifida; and 10 had other maladies. Used as an enema, olive oil was effective in treating fecal impaction in 77.6% of patients; as a lubricant, it was effective in treating 76.9% of patients. Efficacy for fecal disimpaction was similar among patients with different underlying disorders.
Olive oil enemas are useful for more than three-quarters of children with severe chronic constipation. Further study is warranted to add olive oil enemas as an adjunctive treatment in the management of severe constipation.
鲜有报道确定橄榄油灌肠治疗严重便秘的疗效。在此，我们回顾了我们在患有严重慢性便秘的儿童中使用橄榄油灌肠的经验。
在我们的小儿外科门诊，回顾了 2010 年 1 月至 2019 年 11 月间 118 例接受橄榄油灌肠治疗的患者的病历。给予 1-2ml/kg 的橄榄油灌肠，单独使用或数小时后再给予甘油灌肠。疗效评价包括“非常有效（VE）”、“有效（E）”、“有限（L）”、“无效（I）”和“未知（U）”。
115 例（97.5%）患者能够在家中使用橄榄油灌肠。49 例为功能性便秘；43 例为肛门直肠畸形；40 例为先天性巨结肠；12 例为脊膜膨出；10 例为其他疾病。作为灌肠剂，橄榄油对 77.6%的粪块嵌塞患者有效；作为润滑剂，对 76.9%的患者有效。不同基础疾病的患者在粪便排出方面疗效相似。
橄榄油灌肠对超过四分之三的严重慢性便秘儿童有效。有必要进一步研究将橄榄油灌肠作为严重便秘治疗的辅助治疗。
