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7건 · 최신순-
Management of the child with refractory constipation.
[BACKGROUND] Caring for children with constipation refractory to conventional treatment can be challenging and management practices vary widely. [AIMS] To review recent advances in the evaluation and treatment of children with refractory c…
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Current practice in the care of children with functional constipation: What is the hold up?
[OBJECTIVES] For children with intractable functional constipation (FC), there are no evidence-based guidelines for subsequent evaluation and treatment. Our objective was to assess the practice patterns of a large, international cohort of p…
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Anal Botulinum Toxin in Children with Hirschsprung Disease and Functional Constipation: A Prospective Cohort study.
[INTRODUCTION] Anal sphincter botulinum toxin injections (BTIs) are used in the treatment of children with severe defecation disorders, including Hirschsprung disease (HD) and functional constipation (FC). Our objective was to evaluate the…
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The not-so-rare absent RAIR: Internal anal sphincter achalasia in a review of 1072 children with constipation undergoing high-resolution anorectal manometry.
[BACKGROUND] Our objective is to describe the prevalence of patients with internal anal sphincter achalasia (IASA) without Hirschsprung disease (HD) among children undergoing anorectal manometry (ARM) and their clinical characteristics. [M…
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Anal sphincter botulinum toxin injection in children with functional anorectal and colonic disorders: A large institutional study and review of the literature focusing on complications.
[BACKGROUND AND AIM] Botulinum toxin (botox) is a commonly used treatment for functional anorectal and colonic disorders. Although generally regarded as safe, complications associated with botox injection into the anal sphincters in childre…
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Constipation: Beyond the Old Paradigms.
Constipation is a common problem in children. Although most children respond to conventional treatment, symptoms persist in a minority. For children with refractory constipation, anorectal and colonic manometry testing can identify a rectal…
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Surgical decision-making in the management of children with intractable functional constipation: What are we doing and are we doing it right?
[BACKGROUND] Children with intractable functional constipation (FC) may eventually require surgery, often guided by motility testing. However, there are no evidence-based guidelines for the surgical management of intractable FC in children.…