YAŞ GRUPLARI VE ŞIKAYET SÜRELERINE GÖRE FONKSIYONEL KABIZLIĞI OLAN ÇOCUKLARIN KLINIK BULGULARI: BIR MERKEZ DENEYIMI
Amaç: Kabızlık dünya çapında en yaygın pediatrik sorunlardan biridir. Bu çalışmanın amacı, fonksiyonel kabızlığı olan çocukların klinik özelliklerini belirlemek, yaş gruplarına ve kabızlık sürelerine göre farklılıkları tartışmaktır. Yöntemler: Retrospektif olarak, pediatrik gastroenteroloji polikliniğimizde tedavi edilen fonksiyonel kabızlığı olan tüm hastalar dahil edildi. Bulgular: Bu çalışmaya ortalama ± SEM yaşı 61,2 ± 2,3 ay olan 251 (%57,4) kadın ve 186 (%42,6) erkek dahil edildi. Ortalama ± SD konstipasyon süresi 18.5 ± 1.1 aydı. Kabızlık süresinin artan yaşla birlikte arttığı bulundu (p <0.0001 eğilimi için). Sert ve iri dışkı insidansı yaşla birlikte anlamlı artış gösterirken (p<0.0001), pelet benzeri dışkı insidansı yaşla birlikte giderek azaldı (p<0.0001). Defekasyon sıklığı artan yaşla birlikte anlamlı olarak daha az yaygındı (p<0.0001). Anal fissür en sık 1-24 ay arasında %50 ile görüldü (p<0,0001). Sonuç: Yaş grubu ve konstipasyon süresine göre bazı klinik özelliklerin ön plana çıktığı görüldü. Tedavinin farklı klinik özelliklere ve bu tedaviye verilen cevaba göre seçilmesinin gerekip gerekmediğini belirlemek için daha ileri çalışmalara ihtiyaç vardır.
Anahtar Kelimeler:
Kabızlık, çocukluk, konstipasyon, klinik belirti, fonksiyonel konstipasyon
CLINICAL FINDINGS OF FUNCTIONAL CONSTIPATION IN CHILDHOOD ACCORDING TO THE DIFFERENT AGE GROUPS AND DURATION OF SYMPTOMS: ONE CENTER EXPERIENCE
Objective: Constipation is one of the most prevalent global pediatric problem. The aim of our study was to identify the clinical distinctive of children with functional constipation and to discuss the differences according to age groups and durations of constipation. Methods: Retrospectively, all children with functional constipation cured at our pediatric gastroenterology outpatients department were included. Results: This study included 251 (57.4%) females and 186 (42.6%) males with a mean ± SEM age of 61.2 ± 2.3 months. The mean ± SD constipation duration was 18.5 ± 1.1 months. The constipation duration was found to increase with increasing age (p for trend <0.0001). While the incidence of hard and large stools showed a significant rise with increasing age (p<0.0001), pellet-like stool incidence gradually diminished with increasing age (p<0.0001). Defecation frequency was significantly less common with increasing age (p<0.0001). Anal fissure was the most common in the 1-24 months age group at a rate of 50% (p<0.0001). Conclusion: Certain clinical characteristics were seen to become emphasized according to the age group and constipation duration. Further studies are needed to determine whether treatment should be chosen according to the different clinical characteristics and the response to such treatment.
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- Başlangıç: 2021
- Yayıncı: İSTANBUL ATLAS ÜNİVERSİTESİ
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