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Type: Artigo de periódico
Title: Gastric emptying of water in children with severe functional fecal retention
Author: Fernandes, VPI
Lima, MCL
Camargo, EE
Collares, EF
Bustorff-Silva, JM
Lomazi, EA
Abstract: The objective of this study was to evaluate gastric emptying (GE) in pediatric patients with functional constipation. GE delay has been reported in adults with functional constipation. Gastric emptying studies were performed in 22 children with chronic constipation, fecal retention and fecal incontinence, while presenting fecal retention and after resuming regular bowel movements. Patients (18 boys, median age: 10 years; range: 7.2 to 12.7 years) were evaluated in a tertiary pediatric gastroenterology clinic. Gastric half-emptying time of water (reference range: 12 +/- 3 min) was measured using a radionuclide technique immediately after first patient evaluation, when they presented fecal impaction (GE(1)), and when they achieved regular bowel movements (GE(2)), 12 +/- 5 weeks after GE(1). At study admission, 21 patients had reported dyspeptic symptoms, which were completely relieved after resuming regular bowel movements. Medians (and interquartile ranges) for GE(1) and GE(2) were not significantly different [27.0 (16) and 27.5 (21) min, respectively (P = 0.10)]. Delayed GE seems to be a common feature among children with chronic constipation and fecal retention. Resuming satisfactory bowel function and improvement in dyspeptic symptoms did not result in normalization of GE data.
Subject: Functional constipation
Fecal retention
Gastric emptying
Country: Brasil
Editor: Assoc Bras Divulg Cientifica
Citation: Brazilian Journal Of Medical And Biological Research. Assoc Bras Divulg Cientifica, v. 46, n. 3, n. 293, n. 298, 2013.
Rights: aberto
Identifier DOI: 10.1590/1414-431X20132448
Date Issue: 2013
Appears in Collections:Unicamp - Artigos e Outros Documentos

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