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Treatment of severe childhood constipation with restorative proctocolectomy

Lookup NU author(s): Bruce Jaffray

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Abstract

Objective To describe the clinical features of children with severe constipation and their outcome after restorative proctocolectomy. Design Observational study and health status questionnaire using gastrointestinal quality of life score (GIQL). Setting English regional paediatric surgery service. Patients Five children were identified, with severe constipation, whose symptoms had not improved with either prolonged medical therapy or colonic lavage using an antegrade colonic enema procedure. All had required a stoma to resolve their constipation. Intervention All underwent restorative proctocolectomy. Results All children are stooling through their anus. The mean stool frequency is 6/day. None have daytime incontinence, and none require any further therapy for constipation. Complication rates have been low with no permanent morbidity. The mean GIQL 3 years following restorative proctocolectomy was 89 (SD 29). Conclusions In highly selected cases, restorative proctocolectomy may allow resolution of the symptoms of severe constipation and avoid leaving a child with a permanent stoma.

Publication metadata

Author(s): Asipu D, Jaffray B

Publication type: Article

Publication status: Published

Journal: Archives of Disease in Childhood

Year: 2010

Volume: 95

Issue: 11

Pages: 867-870

Print publication date: 06/04/2010

Date deposited: 25/11/2010

ISSN (print): 0003-9888

ISSN (electronic): 1468-2044

Publisher: BMJ Publishing Group

URL: http://dx.doi.org/10.1136/adc.2009.172973

DOI: 10.1136/adc.2009.172973

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