a Record control number 000266291500009

a ISSN 0041-4301

a Original cataloging agency NEU GrandLibrary

a Language code of text/sound track or separate title eng

a Classification number WS 18.2

b Item number .C47 2009

a Personal name Aydogdu, Sema,

h Medium Electronic Document

a Title Chronic constipation in Turkish children: clinical findings and applicability of classification criteria

c Statement of responsibility, etc Sema Aydogdu, Cigdem Arikan, Murat Cakir, Masallah Baran, Hasan Ali Yuksekkaya, Gokhan Tumgor, Rasit Vural Yagci.

a Place of publication, distribution, etc Turkish Pediatrics,

c Date of publication, distribution, etc 2009.

b Name of publisher, distributor, etc Ankara

a Summary, etc We aimed to evaluate general features of children with chronic constipation and classified them according to the Iowa criteria and Rome II criteria in order to analyze applicability of these criteria in our population. The medical records of 485 children who were referred for chronic constipation over a six- year period were evaluated retrospectively. We found that 7.7% of the cases had an organic pathology, and short segment Hirschsprung disease was the leading cause. Other children (92.3%) were classified as functional constipation, with a mean age of 6.4 +/- 4 years and with slight male dominance. Encopresis was found in 117 children (51.7%) aged over four years, and was associated with older age, male predominance and long duration of symptoms. Both of the classification systems showed a similar prevalence of constipation, but 9.9% of the children with pediatric constipation were not recognized by Rome II criteria. Additionally, 1.8% of the children were not recognized by either Iowa or Rome criteria. Functional constipation is common in primary care, and most of the children were school-aged. Constipation associated with encopresis and nutritional problems such as obesity is less common in developing countries. Rome II criteria are too restrictive and do not recognize approximately 12% of the children. A new classification system must be simple, easy to understand especially by the primary care physician, and must include the common features of constipation recognized by the parents.

a Topical term or geographic name as entry element Pediatrics

a Topical term or geographic name as entry element Near East University Article

a Topical term or geographic name as entry element Yakın Doğu Üniversitesi Makale

a Topical term or geographic name as entry element Children

a Topical term or geographic name as entry element Constipation.

a Topical term or geographic name as entry element Functional Gastrointestinal Disorders

a Topical term or geographic name as entry element Plain Abdominal Radiographs

a Topical term or geographic name as entry element Encopresis

g Relationship information MAR-APR, 2009, 51 2, p146-p153, 8p.

x International Standard Serial Number 00414301

t Title Turkish Journal Of Pediatrics