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

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dc.contributor.authorAydogdu, Sema
dc.contributor.authorCakir, Murat
dc.contributor.authorYuksekkaya, Hasan Ali
dc.contributor.authorArikan, Cigdem
dc.contributor.authorTumgor, Gokhan
dc.contributor.authorBaran, Masallah
dc.contributor.authorYagci, Rasit Vural
dc.date.accessioned2019-10-27T20:19:19Z
dc.date.available2019-10-27T20:19:19Z
dc.date.issued2009
dc.departmentEge Üniversitesien_US
dc.description.abstractWe 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.en_US
dc.identifier.endpage153en_US
dc.identifier.issn0041-4301
dc.identifier.issue2en_US
dc.identifier.pmid19480326en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage146en_US
dc.identifier.urihttps://hdl.handle.net/11454/41393
dc.identifier.volume51en_US
dc.identifier.wosWOS:000266291500009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish J Pediatricsen_US
dc.relation.ispartofTurkish Journal of Pediatricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectconstipationen_US
dc.subjectchildrenen_US
dc.subjectencopresisen_US
dc.titleChronic constipation in Turkish children: clinical findings and applicability of classification criteriaen_US
dc.typeArticleen_US

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