Pediatric constipation in the emergency department: Evaluation, treatment, outcomes

Journal of Pediatric Gastroenterology and Nutrition

Volumn 59, Issue 3, 2014, Pages 327-333

  Freedman, Stephen B ^a   Thull Freedman, Jennifer ^b   Rumantir, Maggie ^c   Eltorki, Mohamed ^b   Schuh, Suzanne ^c  

^a ALBERTA CHILDREN S HOSPITAL RESEARCH INSTITUTE   (Canada)

^b UNIVERSITY OF CALGARY   (Canada)

^c HOSPITAL FOR SICK CHILDREN   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

BISACODYL; CITRIC ACID PLUS MAGNESIUM OXIDE PLUS PICOSULFATE SODIUM; DOCUSATE SODIUM; FLEET ENEMA; GLYCEROL; LACTULOSE; MACROGOL; MINERAL OIL; PICO SALAX; SENOKOT; UNCLASSIFIED DRUG; CITRIC ACID; ENEMA; LAXATIVE; MACROGOL DERIVATIVE; MAGNESIUM OXIDE; PICO-SALAX; PICOLINE DERIVATIVE;

ABDOMINAL PAIN; ARTICLE; BLOOD ANALYSIS; CHILD; CONSTIPATION; DIAGNOSTIC IMAGING; EMERGENCY WARD; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; TREATMENT OUTCOME; VOMITING; BLOOD EXAMINATION; COMPLICATION; EMERGENCY HEALTH SERVICE; HOSPITAL DISCHARGE; PATIENT REFERRAL; PRESCHOOL CHILD; RADIOGRAPHY; TIME; UTILIZATION;

ABDOMINAL PAIN; CHILD; CHILD, PRESCHOOL; CITRIC ACID; CONSTIPATION; DIAGNOSTIC IMAGING; EMERGENCY SERVICE, HOSPITAL; ENEMA; FEMALE; HEMATOLOGIC TESTS; HUMANS; LAXATIVES; MAGNESIUM OXIDE; MALE; PATIENT DISCHARGE; PICOLINES; POLYETHYLENE GLYCOLS; REFERRAL AND CONSULTATION; RETROSPECTIVE STUDIES; TIME FACTORS; TREATMENT OUTCOME; VOMITING;

EID: 84907598663     PISSN: 02772116     EISSN: 15364801     Source Type: Journal    
DOI: 10.1097/MPG.0000000000000402     Document Type: Article

References (29)

1. Loening-Baucke V. Factors determining outcome in children with chronic constipation and faecal soiling. Gut 1989;30:999-1006.
2. Liem O, Harman J, Benninga M, et al. Health utilization and cost impact of childhood constipation in the United States. J Pediatr 2009;154:258-62.
3. Pirie J. Management of constipation in the emergency department. Clin Ped Emerg Med 2010;11:182-8.
4. Constipation Guideline Committee of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Evaluation and treatment of constipation in infants and children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr 2006;43:e1-3.
5. Miller MK, Dowd MD, Friesen CA, et al. A randomized trial of enema versus polyethylene glycol 3350 for fecal disimpaction in children presenting to an emergency department. Pediatr Emerg Care 2012;28:115-9.
6. Bekkali NL, Van Den Berg MM, Dijkgraaf MG, et al. Rectal fecal impaction treatment in childhood constipation: enemas versus high doses oral PEG. Pediatrics 2009;124:e1108-15.
7. Miller MK, Dowd MD, Fraker M. Emergency department management and short-term outcome of children with constipation. Pediatr Emerg Care 2007;23:1-4.
8. Mendoza J, Legido J, Rubio S, et al. Systematic review: the adverse effects of sodium phosphate enema. Aliment Pharmacol Ther 2007;26:9-20.
9. Ladenhauf HN, Stundner O, Spreitzhofer F, et al. Severe hyperpho-sphatemia after administration of sodium-phosphate containing laxatives in children: case series and systematic review of literature. Pediatr Surg Int 2012;28:805-14.
10. Freedman SB, Thull-Freedman J, Manson D, et al. Pediatric abdominal radiograph use, constipation, and significant misdiagnoses. J Pediatr 2014;164:83.e2-8.e2.
11. Freedman SB, Degroot JM, Parkin PC. Successful discharge of children with gastroenteritis requiring intravenous rehydration. J Emerg Med 2014;46:9-20.
12. Schnadower D, Kuppermann N, Macias CG, et al. Febrile infants with urinary tract infections at very low risk for adverse events and bacter-emia. Pediatrics 2010;126:1074-83.
13. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977;33:159-74.
14. Sankoh AJ, Huque MF, Dubey SD. Some comments on frequently used multiple endpoint adjustment methods in clinical trials. Stat Med 1997;16:2529-42.
15. Patel H, Law A, Gouin S. Predictive factors for short-term symptom persistence in children after emergency department evaluation for constipation. Arch Pediatr Adolesc Med 2000;154:1204-8.
16. Walker M, Warner BW, Brilli RJ, et al. Cardiopulmonary compromise associated with milk and molasses enema use in children. J Pediatr Gastroenterol Nutr 2003;36:144-8.
17. McCabe M, Sibert JR, Routledge PA. Phosphate enemas in childhood: cause for concern. BMJ 1991;302:1074.
18. Bowers B. Evaluating the evidence for administering phosphate enemas. Br J Nurs 2006;15:378-81.
19. Fleet enema, a saline laxative. http://www.pdr.net/MedMerck-full- prescribing-information/fleet-enema?druglabelid=149. Accessed July 24, 2013.
20. Rowan-Legg A. Canadian Paediatric Society-Community Paediatrics Committee. Managing functional constipation in children. Paediatr Child Health 2011;16:661-70.
21. Freedman SB, Thakkar VA. Easing the strain on a pediatric tertiary care center: use of a redistribution system. Arch Pediatr Adolesc Med 2007;161:870-6.
22. Rasquin A, Di Lorenzo C, Forbes D, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology 2006;130:1527-37.
23. Burgers R, Levin AD, Di Lorenzo C, et al. Functional defecation disorders in children: comparing the Rome II with the Rome III criteria. J Pediatr 2012;161:615.e1-20.e1.
24. Hyman PE, Milla PJ, Benninga MA, et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology 2006;130:1519-26.
25. Loening-Baucke V, Swidsinski A. Constipation as cause of acute abdominal pain in children. J Pediatr 2007;151:666-9.
26. Caperell K, Pitetti R, Cross KP. Race and acute abdominal pain in a pediatric emergency department. Pediatrics 2013;131:1098-106.
27. Bardach NS, Vittinghoff E, Asteria-Penaloza R, et al. Measuring hospital quality using pediatric readmission and revisit rates. Pediatrics 2013;132:429-36.
28. Tabbers MM, Di Lorenzo C, Berger MY, et al. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gas-troenterol Nutr 2014;58:265-81.
29. Nolan T, Debelle G, Oberklaid F, et al. Randomised trial of laxatives in treatment of childhood encopresis. Lancet 1991;338:523-7.