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논문 기본 정보

자료유형
학술저널
저자정보
Kyungmin Kim (Department of Pediatrics Konkuk University Medical Center Seoul Korea) Hae Jeong Jeon (Department of Radiology Konkuk University Medical Center Seoul Korea) Sun-Hwan Bae (Department of Pediatrics Konkuk University Medical Center Seoul Korea)
저널정보
대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.26 No.1
발행연도
2020.1
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128 - 132 (5page)

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Background/Aims : Colon transit time (CTT) test is regarded as the gold standard for evaluating colon transit function. Fluoroscopic defecography (FD) is a dynamic radiologic test to assess anorectal function. The aim is to evaluate the value of FD in constipated children with abnormal CTT test results. Methods : Fifty-one children (27 girls) with a mean age of 9.8 ± 3.2 years who met Rome III criteria for constipation and older than 5 years with abnormal CTT test results underwent FD. Results: Of 51 children, 27 (52.9%) showed positive findings on FD, including pelvic floor dyssynergia (PFD) (10/27, 37.0%), structural abnormality (15/27, 55.6%) (rectocele 53.3%, intussusception 33.3%, and both 13.4%), and both PFD and rectocele (2/27, 7.4%). In terms of CTT test subtype, of 35 children who had outlet obstruction type in CTT test, 19 (54.2%) had positive findings, including PFD (8/19, 42.1%), structural abnormality (9/19, 47.4%) (rectocele 55.6%, intussusception 22.2%, and both 22.2%), and both PFD and rectocele (2/19, 10.5%). Of the 16 children who had slow transit type of CTT test, 8 (50.0%) had positive findings, including PFD (2/8, 25.0%) and structural abnormality (6/8, 75.0%). Of the 6 children who had structural abnormality, 3 (50.0%) had rectocele and 3 (50.0%) had intussusception. For the 2 children (2/16, 12.5%) who had PFD, puborectalis muscle relax failure was found on FD. Puborectalis muscle relax failure was treated with biofeedback and medication. In the minor abnormalities, medication continued without additional therapeutic modalities. Conclusions : FD was valuable for both diagnoses of underlying causes and interpretation of CTT test results in children with abnormal CTT test results. Therefore, this study suggests that FD and CTT tests should be incorporated into logical thinking for constipation in children.
#Child #Constipation #Defecography #Fluoroscopzzzy #Ororectal transit

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참고문헌 (18)

참고문헌 신청
Loening-Baucke V / 1993 / Chronic constipation in children / Gastroenterology 105:1557~1564 google schola Mugie SM / 2011 / Constipation in childhood / Nat Rev Gastroenterol Hepatol 8:502~511 google schola 김은란 / 2012 / How to Interpret a Functional or Motility Test - Colon Transit Study / Journal of Neurogastroenterology and Motility (JNM) 18(1):94~99 google schola Bae SH KM / 2016 / Subtype classification of chronic functional childhood constipation with colon transit time test: therapeutic perspective / 5th World Congress of Pediatric Gastroenterology Hepatology and Nutrition google schola Lembo AJ / 2010 / Sleisenger and Fordtran’s gastrointestinal and liver disease / Saunders Elservier Co :259~284 google schola

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