Rectum sizes: Assessment by ultrasonography in children with functional constipation
Aim This study aimed to compare the transverse diameter and thickness of the anterior wall of the rectum in children with normal bowel movement and children with functional constipation in different age groups. Another objective was to find correlations of rectum sizes with faecal incontinence and c...
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| Veröffentlicht in: | Journal of paediatrics and child health 2021-08, Vol.57 (8), p.1244-1249 |
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| container_title | Journal of paediatrics and child health |
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| creator | Pop, Daniela Tătar, Simona Fufezan, Otilia Farcău, Dorin |
| description | Aim
This study aimed to compare the transverse diameter and thickness of the anterior wall of the rectum in children with normal bowel movement and children with functional constipation in different age groups. Another objective was to find correlations of rectum sizes with faecal incontinence and constipation duration.
Methods
In the study, we included children with normal bowel movement and functional constipation diagnosed based on the Rome III and Rome IV criteria. We collected clinical data from the parents. We measured the rectum transverse diameter and the thickness of the anterior wall by abdominal ultrasound.
Results
The study included 65 children, 31 with normal bowel movement and 34 with functional constipation. The rectum transverse diameter and the thickness of the anterior wall had statistically significant higher values in patients with constipation (P |
| doi_str_mv | 10.1111/jpc.15435 |
| format | Article |
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This study aimed to compare the transverse diameter and thickness of the anterior wall of the rectum in children with normal bowel movement and children with functional constipation in different age groups. Another objective was to find correlations of rectum sizes with faecal incontinence and constipation duration.
Methods
In the study, we included children with normal bowel movement and functional constipation diagnosed based on the Rome III and Rome IV criteria. We collected clinical data from the parents. We measured the rectum transverse diameter and the thickness of the anterior wall by abdominal ultrasound.
Results
The study included 65 children, 31 with normal bowel movement and 34 with functional constipation. The rectum transverse diameter and the thickness of the anterior wall had statistically significant higher values in patients with constipation (P < 0.05). There was a moderate and significant correlation between the duration of the disease (mean ± standard deviation = 31.7 ± 33.1 months) and rectum transverse diameter (r = 0.54; P = 0.0009). The rectum transverse diameter correlated moderately with the presence of faecal incontinence (r = 0.62; P = 0.003), but the thickness of the anterior wall did not correlate with this symptom (r = 0.02; P = 0.39).
Conclusions
We found statistically significant differences between the transverse rectal diameter and thickness of the rectum anterior wall, measured by abdominal ultrasound, in children with functional constipation compared with normal defaecation patterns. Faecal incontinence and long‐term constipation were correlated with the increased rectum diameter.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1111/jpc.15435</identifier><identifier>PMID: 33665902</identifier><language>eng</language><publisher>Australia: John Wiley & Sons Australia, Ltd</publisher><subject>children ; Constipation ; Fecal incontinence ; functional constipation ; Pediatrics ; Rectum ; Ultrasonic imaging ; ultrasonography</subject><ispartof>Journal of paediatrics and child health, 2021-08, Vol.57 (8), p.1244-1249</ispartof><rights>2021 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).</rights><rights>2021 Paediatrics and Child Health Division (The Royal Australasian College of Physicians)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-45bd6fb34c365f7b0771958899bef1f531e7b34de887ccaacc3e8477b52100633</citedby><cites>FETCH-LOGICAL-c3535-45bd6fb34c365f7b0771958899bef1f531e7b34de887ccaacc3e8477b52100633</cites><orcidid>0000-0001-8318-1932</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjpc.15435$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjpc.15435$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33665902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pop, Daniela</creatorcontrib><creatorcontrib>Tătar, Simona</creatorcontrib><creatorcontrib>Fufezan, Otilia</creatorcontrib><creatorcontrib>Farcău, Dorin</creatorcontrib><title>Rectum sizes: Assessment by ultrasonography in children with functional constipation</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>Aim
This study aimed to compare the transverse diameter and thickness of the anterior wall of the rectum in children with normal bowel movement and children with functional constipation in different age groups. Another objective was to find correlations of rectum sizes with faecal incontinence and constipation duration.
Methods
In the study, we included children with normal bowel movement and functional constipation diagnosed based on the Rome III and Rome IV criteria. We collected clinical data from the parents. We measured the rectum transverse diameter and the thickness of the anterior wall by abdominal ultrasound.
Results
The study included 65 children, 31 with normal bowel movement and 34 with functional constipation. The rectum transverse diameter and the thickness of the anterior wall had statistically significant higher values in patients with constipation (P < 0.05). There was a moderate and significant correlation between the duration of the disease (mean ± standard deviation = 31.7 ± 33.1 months) and rectum transverse diameter (r = 0.54; P = 0.0009). The rectum transverse diameter correlated moderately with the presence of faecal incontinence (r = 0.62; P = 0.003), but the thickness of the anterior wall did not correlate with this symptom (r = 0.02; P = 0.39).
Conclusions
We found statistically significant differences between the transverse rectal diameter and thickness of the rectum anterior wall, measured by abdominal ultrasound, in children with functional constipation compared with normal defaecation patterns. Faecal incontinence and long‐term constipation were correlated with the increased rectum diameter.</description><subject>children</subject><subject>Constipation</subject><subject>Fecal incontinence</subject><subject>functional constipation</subject><subject>Pediatrics</subject><subject>Rectum</subject><subject>Ultrasonic imaging</subject><subject>ultrasonography</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp10E1LwzAYB_AgipvTg19AAl700C1p8jSttzF8ZaDIPJc0S11G30xaRv30Zm56EMzlSciPPw9_hM4pGVN_JutGjSlwBgdoSDknARXAD_2dMB7wmJIBOnFuTQgJAeJjNGAsiiAh4RAtXrVquxI786ndDZ46p50rddXirMdd0Vrp6qp-t7JZ9dhUWK1MsbS6whvTrnDeVao1dSULrOrKtaaR2-cpOspl4fTZfo7Q293tYvYQzJ_vH2fTeaAYMAg4ZMsozxhXLIJcZEQImkAcJ0mmc5oDo1r436WOY6GUlEoxHXMhMggpIRFjI3S1y21s_dFp16alcUoXhax03bk05EkMFJIEPL38Q9d1Z_3iXgGIEATAVl3vlLK1c1bnaWNNKW2fUpJuq0591el31d5e7BO7rNTLX_nTrQeTHdiYQvf_J6VPL7Nd5BdT5ogL</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Pop, Daniela</creator><creator>Tătar, Simona</creator><creator>Fufezan, Otilia</creator><creator>Farcău, Dorin</creator><general>John Wiley & Sons Australia, Ltd</general><general>Blackwell Publishing Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8318-1932</orcidid></search><sort><creationdate>202108</creationdate><title>Rectum sizes: Assessment by ultrasonography in children with functional constipation</title><author>Pop, Daniela ; Tătar, Simona ; Fufezan, Otilia ; Farcău, Dorin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3535-45bd6fb34c365f7b0771958899bef1f531e7b34de887ccaacc3e8477b52100633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>children</topic><topic>Constipation</topic><topic>Fecal incontinence</topic><topic>functional constipation</topic><topic>Pediatrics</topic><topic>Rectum</topic><topic>Ultrasonic imaging</topic><topic>ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pop, Daniela</creatorcontrib><creatorcontrib>Tătar, Simona</creatorcontrib><creatorcontrib>Fufezan, Otilia</creatorcontrib><creatorcontrib>Farcău, Dorin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pop, Daniela</au><au>Tătar, Simona</au><au>Fufezan, Otilia</au><au>Farcău, Dorin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rectum sizes: Assessment by ultrasonography in children with functional constipation</atitle><jtitle>Journal of paediatrics and child health</jtitle><addtitle>J Paediatr Child Health</addtitle><date>2021-08</date><risdate>2021</risdate><volume>57</volume><issue>8</issue><spage>1244</spage><epage>1249</epage><pages>1244-1249</pages><issn>1034-4810</issn><eissn>1440-1754</eissn><abstract>Aim
This study aimed to compare the transverse diameter and thickness of the anterior wall of the rectum in children with normal bowel movement and children with functional constipation in different age groups. Another objective was to find correlations of rectum sizes with faecal incontinence and constipation duration.
Methods
In the study, we included children with normal bowel movement and functional constipation diagnosed based on the Rome III and Rome IV criteria. We collected clinical data from the parents. We measured the rectum transverse diameter and the thickness of the anterior wall by abdominal ultrasound.
Results
The study included 65 children, 31 with normal bowel movement and 34 with functional constipation. The rectum transverse diameter and the thickness of the anterior wall had statistically significant higher values in patients with constipation (P < 0.05). There was a moderate and significant correlation between the duration of the disease (mean ± standard deviation = 31.7 ± 33.1 months) and rectum transverse diameter (r = 0.54; P = 0.0009). The rectum transverse diameter correlated moderately with the presence of faecal incontinence (r = 0.62; P = 0.003), but the thickness of the anterior wall did not correlate with this symptom (r = 0.02; P = 0.39).
Conclusions
We found statistically significant differences between the transverse rectal diameter and thickness of the rectum anterior wall, measured by abdominal ultrasound, in children with functional constipation compared with normal defaecation patterns. Faecal incontinence and long‐term constipation were correlated with the increased rectum diameter.</abstract><cop>Australia</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>33665902</pmid><doi>10.1111/jpc.15435</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-8318-1932</orcidid></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | children Constipation Fecal incontinence functional constipation Pediatrics Rectum Ultrasonic imaging ultrasonography |
| title | Rectum sizes: Assessment by ultrasonography in children with functional constipation |
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