Function of hollow viscera in children with constipation and voiding difficulties
We wished to investigate the urodynamic characteristics and colonic motility in a group of children with severe chronic constipation and lower urinary tract symptoms. We performed colonic manometry using an endoscopically placed catheter. The urodynamic studies consisted of cystometry, electromyogra...
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| Veröffentlicht in: | Digestive diseases and sciences 2000-07, Vol.45 (7), p.1274-1280 |
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| container_title | Digestive diseases and sciences |
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| creator | LUCANTO, C BAUER, S. B HYMAN, P. E FLORES, A. F DI LORENZO, C |
| description | We wished to investigate the urodynamic characteristics and colonic motility in a group of children with severe chronic constipation and lower urinary tract symptoms. We performed colonic manometry using an endoscopically placed catheter. The urodynamic studies consisted of cystometry, electromyography of the external urethral sphincter, measurement of urinary flow rate, and urethral pressure profile. We found abnormal colonic motility in all patients. Findings included: absent gastrocolonic response (N = 8), absent high-amplitude propagated contractions (HAPCs) (N = 4), and abnormal propagation of HAPCs (N = 7). Urodynamic features were abnormal in 10 children. Findings included: uninhibited bladder contractions (N = 6), hypertonic bladder (N = 2), sphincter dyssynergy (N = 2), small capacity bladder (N = 1). In all children constipation improved, in three after a partial colectomy. Urinary symptoms persisted. We conclude that some children with severe constipation may have a neuropathy affecting both the colonic and lower urinary tracts systems. In this group of patients treatment of constipation does not result in resolution of urinary symptoms. |
| doi_str_mv | 10.1023/A:1005583315325 |
| format | Article |
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In all children constipation improved, in three after a partial colectomy. Urinary symptoms persisted. We conclude that some children with severe constipation may have a neuropathy affecting both the colonic and lower urinary tracts systems. In this group of patients treatment of constipation does not result in resolution of urinary symptoms.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1023/A:1005583315325</identifier><identifier>PMID: 10961703</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Colon - physiopathology ; Constipation - physiopathology ; Constipation - therapy ; Digestive System - physiopathology ; Female ; Functional investigation of the digestive system ; Gastrointestinal Motility ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical sciences ; Stomach - physiopathology ; Urethra - physiopathology ; Urinary Bladder - physiopathology ; Urinary Tract - physiopathology ; Urination Disorders - physiopathology ; Urination Disorders - therapy ; Urodynamics</subject><ispartof>Digestive diseases and sciences, 2000-07, Vol.45 (7), p.1274-1280</ispartof><rights>2000 INIST-CNRS</rights><rights>Copyright Kluwer Academic Publishers Jul 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c309t-19cc64af4df2cc77a89b8a330eacc2160add02296791d162f6d74e2d5346bee93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1466425$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10961703$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LUCANTO, C</creatorcontrib><creatorcontrib>BAUER, S. 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Urodynamic features were abnormal in 10 children. Findings included: uninhibited bladder contractions (N = 6), hypertonic bladder (N = 2), sphincter dyssynergy (N = 2), small capacity bladder (N = 1). In all children constipation improved, in three after a partial colectomy. Urinary symptoms persisted. We conclude that some children with severe constipation may have a neuropathy affecting both the colonic and lower urinary tracts systems. 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| subjects | Adolescent Biological and medical sciences Child Child, Preschool Colon - physiopathology Constipation - physiopathology Constipation - therapy Digestive System - physiopathology Female Functional investigation of the digestive system Gastrointestinal Motility Humans Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Stomach - physiopathology Urethra - physiopathology Urinary Bladder - physiopathology Urinary Tract - physiopathology Urination Disorders - physiopathology Urination Disorders - therapy Urodynamics |
| title | Function of hollow viscera in children with constipation and voiding difficulties |
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