Chronic constipation in children: Organic disorders are a major cause

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Abstract
Abstract:  Diagnostic tools for paediatric chronic constipation have been limited, leading to over 90% of patients with treatment‐resistant constipation being diagnosed with chronic idiopathic constipation, with no discernible organic cause. Work in our institution suggests that a number of children with intractable symptoms actually have slow colonic transit leading to slow transit constipation. This paper reviews recent data suggesting that a significant number of the children with chronic treatment‐resistant constipation may have organic causes (slow colonic transit and outlet obstruction) and suggests new approaches to the management of children with chronic treatment‐resistant constipation.

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