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  • Title: Chronic constipation in children: organic disorders are a major cause.
    Author: Southwell BR, King SK, Hutson JM.
    Journal: J Paediatr Child Health; 2005; 41(1-2):1-15. PubMed ID: 15670216.
    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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