The outcome of functional constipation in Saudi children
Background. Understanding the outcome of functional constipation (FC) for both patients and physicians is essential, yet it has been infrequently reported worldwide. The objective of this report was to update the outcomes of FC in Saudi children. Methods. Clinical data including age, sex, respons...
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Hacettepe University Institute of Child Health
2024-12-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/5286 |
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| author | Mohammad El Mouzan Hayfa Alabdulkarim Mohammed Kambal Nawaf Alshammary Rehab Alanazi Shaffi Ahamed Nouf Alhamid Ahmed Al Sarkhy Alhanouf Alzahrani Asaad Assiri |
| author_facet | Mohammad El Mouzan Hayfa Alabdulkarim Mohammed Kambal Nawaf Alshammary Rehab Alanazi Shaffi Ahamed Nouf Alhamid Ahmed Al Sarkhy Alhanouf Alzahrani Asaad Assiri |
| author_sort | Mohammad El Mouzan |
| collection | DOAJ |
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Background. Understanding the outcome of functional constipation (FC) for both patients and physicians is essential, yet it has been infrequently reported worldwide. The objective of this report was to update the outcomes of FC in Saudi children.
Methods. Clinical data including age, sex, response to management, duration of follow up, and type of management were collected from the notes of each clinic visits and phone call follow-ups.
Results. The study included 268 children followed up for a 7 year duration. The median age of onset was 4 (0.1 to 13) years, and 123/268 (46%) were male. There was an increasing recovery rate with increasing duration of follow up with an overall recovery rate of 79%. There was no significant association between recovery and age at onset (p=0.0860) or duration of constipation (P=0.124). Management by pediatric gastroenterologists did not increase rate of recovery (81% vs. 77%, p=0.432) or being cured (47% vs. 36%, p=0.108) significantly. According to the parents of children who recovered, diet in association with polyethylene glycol (PEG) and toilet training were most helpful. Poor diet and nonadherence to medications were the most common causes of lack of recovery.
Conclusions. The higher rates of recovery in this Middle Eastern childhood population than other populations are possibly related to cultural characteristics. The parents’ views support the importance of diet associated with other modalities as important parts of management. Further research is needed to identify correctable causes of nonadherence to treatment to improve recovery.
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| format | Article |
| id | doaj-art-4d87659d35d14b2ab8d74e8f047a40fc |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-4d87659d35d14b2ab8d74e8f047a40fc2025-08-20T03:01:12ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212024-12-0166610.24953/turkjpediatr.2024.5286The outcome of functional constipation in Saudi childrenMohammad El Mouzan0https://orcid.org/0000-0001-8699-3143Hayfa Alabdulkarim1https://orcid.org/0000-0002-7435-1255Mohammed Kambal2https://orcid.org/0009-0003-0709-1961Nawaf Alshammary3https://orcid.org/0000-0003-2298-3311Rehab Alanazi4https://orcid.org/0009-0009-4696-3367Shaffi Ahamed5https://orcid.org/0000-0001-6089-2627Nouf Alhamid6https://orcid.org/0009-0003-5352-7834Ahmed Al Sarkhy7https://orcid.org/0000-0002-1424-5784Alhanouf Alzahrani8https://orcid.org/0009-0001-6768-6129Asaad Assiri9https://orcid.org/0000-0003-3357-5794Gastroenterology Division, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaGastroenterology Division, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaGastroenterology Division, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaGastroenterology Division, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaDepartment of Pediatrics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaDepartment of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaDepartment of Pediatrics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaGastroenterology Division, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaDepartment of Pediatrics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi ArabiaGastroenterology Division, Department of Pediatrics, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia Background. Understanding the outcome of functional constipation (FC) for both patients and physicians is essential, yet it has been infrequently reported worldwide. The objective of this report was to update the outcomes of FC in Saudi children. Methods. Clinical data including age, sex, response to management, duration of follow up, and type of management were collected from the notes of each clinic visits and phone call follow-ups. Results. The study included 268 children followed up for a 7 year duration. The median age of onset was 4 (0.1 to 13) years, and 123/268 (46%) were male. There was an increasing recovery rate with increasing duration of follow up with an overall recovery rate of 79%. There was no significant association between recovery and age at onset (p=0.0860) or duration of constipation (P=0.124). Management by pediatric gastroenterologists did not increase rate of recovery (81% vs. 77%, p=0.432) or being cured (47% vs. 36%, p=0.108) significantly. According to the parents of children who recovered, diet in association with polyethylene glycol (PEG) and toilet training were most helpful. Poor diet and nonadherence to medications were the most common causes of lack of recovery. Conclusions. The higher rates of recovery in this Middle Eastern childhood population than other populations are possibly related to cultural characteristics. The parents’ views support the importance of diet associated with other modalities as important parts of management. Further research is needed to identify correctable causes of nonadherence to treatment to improve recovery. https://turkjpediatr.org/article/view/5286chronic constipationprognosisSaudi children |
| spellingShingle | Mohammad El Mouzan Hayfa Alabdulkarim Mohammed Kambal Nawaf Alshammary Rehab Alanazi Shaffi Ahamed Nouf Alhamid Ahmed Al Sarkhy Alhanouf Alzahrani Asaad Assiri The outcome of functional constipation in Saudi children The Turkish Journal of Pediatrics chronic constipation prognosis Saudi children |
| title | The outcome of functional constipation in Saudi children |
| title_full | The outcome of functional constipation in Saudi children |
| title_fullStr | The outcome of functional constipation in Saudi children |
| title_full_unstemmed | The outcome of functional constipation in Saudi children |
| title_short | The outcome of functional constipation in Saudi children |
| title_sort | outcome of functional constipation in saudi children |
| topic | chronic constipation prognosis Saudi children |
| url | https://turkjpediatr.org/article/view/5286 |
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