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Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation
- Source :
- Journal of pediatric surgery. 46(12)
- Publication Year :
- 2011
-
Abstract
- Aims Transcutaneous electrical stimulation (TES) was used to treat children with slow-transit constipation (STC) for 1 to 2 months in a randomized controlled trial during 2006 to 2008. We aimed to determine long-term outcomes, hypothesizing that TES produced sustained improvement. Methods Physiotherapists administered 1 to 2 months of TES to 39 children (20 minutes, 3 times a week). Fifteen continued to self-administer TES (30 minutes daily for more than 2 months). Mean long-term follow-up of 30 of 39 patients was conducted using questionnaire review 3.5 years (range 1.9-4.7 years) later. Outcomes were evaluated by confidence intervals or paired t test. Results Seventy-three percent of patients perceived improvement, lasting more than 2 years in 33% and less than 6 months in 25% to 33%. Defecation frequency improved in 30%. Stools got wetter in 62% after stimulation and then drier again. Soiling improved in 75% and abdominal pain in 59%. Laxative use stopped in 52%, and 43% with appendicostomies stopped washouts. Soiling/Holschneider continence score improved in 81% ( P = .0002). Timed sits switched to urge-initiated defecations in 80% patients. Eighty percent of relapsed patients elected to have home stimulation. Conclusion TES holds promise for STC children. Improvement occurred in two thirds of children, lasting more than 2 years in one third, whereas symptoms recurred after 6 months in one third of children.
- Subjects :
- Male
Abdominal pain
medicine.medical_specialty
Constipation
Adolescent
Home Nursing
medicine.medical_treatment
Laxative
Stimulation
law.invention
Randomized controlled trial
law
Recurrence
Surveys and Questionnaires
Medicine
Humans
Child
Defecation
Gastrointestinal Transit
Encopresis
business.industry
General Medicine
Confidence interval
Surgery
Abdominal Pain
Laxatives
Patient Satisfaction
Pediatrics, Perinatology and Child Health
Chronic Disease
Transcutaneous Electric Nerve Stimulation
Female
medicine.symptom
business
Fecal Incontinence
Follow-Up Studies
Subjects
Details
- ISSN :
- 15315037
- Volume :
- 46
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Journal of pediatric surgery
- Accession number :
- edsair.doi.dedup.....75356439276440e81d626077ef902712