Review: behavioral interventions plus laxatives are effective for defecation disorders, but biofeedback does not add benefit.
نویسنده
چکیده
منابع مشابه
Review: behavioural interventions plus laxatives are effective for defecation disorders in children, but biofeedback does not add benefit.
Main results 14 studies (12 randomised controlled trials, 843 children) met the selection criteria. Children had encopresis in 12 studies and faecal incontinence resulting from congenital abnormalities in 2 studies. Study duration was 2–6 weeks in 6 studies, 8–18 weeks in 6 studies, and 12 months in 1 study. 8 studies compared conventional treatment (laxatives, dietary advice, and toilet traini...
متن کاملEmpirically supported treatments in pediatric psychology: constipation and encopresis.
OBJECTIVE To review the empirical research examining behavioral and medical treatments for constipation and fecal incontinence. METHOD Sixty-five articles investigating intervention efficacy were identified and reviewed. Twenty-three of the studies were excluded because they were case studies or were less well-controlled single-case designs. The intervention protocol for each study was identi...
متن کاملDiagnosis and Treatment of Dyssynergic Defecation
Dyssynergic defecation is common and affects up to one half of patients with chronic constipation. This acquired behavioral problem is due to the inability to coordinate the abdominal and pelvic floor muscles to evacuate stools. A detailed history, prospective stool diaries, and a careful digital rectal examination will not only identify the nature of bowel dysfunction, but also raise the index...
متن کاملConstipation in children.
INTRODUCTION Prevalence of chronic constipation has been estimated at 1-5% of children in the UK and USA, most of whom have no obvious aetiological factors. A third of children with chronic constipation continue to have problems beyond puberty. Half of children with chronic faecal impaction and soiling have experienced an episode of painful defecation, and many children with chronic constipatio...
متن کاملConstipation in adults.
INTRODUCTION Although there are defined criteria for the diagnosis of constipation, in practice, diagnostic criteria are less rigid, and depend in part on the perception of normal bowel habit. Constipation is highly prevalent, with approximately 12 million general practitioner prescriptions for laxatives in England in 2001. METHODS AND OUTCOMES We conducted a systematic review and aimed to an...
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ورودعنوان ژورنال:
- ACP journal club
دوره 137 1 شماره
صفحات -
تاریخ انتشار 2002