Open AccessEstreñimiento funcional en pediatría, diagnóstico y tratamiento Grupo de Trabajo de Constipación del Comité Nacional de Gastroenterología Pediátrica
Author(s) -
Alejandro Posadas,
David Martínez Cecilia,
Edurne Zubiri,
Dres Román Bigliardi,
Cecilia Zubiri,
Andrés Ditaranto,
E Quinteros,
Laura Depretris,
Eduardo Cueto Rúa,
Amanda Varela,
Pablo Duca,
Karina Leta,
Néstor Pastoriza,
Gabriel Solzi
Publication year - 2021
Publication title -
archivos argentinos de pediatría
Language(s) - Spanish
Resource type - Journals
eISSN - 1668-3501
pISSN - 0325-0075
DOI - 10.5546/aap.2021.s39
Subject(s) - medicine , constipation , functional constipation , gynecology , pediatrics , humanities , surgery , philosophy
Functional constipation is a common disease and one of the most frequent reasons of visit in pediatric clinics with a 3 % of prevalence. The Constipation Working Group of the Gastroenterology Committee of the Sociedad Argentina de Pediatría met with the objective of updating the diagnosis and treatment of functional constipation in pediatrics. A literature search was performed to assess the quality of the evidence. In a constipated patient, a complete history and clinical examination is essential. The Rome IV Criteria establish guidelines that usually allow us to diagnose functional constipation, avoiding unnecessary studies. The performance of diagnostic studies will only be considered in the absence of response to medical treatment or in cases of alarm disimpaction (orally or enemas), followed by dietary treatment, habits and laxatives, with polyethylene glycol being the first choice.