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Stimulant laxatives for constipation and soiling in children

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Constipation is a common childhood disorder traditionally treated with a combination of medical and behavioural approaches. There is insufficient evidence on the use and effectiveness of stimulant laxatives for the treatment of childhood constipation. More research is required.

Latar Belakang

Constipation is extremely common in childhood and may lead to overflow soiling/encopresis. Standard treatment of the more severe case is to empty the bowels of impacted faeces by the use of oral or rectal laxatives and then maintain regular bowel movements by the continuation of osmotic and stimulant laxatives.

Matlamat

The objective of the review was to determine the effect of stimulant laxative treatment in children with chronic constipation who may also suffer from soiling / encopresis.

Kaedah Pencarian

The Cochrane database of randomised controlled trials was searched. Additional citations were sought by hand searching of paediatric journals and from contact with known professionals in the field.

Kriteria Pemilihan

All identified randomised controlled trials (RCTs) which compare the administering of stimulant laxatives to children with either placebo or alternative treatment.

Pengumpulan Data dan Analisis

No trials were found that met the selection criteria.

Keputusan Utama

No trials were found that adequately met the selection criteria.

Kesimpulan Pengarang

The need exists to establish a secure footing for treatment decisions and adequately sized trials are required to provide comparative data on commonly used drugs.

Petikan
Price KJ, Elliot TM. Stimulant laxatives for constipation and soiling in children. Cochrane Database of Systematic Reviews 2001, Issue 3. Art. No.: CD002040. DOI: 10.1002/14651858.CD002040.

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