دورية أكاديمية
A comparative observational study on intrasphincteric injections with Botulinum toxin vs. enteral neuromodulation in chronic refractory constipation
العنوان: | A comparative observational study on intrasphincteric injections with Botulinum toxin vs. enteral neuromodulation in chronic refractory constipation |
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المؤلفون: | Mona Walther, Hanna Müller, Christel Weiß, Roman Carbon, Sonja Diez, Manuel Besendörfer |
المصدر: | BMC Pediatrics, Vol 23, Iss 1, Pp 1-7 (2023) |
بيانات النشر: | BMC, 2023. |
سنة النشر: | 2023 |
المجموعة: | LCC:Pediatrics |
مصطلحات موضوعية: | Botulinum toxin, Chronic refractory constipation, Fecal incontinence, Hirschsprung disease, Enteral neuromodulation., Pediatrics, RJ1-570 |
الوصف: | Abstract Purpose Botulinum toxin injections in the anal sphincter apparatus (Botox) and enteral neuromodulation (ENM) are options for treatment of refractory chronic constipation. We present a retrospective comparative observational study. Patients and methods From 2014 to 2022, pediatric patients with chronic constipation were either treated with Botox or ENM with continuation of conservative treatment. Comparison was conducted regarding the primary outcome variables defecation frequency, stool consistency, and abdominal pain. Secondary outcomes were fecal incontinence, enuresis, change of medication and safety of treatment. Results 19 Botox patients (10 boys, 9 girls, 12 patients with Hirschsprung disease (HD), 7 patients with functional constipation (FC)) were compared to 24 ENM patients (18 boys, 6 girls, 12 HD patients, 7 FC patients). Groups differed significantly in age (5.0 years (Botulinum toxin) and 6.5 years (ENM), mean values, p-value 0.008). Improvement of constipation was seen in 68% (n = 13/19) of Botox and 88% (n = 21/24) of ENM patients (p = 0.153). Influence of etiology on therapeutic effects was not observed. Complications were minor. Conclusions Botox and ENM can be considered as valuable and effective treatment options in refractory chronic constipation. Prospective, large-population studies should be designed to enable improved evidence. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1471-2431 |
Relation: | https://doaj.org/toc/1471-2431 |
DOI: | 10.1186/s12887-023-04217-5 |
URL الوصول: | https://doaj.org/article/e93884577dd24ed5989be863b3942cbd |
رقم الأكسشن: | edsdoj.93884577dd24ed5989be863b3942cbd |
قاعدة البيانات: | Directory of Open Access Journals |
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