Assessment and management of pediatric constipation is a challenging problem frequently faced by primary care practitioners. The purpose of this article is to offer a review of the literature including the definition of pediatric constipation and the presentation, etiology, and management of this common childhood disorder. Education and anticipatory guidance with children and their families should be included in the treatment regimen to prevent recurrences and promote health maintenance.
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Urine miRNA signature as potential non-invasive diagnostic biomarker for Hirschsprung's disease.
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Department of Pediatric Surgery, Medical Faculty of Mannheim, University of Heidelberg, Mannheim, Germany.
Hirschsprung's disease (HSCR) is characterized by congenital absence of ganglion cells in the gastrointestinal tract, which leads to impaired defecation, constipation and intestinal obstruction. The current diagnosis of HSCR is based on Rectal Suction Biopsies (RSBs), which could be complex in newborns. Occasionally, there is a delay in diagnosis that can increase the risk of clinical complications.
View Article and Find Full Text PDFKnowledge of the natural history of deficiency disorder (CDD) is limited to the results of cross-sectional analysis of largely pediatric cohorts. Assessment of outcomes in adulthood is critical for clinical decision-making and future precision medicine approaches but is challenging because of the diagnostic gap and duration of follow-up that would be required for prospective studies. We aimed to delineate the natural history retrospectively from adulthood.
View Article and Find Full Text PDFPediatric Rectal Prolapse: A Case Report.
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December 2024
Pediatrics, A.T. Still University - School of Osteopathic Medicine in Arizona, Mesa, USA.
In the absence of preexisting conditions, rectal prolapse is rarely seen in children older than four years old. This case report presents a peculiar instance involving a previously healthy five-year-old female who presented to the clinic with her parents due to a three-day history of constipation, hard stools, and painful defecation. Physical examination revealed a rectal prolapse.
View Article and Find Full Text PDFEnteral Nutrition Practices and Complications in ICU Settings: A Cross-Sectional Study of Healthcare Professionals' Perspectives in Saudi Arabia.
J Multidiscip Healthc
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Background: Enteral Nutrition (EN) is the preferred method for providing nutritional support in intensive care units (ICUs) compared to parenteral nutrition (PN) due to its physiological advantages, safety profile, and cost-effectiveness compared to parenteral nutrition (PN). However, evidence suggests that EN might be associated with some complications. In this study, we aimed to identify the most common EN complications, as reported by healthcare professionals (HCPs) working in adult and paediatric ICUs (PICUs) in Saudi Arabia.
View Article and Find Full Text PDF10-year experience with single-site laparoscopic-assisted Soave operation for Hirschsprung disease.
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Department of Colorectal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, P. R. China.
Background: The aim of this study was to investigate the clinical outcomes after a transumbilical single-site laparoscopic-assisted Soave operation (TSLSO) for Hirschsprung disease (HD) in children, with a 10-year follow‑up results assessment.
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