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J Pediatr Surg
May 2012
Department of Surgery, Beijing Children's Hospital, Capital Medical University, Beijing 100045, China.
Purpose: The purpose of this study is to present the management of idiopathic megaduodenum in children.
Methods: A retrospective analysis of 4 cases of megaduodenum admitted from 2005 to 2011 was performed evaluating clinical features, radiologic data, treatment, pathologic findings, and prognosis. The corresponding literature was reviewed.
Pediatr Med Chir
March 1997
Unità di Endoscopia e Motilità Intestinale, Dipartimento di Pediatria, Università Federico II di Napoli, Italia.
The great majority of children referred to Pediatric Gastroenterologic Units for chronic constipation have a functional disorder and do not require investigative techniques, since functional constipation is easily recognized an anamnestic and clinical basis. Severe chronic constipation indicates a chronic condition believed to be of functional type but unresponsive to the traditional pharmacologic treatment. However, several clinical features might suggest an organic type of constipation during the initial diagnostic approach: growth failure, distension, episodes of diarrhea intermingled with constipation, subocclusive events, dilatation of areas of the gut (megaduodenum, megajejunum) at x-ray examination of the entire gastrointestinal tract.
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