Constipation and DIOS: Diagnosis, differential diagnosis, and management.

Pediatr Pulmonol

Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Cardinal Glennon Children's Medical Center, Saint Louis University School of Medicine, St. Louis, Missouri, USA.

Published: September 2024

AI Article Synopsis

  • Cystic Fibrosis (CF) is complex and demands a team approach for proper management, with the GALAXY study showing that 25% of patients experience constipation, a major gastrointestinal symptom.
  • Quality of Life assessments indicate that many patients are dissatisfied with current treatments, emphasizing the need for better strategies.
  • The paper focuses on distinguishing between abdominal pain sources such as constipation and Distal Intestinal Obstruction Syndrome (DIOS), detailing their causes, diagnosis, and treatment in CF patients.

Article Abstract

Cystic Fibrosis (CF) is a complex disorder that requires multidisciplinary expertise for effective management. The GALAXY study estimated the prevalence of constipation to be about 25% among People with Cystic Fibrosis (PwCF), identifying it as one of the common gastrointestinal (GI) symptoms within this patient population. Quality of Life (QoL) assessments uncovered high patient dissatisfaction, highlighting the imperative need for enhanced treatment strategies. Similarly, Distal Intestinal Obstruction Syndrome (DIOS) is a unique condition exclusive to PwCF that, if left undiagnosed, can lead to considerable morbidity and mortality. Given the broad spectrum of differential diagnoses for abdominal pain, including constipation and DIOS, it is paramount for healthcare providers to possess a clear understanding of these conditions. This paper aims to delineate various differentials for abdominal pain while elucidating the pathogenesis, diagnostic criteria, and treatment options for managing constipation and DIOS in PwCF.

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http://dx.doi.org/10.1002/ppul.27104DOI Listing

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Pediatr Pulmonol

September 2024

Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Cardinal Glennon Children's Medical Center, Saint Louis University School of Medicine, St. Louis, Missouri, USA.

Article Synopsis
  • Cystic Fibrosis (CF) is complex and demands a team approach for proper management, with the GALAXY study showing that 25% of patients experience constipation, a major gastrointestinal symptom.
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  • The paper focuses on distinguishing between abdominal pain sources such as constipation and Distal Intestinal Obstruction Syndrome (DIOS), detailing their causes, diagnosis, and treatment in CF patients.
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