Journal article

'Rapid transit' constipation in children: a possible genesis for irritable bowel syndrome

JM Hutson, MC Hynes, I Kearsey, YI Yik, DM Veysey, CF Tudball, TM Cain, SK King, BR Southwell

Pediatric Surgery International | Springer | Published : 2020


Children with chronic idiopathic constipation (CIC) often end up at the surgeon when medical treatments have failed. This opinion piece discusses a recently described pattern of CIC called ‘Rapid transit constipation (RTC)’ first identified in 2011 as part of surgical workup. RTC was identified using a nuclear medicine gastrointestinal transit study (NMGIT or nuclear transit study) to determine the site of slowing within the bowel and to inform surgical treatment. Unexpectedly, we found that RTC occured in 29% of 1000 transit studies in a retrospective audit. Irritable bowel syndrome (IBS) occurs in 7–21% of the population, with a higher prevalence in young children and with constipation typ..

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