Gastrointestinal transit in children with chronic idiopathic constipation

Abstract

Chronic constipation in children is common and produces significant morbidity. Identification of the site of dysmotility in constipation may determine the cause and permit directed management. Scintigraphy differentiates constipated patients with anorectal hold-up from those with colonic slowing. Adults with colonic slowing demonstrate variation in the site of hold-up. However, in children with colonic slowing, variability in the site of hold-up has not been investigated. Purpose: The current study aimed to characterise colonic transit patterns in 64 children with chronic idiopathic constipation. Methods: Scintigraphic images were grouped visually by their transit patterns. Intra-observer va..