Journal article

Slow-transit constipation with concurrent upper gastrointestinal dysmotility and its response to transcutaneous electrical stimulation

Yee Ian Yik, Melanie CC Clarke, Anthony G Catto-Smith, Val J Robertson, Jonathan R Sutcliffe, Janet W Chase, Susan Gibb, Timothy M Cain, David J Cook, Coral F Tudball, John M Hutson, Bridget R Southwell

PEDIATRIC SURGERY INTERNATIONAL | SPRINGER | Published : 2011

Abstract

PURPOSE: Transcutaneous electrical stimulation (TES) speeds up colonic transit in children with slow-transit constipation (STC). This study examined if concurrent upper gastrointestinal dysmotility (UGD) affected response to TES. METHODS: Radio-nuclear transit studies (NTS) were performed before and after TES treatment of STC as part of a larger randomised controlled trial. UGD was defined as delayed gastric emptying and/or slow small bowel transit. Improvement was defined as increase of ≥1 Geometric Centre (median radiotracer position at each time [small bowel = 1, toilet = 6]). RESULTS: Forty-six subjects completed the trial, 34 had NTS after stimulation (21 M, 8-17 years, mean 11.3 years;..

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