June 2012. Volume 8. Number 2

Non-pharmacological treatments for constipation are based on a poor level of evidence

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Tabbers MM, Boluyt N, Berger MY, Benninga MA. Nonpharmacologic treatments for childhood constipation: systematic review. Pediatrics. 2011;128:753-61.
Reviewers: Sánchez Bueno I1, Buñuel Álvarez JC2, Cortés Marina RB3.
1Hospital Universitario Dr. Josep Trueta. Girona. Girona. España.
2Àrea Bàsica de Salut Girona-4. Institut Català de la Salut. Girona. España.
3ABS Girona-3. Girona. España.
Correspondence: Isabel Sánchez Bueno. Email: isaroses@hotmail.com
Reception date: 13/03/2012
Acceptance date: 16/03/2012
Publication date: 21/03/2012

Abstract

Authors' conclusions: There is no evidence to support the effectiveness of increased fluid intake, use of prebiotics, probiotics or behavioral therapy for the treatment of functional constipation. Only some evidence that shows some efficacy of dietary fiber.

Reviewers' commentary: This review contains a very small number of studies with great heterogeneity among them. These studies also are of small sample size. Therefore it is not possible to conclude from the results of this review, which treatment is more effective. Given the current state of knowledge on the subject, it seems prudent to recommend that the patient and their parents take preventive measures such as diets rich in fruits and vegetables and the acquisition of an appropriate intestinal habit. Should the patient require drug treatment, polyethylene glycol 3350 seems to be the best option.

How to cite this article

Sánchez Bueno I, Buñuel Álvarez JC, Cortés Marina RB. Los tratamientos no farmacológicos para el estreñimiento se basan en un pobre nivel de evidencia. Evid Pediatr. 2012;8:32.

AVC | Critically appraised articles

Tabbers MM, Boluyt N, Berger MY, Benninga MA. Nonpharmacologic treatments for childhood constipation: systematic review. Pediatrics. 2011;128:753-61.
Reviewers: Sánchez Bueno I1, Buñuel Álvarez JC2, Cortés Marina RB3.
1Hospital Universitario Dr. Josep Trueta. Girona. Girona. España.
2Àrea Bàsica de Salut Girona-4. Institut Català de la Salut. Girona. España.
3ABS Girona-3. Girona. España.
Correspondence: Isabel Sánchez Bueno. Email: isaroses@hotmail.com
Reception date: 13/03/2012
Acceptance date: 16/03/2012
Publication date: 21/03/2012

How to cite this article

Sánchez Bueno I, Buñuel Álvarez JC, Cortés Marina RB. Los tratamientos no farmacológicos para el estreñimiento se basan en un pobre nivel de evidencia. Evid Pediatr. 2012;8:32.

References

  1. Prieto Bozano G. Estreñimiento crónico. En: AEPap ed. Curso de Actualización Pediatría 2005. Madrid: Exlibris Ediciones; 2005. p. 99-106.
  2. Hernández R, Rodrigo M. Trastornos de la eliminación: enuresis y encopresis. Pediatría integral [en línea] [fecha de consulta: 7-III-2012]. Disponible en: http://www.sepeap.org/imagenes/secciones/Image/_USER_/Ps_inf_trastornos_eliminacion_enuresis_encopresis.pdf
  3. de Blas A, Montón JL. Estreñimiento. Famiped. 2011;4 [en línea] [fecha de consulta: 2-III-2012]. Disponible en: http://www.famiped.es/sites/default/files/famiped-estrenimiento.pdf
  4. NICE.Constipation in children and young people: Diagnosis and management of idiopathic childhood constipation in primary and secondary care [en línea] [fecha de publicación: V-2010] [fecha de consulta: 2-III-2012]. Disponible en: http://publications.nice.org.uk/constipation-in-children-and-young-people-cg99/guidance
  5. Aizpurua Galdeano MP. El PEG3350 es efectivo en el tratamiento del estreñimiento funcional. Evid Pediatr. 2009;5:10.
21/03/2012

Los tratamientos no farmacológicos para el estreñimiento se basan en un pobre nivel de evidencia

22 de March de 2012 Jose Ignacio Olazabal Malo de Molina
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