March 2010. Volume 6. Number 1

Polyethylene glycol could be a safe and effective alternative to enemas in children with fecal impaction

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Noor-L-Houda Bekkali, Maartje-Maria van den Berg, Marcel G.W. Dijkgraaf, Michiel P. van Wijk, Marloes E.J. Bongers, Olivia Liem and Marc A. Benninga . Rectal Fecal Impaction Treatment in Childhood Constipation: Enemas Versus High Doses Oral PEG. Pediatrics. 2009;124;e1108-15
Reviewers: Carreazo Pariasca NY1, Cuervo Valdés JJ2.
1Hospital de Emergencias Pediátricas. Lima. Perú.
2CS Ciudad Jardín. Badajoz. España.
Correspondence: Nilton Yhuri Carreazo Pariasca. Email: yhuroc@gmail.com
Reception date: 27/02/2010
Acceptance date: 01/03/2010
Publication date: 25/03/2010

Abstract

Authors’conclusions: enemas and polyethylene glycol (PEG) were equally effective in the treatment ofrectal fecal impaction (RFI) in children. Compared with enemas, PEG caused more fecal incontinence, with comparable behavior scores. The treatments should be considered equally as first-line therapy for RFI.

Reviewer’scommentary:taking into account the frequency of fecal impaction in patients with constipation, itis important to have oral medication that is effective and well tolerated bychildren as enemas are sometimes rejected by the discomfort that they suppose. Enema therapy could be used in those cases not responding to PEG. There would be necessaryto conduct further well designed clinical trials to determine more accurately the real effect of PEG in the treatment of childhood constipation.

How to cite this article

Carreazo Pariasca NY, Cuervo Valdés JJ. En niños con impactación fecal el polietilenglicol podría ser una alternativa segura y eficaz a los enemas.Evid Pediatr. 2010;6:5.

AVC | Critically appraised articles

Noor-L-Houda Bekkali, Maartje-Maria van den Berg, Marcel G.W. Dijkgraaf, Michiel P. van Wijk, Marloes E.J. Bongers, Olivia Liem and Marc A. Benninga . Rectal Fecal Impaction Treatment in Childhood Constipation: Enemas Versus High Doses Oral PEG. Pediatrics. 2009;124;e1108-15
Reviewers: Carreazo Pariasca NY1, Cuervo Valdés JJ2.
1Hospital de Emergencias Pediátricas. Lima. Perú.
2CS Ciudad Jardín. Badajoz. España.
Correspondence: Nilton Yhuri Carreazo Pariasca. Email: yhuroc@gmail.com
Reception date: 27/02/2010
Acceptance date: 01/03/2010
Publication date: 25/03/2010

How to cite this article

Carreazo Pariasca NY, Cuervo Valdés JJ. En niños con impactación fecal el polietilenglicol podría ser una alternativa segura y eficaz a los enemas.Evid Pediatr. 2010;6:5.

References

  1. Youssef NN, Peters JM, Henderson W, Shultz-Peters S, Lockhart DK, Di Lorenzo C. Dose response of PEG 3350 for the treatment of childhood fecal impaction. J Pediatr. 2002;141:410-4.
  2. Candy DC, Edwards D, Geraint M. Treatment of faecal impaction with polyethelene glycol plus electrolytes (PGE + E) followed by a double-blind comparison of PEG + E versus lactulose as maintenance therapy. J Pediatr Gastroenterol Nutr. 2006;43:65-70.
25/03/2010

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