September 2023. Volume 19. Number 3

Percutaneous tibial nerve stimulation seems effective in resistant child constipation with dyssynergic defecation

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Yu ZT, Song JM, Qiao l, Wang Y, Chen Y, Wang EH, et al. A Randomized, Double-Blind, Controlled Trial of Percutaneous Tibial Nerve Stimulation With Pelvic Floor Exercises in the Treatment of Childhood Constipation. Am J Gastroenterol. 2023; 118:553-60.

Reviewers: Fraile Astorga G1, Aparicio Rodrigo M2.
1Pediatra. CS Cuellar. Segovia. España.
2Pediatra. CS Entrevías. Facultad de Medicina. Universidad Complutense de Madrid. Madrid. España.
Correspondence: Garazi Fraile Astorga. Email: gfrailea@saludcastillayleon.es
Reception date: 12/06/2023
Acceptance date: 27/06/2023
Publication date: 05/07/2023

Abstract

Authors´ conclusions: percutaneous tibial nerve stimulation with pelvic floor exercises is a safe and effective method in the treatment of childhood constipation, particularly in children with pelvic floor dysfunction or dyssynergic defecation.

Reviewers´ commentary: the data from the study suggest that percutaneous tibial nerve stimulation is an effective therapeutic option in children with constipation resistant to traditional medical treatment and pelvic floor dysfunction. Although it is not a technique available to the entire population, it could be an option to consider in selected patients. We should be cautious, the evidence is short in terms of the number of trials and sample size included in the studies, and we do not have data of persistence of the effect in the long term or of improvement in quality of life.

How to cite this article

Fraile Astorga G, Aparicio Rodrigo M. La estimulación percutánea del nervio tibial pa-rece eficaz para tratar el estreñimiento pertinaz con disinergia pélvica. Evid Pediatr. 2023;19:25.

AVC | Critically appraised articles

Yu ZT, Song JM, Qiao l, Wang Y, Chen Y, Wang EH, et al. A Randomized, Double-Blind, Controlled Trial of Percutaneous Tibial Nerve Stimulation With Pelvic Floor Exercises in the Treatment of Childhood Constipation. Am J Gastroenterol. 2023; 118:553-60.

Reviewers: Fraile Astorga G1, Aparicio Rodrigo M2.
1Pediatra. CS Cuellar. Segovia. España.
2Pediatra. CS Entrevías. Facultad de Medicina. Universidad Complutense de Madrid. Madrid. España.
Correspondence: Garazi Fraile Astorga. Email: gfrailea@saludcastillayleon.es
Reception date: 12/06/2023
Acceptance date: 27/06/2023
Publication date: 05/07/2023

How to cite this article

Fraile Astorga G, Aparicio Rodrigo M. La estimulación percutánea del nervio tibial pa-rece eficaz para tratar el estreñimiento pertinaz con disinergia pélvica. Evid Pediatr. 2023;19:25.

05/07/2023

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