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Archives of Gastroenterology Research

ISSN: 2692-5427

Commentary Open Access
Volume 4 | Issue 1 | DOI: https://doi.org/10.33696/Gastroenterology.4.047

Pediatric Functional Constipation in Clinical Practice: The Continuous Search for the Light at the End of the Tunnel

Nilton Carlos Machado1,*, Juliana Tedesco Dias1, Gabriela Nascimento Hercos1, Thabata Koester Weber2, Mary de Assis Carvalho1
  • 1Pediatric Gastroenterology and Hepatology Unit, Department of Pediatrics, Botucatu Medical School- São Paulo State University, Brazil
  • 2Department of Human Sciences and Nutrition and Food Sciences, Institute of Biosciences- São Paulo State University, Brazil
+ Affiliations - Affiliations

Corresponding Author

Nilton Carlos Machado, nilton.machado@unesp.br

Received Date: December 04, 2023

Accepted Date: December 11, 2023

Citation:

Machado NC, Dias JT, Hercos GN, Weber TK, de Assis Carvalho M. Pediatric Functional Constipation in Clinical Practice: The Continuous Search for the Light at the End of the Tunnel. Arch Gastroenterol Res. 2023;4(1):43-51.


Copyright: © 2023 Machado NC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Functional constipation (FC) has a pooled world prevalence of 9.5%, a clear definition by Rome IV Criteria, and the NAPGHAN/ESPGHAN guidelines recommendation for management. With well-defined parameters, this commentary discusses the paths followed by the literature to implement different therapeutic modalities over time. The text will prioritize information based on systematic reviews, meta-analyses, or reviews. Recently, an Editorial exploring gastrointestinal diseases across the Lifespan linked constipation as a “vexing issue that, unfortunately, has the potential to impair Health-Related Quality of Life (HRQOL).” Indeed, The Rome Foundation recommended that HRQOL scores may assist in diagnosis, management, prognosis, and therapeutic decisions. Therefore, it can be helpful for clinicians, psychologists, and researchers and could be used to support health services that want to implement an HRQOL program. The final idea is to propose HRQOL as a secondary outcome for Pediatric FC monitoring this disorder.

Keywords

Functional constipation, Health-related quality of life, Outcomes, Rome criteria, Functional constipation management, Behavioral approach, Stressful life events

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