Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation

Leong, L.C. Y. and Yik, Y.I. and Catto-Smith, A.G. and Robertson, V.J. and Hutson, J.M. and Southwell, B.R. (2010) Long-term effects of transabdominal electrical stimulation in treating children with slow-transit constipation. Journal of Pediatric Surgery, 46 (12). pp. 2309-2312.

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Aims: Transcutaneous electrical stimulation (TES) was used to treat children with slow-transit constipation (STC) for 1 to 2 months in a randomized controlled trial during 2006 to 2008. We aimed to determine long-term outcomes, hypothesizing that TES produced sustained improvement. Methods: Physiotherapists administered 1 to 2 months of TES to 39 children (20 minutes, 3 times a week). Fifteen continued to self-administer TES (30 minutes daily for more than 2 months). Mean long-term follow-up of 30 of 39 patients was conducted using questionnaire review 3.5 years (range 1.9-4.7 years) later. Outcomes were evaluated by confidence intervals or paired t test. Results: Seventy-three percent of patients perceived improvement, lasting more than 2 years in 33% and less than 6 months in 25% to 33%. Defecation frequency improved in 30%. Stools got wetter in 62% after stimulation and then drier again. Soiling improved in 75% and abdominal pain in 59%. Laxative use stopped in 52%, and 43% with appendicostomies stopped washouts. Soiling/Holschneider continence score improved in 81% (P = .0002). Timed sits switched to urge-initiated defecations in 80% patients. Eighty percent of relapsed patients elected to have home stimulation. Conclusion: TES holds promise for STC children. Improvement occurred in two thirds of children, lasting more than 2 years in one third, whereas symptoms recurred after 6 months in one third of children. (C) 2011 Elsevier Inc. All rights reserved.

Item Type: Article
Additional Information: 44th Annual Meeting of the Pacific-Association-of-Pediatric-Surgeons, Cancun, MEXICO, APR 10-14, 2011
Subjects: R Medicine > RJ Pediatrics
Depositing User: MR Faizal II H
Date Deposited: 09 Nov 2015 01:48
Last Modified: 09 Nov 2015 01:48
URI: http://eprints.um.edu.my/id/eprint/14693

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