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Constipation and functional faecal retention in Sri Lankan school children and adolescents

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dc.contributor.author Rajindrajith, S. en_US
dc.contributor.author Adikari, C. en_US
dc.contributor.author Pannala, W. en_US
dc.contributor.author Devanarayana, N.M. en_US
dc.date.accessioned 2015-12-24T00:13:12Z en_US
dc.date.available 2015-12-24T00:13:12Z en_US
dc.date.issued 2008 en_US
dc.identifier.citation Journal of Gastroenterology and Hepatology. 2008; 23(Suppl 5): A157-A158 en_US
dc.identifier.issn 0815-9319 (Print) en_US
dc.identifier.issn 1440-1746 (Electronic) en_US
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/10936 en_US
dc.description Poster Session Abstract (No. 97), Asian Pacific Digestive Week, September 13–16, 2008, New Delhi, India en_US
dc.description.abstract INTRODUCTION: Constipation is a common paediatric problem, but little is known regarding it’s prevalence in Asia. AIMS : To assess prevalence of constipation and functional faecal retention among Sri Lankan school children and adolescents. MATERIALS: This is a cross sectional survey. A validated, self-administered questionnaire was distributed to randomly selected children, aged 10–16 years, in 4 randomly selected schools, in 3 geographically and socioeconomically different Provinces in Sri Lanka. Constipation was defined using Rome III criteria and Paris Consensus on Childhood Constipation Terminology (PACCT). Functional faecal retention was diagnosed using Rome II criteria. RESULTS: A total of 2770 questionnaires were distributed and 2699 (97.4%) were included in the analysis [1368 (50.6%) males, mean age 13.17 years, SD 1.72 years]. According to Rome III criteria and PACCT, 416 (15.4%) and 353 (13.1%) had constipation respectively [the agreement Cohen’s kappa (k) = 0.895, p < 0.0001]. Prevalence of constipation was higher in males than in females according to both PACCT (15.1% vs. 11%, p = 0.002) and Rome III criteria (16.8% vs. 14%, p = 0.047). The majority had family history of constipation (p < 0.0001). Straining, bleeding per rectum, abdominal pain, nausea, vomiting, anorexia and weight loss were significantly higher in the affected children (p < 0.001). Hundred and ten (4.1%) had functional faecal retention, of them 104 (94.5%) also fulfilled Rome III criteria for constipation (k = 0.402, p < 0.0001). CONCLUSIONS: Chronic constipation is a significant problem affecting 13–15% of Sri Lankan school children and adolescents. Constipation is commoner among males. Both Rome III criteria and PACCT are effective in diagnosing childhood constipation in epidemiological studies en_US
dc.language.iso en_US en_US
dc.publisher Wiley Blackwell Scientific Publications en_US
dc.subject Gastrointestinal Diseases en_US
dc.subject Constipation en_US
dc.subject Child en_US
dc.subject Adolescent en_US
dc.subject Constipation-physiopathology en_US
dc.subject Constipation-etiology en_US
dc.title Constipation and functional faecal retention in Sri Lankan school children and adolescents en_US
dc.type Conference Abstract en_US
dc.creator.corporateauthor Asian Pacific Association of Gastroenterology en
dc.creator.corporateauthor Asian Pacific Association for the Study of the Liver en


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