[Functional megacolon in children].
During 1980-1985, 304 children with functional megacolon were examined. Group I was made up of 95 patients with chronic constipation; group II of 130 patients with associated megacolon and encopresis; group III of 54 patients who mainly complained of abdominal pain (the mean age was 5.2, 7.5 and 8.8 years, respectively); group IV included 25 children (19.6%) with megacolon recognized from the group of 127 patients in whom acute appendicitis was excluded according to irrigoscopy. In the children of the first 3 groups, the x-ray signs of colitis or irritated colon were identified in 54, 72 and 87%, respectively. These groups may in fact illustrate the natural time-course of changes in the disease development. It has been demonstrated that with age functional megacolon may be aggravated by colitis. A pathogenetic diagram of the development of functional megacolon is provided.
Levin
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MD
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003109:Colonic Diseases, Functional / Q000150:complications / Q000175:diagnosis*; D003248:Constipation / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D005260:Female; D006627:Hirschsprung Disease / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008531:Megacolon / Q000150:complications / Q000175:diagnosis*
Funktsiona'lnyĭ megakolon u deteĭ.