Fecal incontinence in children.
Functional constipation is the cause of fecal incontinence in 95 percent of affected children, and anatomic or neurologic causes account for up to 5 percent of cases. The history and the physical examination (with emphasis on abdominal, rectal and neurologic examinations) are most helpful in identifying organic disease. In some children, anorectal manometry, a barium enema radiographic examination and a rectal biopsy are necessary to determine the etiology. Most children with fecal incontinence benefit from a strict treatment plan that includes defecation trials, a fiber-rich diet and laxative medications. Surgery followed by medical treatment is required in patients with Hirschsprung's disease and in some patients with anal stenosis or a history of surgical repair of an anorectal malformation.
Loening-Baucke
V
V
Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City 52242-1083, USA.
D002648:Child; D002675:Child, Preschool; D005242:Fecal Incontinence / Q000209:etiology / Q000628:therapy; D006801:Humans; D011379:Prognosis