Evaluation and management of pediatric refractory constipation: Recommendations from the NASPGHAN neurogastroenterology and motility committee

Authors

Alexandra L. Kilgore, Digestive Health Institute, Children's Hospital Colorado, Aurora, Colorado, USA.
Mary K. Rogers Boruta, Levine Children's Hospital, Atrium Health, Charlotte, North Carolina, USA.
Lusine Ambartsumyan, Division of Gastroenterology and Hepatology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington, USA.
Roberto Gomez Suarez, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Nemours Children's Hospital, Orlando, Florida, USA.
Dhiren Patel, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Cardinal Glennon Children's Medical Center, Saint Louis University School of Medicine, St Louis, Missouri, USA.
Richard J. Wood, Department of Pediatric Colorectal and Pelvic Reconstructive Surgery, Nationwide Children's Hospital, Columbus, Ohio, USA.
Anil Darbari, Pediatric Gastroenterology, Department of Pediatrics, Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Leonel Rodriguez, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Yale University School of Medicine, New Haven, Connecticut, USA.

Document Type

Journal Article

Publication Date

12-31-2024

Journal

Journal of pediatric gastroenterology and nutrition

DOI

10.1002/jpn3.12390

Keywords

constipation evaluation; constipation management; motility studies for constipation; surgical interventions for constipation

Abstract

Refractory constipation (RC) in pediatric patients should be recognized as a distinct condition with long-term impacts on patient and family quality of life. RC requires a more targeted diagnostic evaluation and complex management strategy that may involve management by pediatric neurogastroenterology and motility specialists and multidisciplinary teams including surgeons. Currently, there is a lack of a clear definition, evaluation, and management strategies for RC. This is the first North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition position paper to address pediatric RC regarding its definition, evaluation, and management.

APA Citation

Kilgore, Alexandra L.; Rogers Boruta, Mary K.; Ambartsumyan, Lusine; Suarez, Roberto Gomez; Patel, Dhiren; Wood, Richard J.; Darbari, Anil; and Rodriguez, Leonel, "Evaluation and management of pediatric refractory constipation: Recommendations from the NASPGHAN neurogastroenterology and motility committee" (2024). GW Authored Works. Paper 6087.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/6087

Department

Pediatrics