Megarectum in constipation.

Abstract:

BACKGROUND:Faecal impaction is frequently observed in children with chronic constipation. The term megarectum is often used to describe this finding. AIM:To evaluate rectal functioning and rectal measures in constipated children with a filled rectum, in order to define the terms faecal impaction, enlarged rectum, and megarectum. METHODS:All children underwent radiological investigation, colonic transit time study, anorectal manometry, and rectal volume and rectal wall compliance measurements. Patients with faecal impaction were compared with controls, who had an empty rectum on digital rectal examination. RESULTS:A total of 31 patients and six controls were included in the study. The mean duration of complaints was 4.2 years and all had faecal incontinence. The colonic transit times in the patients showed a distinct delay in the rectosigmoid segment. Anorectal manometry was not significantly different between patients and controls. The rectal width in patients was 0.68 and in controls 0.52 with an upper limit of 0.61. The pressure-volume curve in patients showed significant less relaxation at a distension of 50 ml. The slope of the curve (corresponding with rectal wall compliance) was comparable for patients and controls. CONCLUSIONS:We suggest that faecal impaction is a filled rectum found on digital rectal examination; an enlarged rectum is defined by a rectopelvic ratio greater than 0.61; and megarectum is defined in those with significant abnormalities found with anorectal manometry, pressure-volume curves, or rectal compliance investigation. A diminished relaxation of the rectum on rectal distension could be the first sign of megarectum in children with chronic constipation.

journal_name

Arch Dis Child

authors

van der Plas RN,Benninga MA,Staalman CR,Akkermans LM,Redekop WK,Taminiau JA,Buller HA

doi

10.1136/adc.83.1.52

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

52-8

issue

1

eissn

0003-9888

issn

1468-2044

journal_volume

83

pub_type

杂志文章
  • Congenital haemolytic anaemia associated with abnormal inducible red cell cation permeability.

    abstract::Congenital haemolytic anaemia in a 14 year old girl was caused by increased red cell membrane cation permeability. Potassium permeability was unusually sensitive to hydrostatic pressure and treatment with N-ethylmaleimide, factors which activate a specific chloride dependent potassium channel in cell membranes. ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.58.7.547

    authors: Gardiner RM,Barnes ND,Ellory JC

    更新日期:1983-07-01 00:00:00

  • Home visiting programmes for the prevention of child maltreatment: cost-effectiveness of 33 programmes.

    abstract:OBJECTIVE:There is a body of published research on the effectiveness of home visiting for the prevention of child maltreatment, but little in the peer reviewed literature on cost-effectiveness or value to society. The authors sought to determine the cost-effectiveness of alternative home visiting programmes to inform p...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/archdischild-2011-300795

    authors: Dalziel K,Segal L

    更新日期:2012-09-01 00:00:00

  • Concentration of zinc in the hair of schoolchildren.

    abstract::The concentration of zinc in the hair of 219 schoolchildren aged between 10 and 11 years was measured and related to height, weight, estimates of consumption of zinc-rich foods, number of children living at home, and rank in family. None of the correlation coefficients between hair zinc and the other variables was sig...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.54.12.958

    authors: Heinersdorff N,Taylor TG

    更新日期:1979-12-01 00:00:00

  • Health consequences of obesity.

    abstract::The recent epidemic of childhood obesity(1) has raised concern because of the possible clinical and public health consequences.(2,)(3) However, there remains a widespread perception among health professionals that childhood obesity is a largely cosmetic problem, with minor clinical effects. No systematic review has ye...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/adc.88.9.748

    authors: Reilly JJ,Methven E,McDowell ZC,Hacking B,Alexander D,Stewart L,Kelnar CJ

    更新日期:2003-09-01 00:00:00

  • Pulmonary and sinus diseases in primary humoral immunodeficiencies with chronic productive cough.

    abstract:AIMS:To prospectively evaluate sinopulmonary disease in 24 patients with primary humoral immunodeficiency (11 with agammaglobulinaemia, nine with isolated IgA deficiency, and two with common variable immunodeficiency) and chronic productive cough, ascertain the usefulness of chest high resolution computed tomography (H...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.88.12.1101

    authors: Rusconi F,Panisi C,Dellepiane RM,Cardinale F,Chini L,Martire B,Bonelli N,Felisati G,Pietrogrande MC

    更新日期:2003-12-01 00:00:00

  • Congenital left heart obstruction: ethnic variation in incidence and infant survival.

    abstract:OBJECTIVE:To investigate the relationship between ethnicity and health outcomes among fetuses and infants with congenital left heart obstruction (LHO). DESIGN:A retrospective population-based review was conducted of fetuses and infants with LHO including all terminations, stillbirths and live births from 20 weeks' ges...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2018-315887

    authors: Cloete E,Sadler L,Bloomfield FH,Crengle S,Percival T,Gentles TL

    更新日期:2019-09-01 00:00:00

  • Discovering anaemia at child health clinics.

    abstract::Children at three inner city child health clinics were offered haemoglobin estimation by fingerprick blood test when attending for immunisation against measles. Of the 98 immunised, 92 (94%) participated in the study, together with 58 other children. Anaemia (haemoglobin concentration less than 110 g/l) was found in 3...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.65.8.892

    authors: Marder E,Nicoll A,Polnay L,Shulman CE

    更新日期:1990-08-01 00:00:00

  • Parental recall of birth weight: how accurate is it?

    abstract:OBJECTIVE:To assess the accuracy of parental recall of birth weight in a British population and to investigate whether social class and age of the child significantly influence the accuracy of recalled birth weight. METHODS:A questionnaire was given to parents whose children were participating in a blood pressure stud...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.82.3.202

    authors: O'Sullivan JJ,Pearce MS,Parker L

    更新日期:2000-03-01 00:00:00

  • Characteristics of disorders associated with genetic mutations of surfactant protein C.

    abstract:STUDY OBJECTIVES:To present diagnosis and treatment modalities of children with interstitial lung disease associated with frequent or rare surfactant protein C gene (SFTPC) mutation. PATIENTS:Twenty-two children with chronic lung disease associated with SFTPC mutation in a heterozygous form. RESULTS:Mutations located...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,多中心研究

    doi:10.1136/adc.2009.171553

    authors: Thouvenin G,Abou Taam R,Flamein F,Guillot L,Le Bourgeois M,Reix P,Fayon M,Counil F,Depontbriand U,Feldmann D,Pointe HD,de Blic J,Clement A,Epaud R

    更新日期:2010-06-01 00:00:00

  • Air leaks and vasopressin release.

    abstract::Eleven very low birthweight babies being ventilated for respiratory problems during the first week of life developed air leaks on 22 occasions. On 16 out of 19 occasions the infants showed increases in urinary excretion of vasopressin after these events and on 10 occasions out of 13 there was a rise in the plasma argi...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.65.11.1259

    authors: McIntosh N,Prakash P,Smith A

    更新日期:1990-11-01 00:00:00

  • Secular change in birthweight of Asian babies born in Birmingham.

    abstract::We have studied changes in the birthweight of Asian babies born alive at this hospital between 1968 and 1978. In 1978 Pakistani babies were 139 g heavier but Indian babies only 25 g heavier than 10 years earlier. Contributing to these changes were significantly fewer short mothers and primiparae among Pakistanis, and ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.57.11.867

    authors: Clarson CL,Barker MJ,Marshall T,Wharton BA

    更新日期:1982-11-01 00:00:00

  • Early excessive growth with distinct seasonality in preschool obesity.

    abstract:OBJECTIVES:Healthy-weight children tend to gain weight during winter but lose weight during summer. However, overweight elementary school children have shown accelerated summertime weight gain. Whether this seasonal growth variation occurs during preschool period is of substantial interest. METHODS:Data were derived f...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2018-314862

    authors: Isojima T,Kato N,Yokoya S,Ono A,Tanaka T,Yokomichi H,Yamagata Z,Tanaka S,Matsubara H,Ishikuro M,Kikuya M,Chida S,Hosoya M,Kuriyama S,Kure S

    更新日期:2019-01-01 00:00:00

  • Prevention of intellectual disability through screening for congenital hypothyroidism: how much and at what level?

    abstract:OBJECTIVE:Congenital hypothyroidism (CHT) is a common cause of preventable mental retardation, and the quantification of intellectual disability due to CHT is needed to assess the public health benefit of newborn screening. DESIGN:Review of published studies conducted among children born prior to the introduction of n...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/adc.2010.190280

    authors: Grosse SD,Van Vliet G

    更新日期:2011-04-01 00:00:00

  • Immunological evaluation in the early diagnosis of prenatal or perinatal HIV infection.

    abstract::A longitudinal evaluation was carried out of the clinical, infective, and immunological progress of 34 children (who were aged 6 to 68 months--mean 25 months at the time of writing) born to 31 mothers infected with human immunodeficiency virus (HIV), over a mean observation period of 13.4 months. Clinical symptoms, no...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.64.5.662

    authors: Nadal D,Hunziker UA,Schüpbach J,Wetzel JC,Tomasik Z,Jendis JB,Fanconi A,Seger RA

    更新日期:1989-05-01 00:00:00

  • Association between urinary symptoms at 7 years old and previous urinary tract infection.

    abstract::The association between current micturition habits and previous urinary tract infection was analysed among 3553 school entrants aged 7 years by means of a questionnaire. A high incidence of urinary infection, confirmed by urine culture, was found (145 (8.4%) in the 1719 girls and 32 (1.7%) in the 1834 boys). There was...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.66.2.232

    authors: Hellström A,Hanson E,Hansson S,Hjälmås K,Jodal U

    更新日期:1991-02-01 00:00:00

  • Prevalence and distribution of petechiae in well babies.

    abstract:AIMS:To determine the prevalence of petechial spots in well babies. METHODS:A total of 116 babies under the age of 12 months were fully examined at child health surveillance clinics. The number and site of petechiae were recorded together with details of possible causes. RESULTS:A total of 27.6% of babies had one or ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.86.4.291

    authors: Downes AJ,Crossland DS,Mellon AF

    更新日期:2002-04-01 00:00:00

  • Dissolution of bilateral staghorn cystine renal calculi.

    abstract::Bilateral staghorn renal calculi in a 7-year-old girl with cystinuria were dissolved over a period of 6 months, using a high fluid intake, urinary alkalinisation, and D-penicillamine. Even in children with extensive cystine urolithiasis, medical management may avert the need for surgery. ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.54.10.795

    authors: Van Dugteren GR,Wiggelinkhuizen J

    更新日期:1979-10-01 00:00:00

  • Value of cystography in urinary tract infections.

    abstract::Fifty-one children with a bacteriologically proven urinary tract infection had both an intravenous urogram (IVU) and a micturating cystogram. The IVU was normal in 35. Only 6 of these children showed reflux in the cystogram, affecting 7 of the 70 ureters at risk. Since reflux on its own does not cause renal damage, wh...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.51.11.893

    authors: Moncrieff MW,Whitelaw R

    更新日期:1976-11-01 00:00:00

  • An assessment of the diabetic knowledge of school teachers.

    abstract::Ninety seven teachers of diabetic pupils in Liverpool completed a questionnaire designed to assess their knowledge of diabetes mellitus and the sources from which they had obtained information. The survey aimed to evaluate their understanding and to aid in planning an alternative policy of teacher education. Only 24 t...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.58.9.692

    authors: Bradbury AJ,Smith CS

    更新日期:1983-09-01 00:00:00

  • Diagnosis and management of folate deficiency in low birthweight infants.

    abstract::Significant folate deficiency in 14 out of 37 preterm infants of birthweights 2.0 kg or less was found to be reliably and most conveniently diagnosed by abnormal morphological changes in peripheral blood and confirmed by the response to folic acid. Deficiency appeared to be more common in light-for-dates infants inclu...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.54.4.271

    authors: Strelling MK,Blackledge DG,Goodall HB

    更新日期:1979-04-01 00:00:00

  • Mortality from 1 to 16-18 years in bilateral cerebral palsy.

    abstract:OBJECTIVE:To ascertain mortality from 1 to 18 years, and predictors of mortality. DESIGN:Long-term follow-up of population cohort born 1989-1992. SETTING:Births in South East Thames Region. PATIENTS:346 children with bilateral cerebral palsy (CP). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Mortality; pred...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.2009.172841

    authors: Baird G,Allen E,Scrutton D,Knight A,McNee A,Will E,Elbourne D

    更新日期:2011-11-01 00:00:00

  • Prevalence and risk factors for transmission of infection among children in household contact with adults having pulmonary tuberculosis.

    abstract:AIMS:To study the prevalence of tuberculosis infection among children in household contact with adults having pulmonary tuberculosis, and identify the possible risk factors. METHODS:Children under the age of 5 years who were in household contact with 200 consecutive adults with pulmonary tuberculosis underwent tubercu...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.2003.044255

    authors: Singh M,Mynak ML,Kumar L,Mathew JL,Jindal SK

    更新日期:2005-06-01 00:00:00

  • Evidence for persistence of upper airway narrowing during sleep, 12 years after adenotonsillectomy.

    abstract:AIMS:To establish whether subjects with previous evidence of sleep apnoea prior to adenotonsillectomy continue to have evidence of narrower upper airways during sleep, 12 years later. METHODS:Twenty subjects (median age 16 years) underwent repeat sleep studies at home, 12 years after such studies had shown significant...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.86.1.34

    authors: Tasker C,Crosby JH,Stradling JR

    更新日期:2002-01-01 00:00:00

  • Breast milk jaundice. Effect of inhibitory breast milk and 3 alpha, 20 abeta-pregnanediol on glucuronyl transferase.

    abstract::1 case study and a clinical study with laboratory rats examined the question of breast milk jaundice. The case study confirmed clinical diagnosis of breast milk jaundice. The clinical study compared the effects of breast milk and 3alpha, 20beta-pregnanediol on the conjugation of bilirubin and o-aminophenol by rat li...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.46.246.195

    authors: Hargreaves T,Piper RF

    更新日期:1971-04-01 00:00:00

  • Neonatal Haemophilus influenzae infections.

    abstract::Nine cases of neonatal Haemophilus influenzae septicaemia were recorded in Finland during 1985-9; incidence was 2.8/100,000 live births, and 1.6% of all cases of neonatal septicaemia. The onset of the disease was early in all cases, ranging from 0-6 hours after delivery. Seven of the infants were preterm and three die...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.66.4_spec_no.437

    authors: Takala AK,Pekkanen E,Eskola J

    更新日期:1991-04-01 00:00:00

  • Management of severe acute malnutrition in low-income and middle-income countries.

    abstract::Kwashiorkor and marasmus, collectively termed severe acute malnutrition (SAM), account for at least 10% of all deaths among children under 5 years of age worldwide, virtually all of them in low-income and middle-income countries. A number of risk factors, including seasonal food insecurity, environmental enteropathy, ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2014-306026

    authors: Trehan I,Manary MJ

    更新日期:2015-03-01 00:00:00

  • Why nebulise for more than five minutes?

    abstract::The output of the drug and the particle size produced by various nebulisers were assessed, and sensible nebulisation times for sodium cromoglycate calculated. Three of the four nebuliser systems tested produced over 80% of total drug output within the first five minutes of nebulisation. We suggest that five minutes is...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/adc.64.9.1270

    authors: O'Callaghan C,Clark AR,Milner AD

    更新日期:1989-09-01 00:00:00

  • Pseudotumor cerebri syndrome in childhood: incidence, clinical profile and risk factors in a national prospective population-based cohort study.

    abstract:AIM:To investigate the epidemiology, clinical profile and risk factors of pseudotumor cerebri syndrome (PTCS) in children aged 1-16 years. METHODS:A national prospective population-based cohort study over 25 months. Newly diagnosed PTCS cases notified via British Paediatric Surveillance Unit were ascertained using cla...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章

    doi:10.1136/archdischild-2016-312238

    authors: Matthews YY,Dean F,Lim MJ,Mclachlan K,Rigby AS,Solanki GA,White CP,Whitehouse WP,Kennedy CR

    更新日期:2017-08-01 00:00:00

  • Ehlers-Danlos syndrome: how to diagnose and when to perform genetic tests.

    abstract::The term Ehlers-Danlos syndrome (EDS) encompasses a group of inherited connective tissue disorders. The manifestations of EDS can be seen in skin, joints, blood vessels and internal organs and vary from mild to severe and life threatening. Each subtype is a separate and different condition. The genetic basis of many s...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,评审

    doi:10.1136/archdischild-2013-304822

    authors: Sobey G

    更新日期:2015-01-01 00:00:00

  • Penicillin-resistant pneumococcus and risk of treatment failure in pneumonia.

    abstract:OBJECTIVE:To determine whether the presence of in vitro penicillin-resistant Streptococcus pneumoniae increases the risk of clinical failure in children hospitalised with severe pneumonia and treated with penicillin/ampicillin. DESIGN:Multicentre, prospective, observational study. SETTING:12 tertiary-care centres in ...

    journal_title:Archives of disease in childhood

    pub_type: 杂志文章,多中心研究

    doi:10.1136/adc.2006.111625

    authors: Cardoso MR,Nascimento-Carvalho CM,Ferrero F,Berezin EN,Ruvinsky R,Camargos PA,Sant'anna CC,Brandileone MC,de Fátima P March M,Feris-Iglesias J,Maggi RS,Benguigui Y,CARIBE Group.

    更新日期:2008-03-01 00:00:00