Sonographic Evaluation of Gallbladder Motility in Children with Chronic Functional Constipation
Background/Aims: Studies in adults suggest that constipa¬tion may not be a purely colonic pathology and may be a component of a generalized gastrointestinal (GI) motor dis¬order in which proximal GI motility can be impaired. Pediatric data are scarce, and the natural history of the disorder re¬mains...
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Published in | Gut and liver Vol. 9; no. 3; pp. 388 - 394 |
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Main Authors | , , , , |
Format | Journal Article |
Language | Korean |
Published |
대한소화기학회
31.05.2015
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Abstract | Background/Aims: Studies in adults suggest that constipa¬tion may not be a purely colonic pathology and may be a component of a generalized gastrointestinal (GI) motor dis¬order in which proximal GI motility can be impaired. Pediatric data are scarce, and the natural history of the disorder re¬mains undefined. We aimed to evaluate gallbladder motility in a subset of Asian children with chronic functional consti¬pation. Methods: Abdominal ultrasound was performed on 105 children, including 55 patients (aged 3 to 13 years) with chronic functional constipation who met the inclusion criteria and 50 age- and gender-matched controls. The gallbladder contractility index was calculated based on the preprandial and postprandial gallbladder areas. Preprandial and post¬prandial values for gallbladder volume and wall thickness were evaluated. Results: The mean value of the contractil¬ity index for the patients (15.77±24.68) was significantly lower than the mean value for the controls (43.66±11.58) (p=0.001). The mean postprandial gallbladder volumes and areas were larger in children with gallbladder hypomotility (p<0.05). The mean duration of constipation (4.8 months) was significantly higher (p=0.004) in the children with gall¬bladder hypomotility. Conclusions: Gallbladder motility is significantly impaired in children with chronic functional con¬stipation. This study contributes to the understanding of the underlying pathophysiology, which will enable advancement in and improved management of children with chronic con¬stipation and associated gallbladder hypomotility. (Gut Liver 2015;9:388-394) |
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AbstractList | Background/Aims: Studies in adults suggest that constipa¬tion may not be a purely colonic pathology and may be a component of a generalized gastrointestinal (GI) motor dis¬order in which proximal GI motility can be impaired. Pediatric data are scarce, and the natural history of the disorder re¬mains undefined. We aimed to evaluate gallbladder motility in a subset of Asian children with chronic functional consti¬pation. Methods: Abdominal ultrasound was performed on 105 children, including 55 patients (aged 3 to 13 years) with chronic functional constipation who met the inclusion criteria and 50 age- and gender-matched controls. The gallbladder contractility index was calculated based on the preprandial and postprandial gallbladder areas. Preprandial and post¬prandial values for gallbladder volume and wall thickness were evaluated. Results: The mean value of the contractil¬ity index for the patients (15.77±24.68) was significantly lower than the mean value for the controls (43.66±11.58) (p=0.001). The mean postprandial gallbladder volumes and areas were larger in children with gallbladder hypomotility (p<0.05). The mean duration of constipation (4.8 months) was significantly higher (p=0.004) in the children with gall¬bladder hypomotility. Conclusions: Gallbladder motility is significantly impaired in children with chronic functional con¬stipation. This study contributes to the understanding of the underlying pathophysiology, which will enable advancement in and improved management of children with chronic con¬stipation and associated gallbladder hypomotility. (Gut Liver 2015;9:388-394) |
Author | Niranjan Khandelwal Br Thapa Kushaljit Singh Sodhi Rakesh Mehra Akshay Saxena |
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SubjectTerms | Children Constipation Gallbladder Motility Ultrasound |
Title | Sonographic Evaluation of Gallbladder Motility in Children with Chronic Functional Constipation |
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