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Table 5 Enemas

From: Constipation in children

Authors

Study Group

Study type

Methods+ Key Outcomes

Loening-Baucke (1993) [9]

174 children

Study type: 4

Methods: case series: Long-term follow-up questionnaire. All given education, enemas for disimpaction, and dietary fibre+ magnesium hydroxide.

Results: On presentation 64% impacted +received enema. 57/90 (63%) had recovered. 17 (19%) still required laxatives, and 16 (18%) still soiling regularly.

Borowitz et al (2005) [43]

119 children

Study type: 4

Methods: Case series: Follow-up: Colonic evacuation then magnesium hydroxide (77%), senna syrup (23%), mineral oil (8%), and lactulose (8%)

Results: Children who underwent some form of colonic evacuation followed by daily laxative therapy were more likely to have responded to treatment (p < 0.05).

Miller et al (2007) [64]

See PEG section above