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Clinical Pediatrics, Vol. 34, No. 11, 576-580 (1995)
DOI: 10.1177/000992289503401102

Long-Term Follow-Up of Medically Treated Childhood Constipation

James L. Sutphen, M.D., Ph.D.

Department of Pediatrics, University of Virginia Health Sciences Center, Charlottesville, Virginia

Stephen M. Borowitz, M.D.

Department of Pediatrics, University of Virginia Health Sciences Center, Charlottesville, Virginia

Rachel L. Hutchison

Department of Pediatrics, University of Virginia Health Sciences Center, Charlottesville, Virginia

Daniel J. Cox, Ph.D.

Department of Behavioral Medicine, University of Virginia Health Sciences Center, Charlottesville. Virginia

We describe the long-term (mean 6.8 years) follow-up of 43 children treated medically for chronic constipation and encopresis. Overall outcome was quite good. Thirty children (70%) were entirely asymptomatic at follow-up. Intermittent mild constipation persisted in 13 patients; only two required persistent but infrequent laxative therapy. Encopresis persisted in three of 17 children who initially reported this symptom, and was associated with significant behavioral problems.


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