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Comparison of Polyethylene Glycol 3350 and Lactulose for Treatment of Chronic Constipation in Children
David A. Gremse, MD
The Division of Pediatric Gastroenterology and Nutrition, University of South Alabama College of Medicine, Mobile, Alabama
Jamie Hixon
Alysia Crutchfield
The Division of Pediatric Gastroenterology and Nutrition, University of South Alabama College of Medicine, Mobile, Alabama
Polyethylene glycol (PEG) 3350 and lactulose were compared in an unblinded, randomized, crossover design for treatment of constipation in 37 children aged 2 to 16 years. Subjects received lactulose (1.3 g/kg/d divided twice daily up to 20 g) or PEG 3350 (10 g/m2/day) for 2 weeks. PEG 3350 significantly decreased the total colonic transit time compared to lactulose (47.6 +2.7 vs 55.3 ±2.4 hours, mean ±SE, PEG 3350 vs lactulose, respectively, p = 0.038). The stool frequency, form, and the ease of passage were similar for each laxative. Polyethylene glycol 3350 is an effective laxative for the treatment of chronic constipation in children.
Clinical Pediatrics, Vol. 41, No. 4,
225-229 (2002)
DOI: 10.1177/000992280204100405
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