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Kasiri, Karamali, Mortazavi, Alireza, Raeisi Shahraki, Hadi, Talakesh, Hassan. (1403). Comparing Diagnostic Methods for Fecal Impaction in Children: Abdominal Exam, Digital Rectal Examination, Medical History, and Trans-abdominal Radiography. , 12(12), 19189-19197. doi: 10.22038/jpp.2025.84698.5513
Karamali Kasiri; Alireza Mortazavi; Hadi Raeisi Shahraki; Hassan Talakesh. "Comparing Diagnostic Methods for Fecal Impaction in Children: Abdominal Exam, Digital Rectal Examination, Medical History, and Trans-abdominal Radiography". , 12, 12, 1403, 19189-19197. doi: 10.22038/jpp.2025.84698.5513
Kasiri, Karamali, Mortazavi, Alireza, Raeisi Shahraki, Hadi, Talakesh, Hassan. (1403). 'Comparing Diagnostic Methods for Fecal Impaction in Children: Abdominal Exam, Digital Rectal Examination, Medical History, and Trans-abdominal Radiography', , 12(12), pp. 19189-19197. doi: 10.22038/jpp.2025.84698.5513
Kasiri, Karamali, Mortazavi, Alireza, Raeisi Shahraki, Hadi, Talakesh, Hassan. Comparing Diagnostic Methods for Fecal Impaction in Children: Abdominal Exam, Digital Rectal Examination, Medical History, and Trans-abdominal Radiography. , 1403; 12(12): 19189-19197. doi: 10.22038/jpp.2025.84698.5513

Comparing Diagnostic Methods for Fecal Impaction in Children: Abdominal Exam, Digital Rectal Examination, Medical History, and Trans-abdominal Radiography

Journal of Pediatric Perspectives
مقاله 3، دوره 12، شماره 12، اسفند 2024، صفحه 19189-19197    اصل مقاله (325.81 K)
نوع مقاله: original article
شناسه دیجیتال (DOI): 10.22038/jpp.2025.84698.5513
نویسندگان
Karamali Kasiri1؛ Alireza Mortazavi2؛ Hadi Raeisi Shahraki3؛ Hassan Talakesh* 1
1Department of Pediatrics, Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran.
2Clinical Research Development Unit, Hajar Hospital, Shahrekord University of Medical Science, Shahrekord, Iran.
3Department of Epidemiology and Biostatistics, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.
چکیده
Background: In diagnosing and tracking fecal impaction in children with functional constipation, a variety of methods such as history taking, physical examination, digital rectal examination (DRE), and, if needed, imaging-based methods are used. However, the most effective method for tracking this condition remains unclear. Our objective was to evaluate the agreement of medical history and DRE with trans-abdominal radiography as the gold standard for diagnosing childhood fecal impaction.
Material and Methods: In this cross-sectional study, two subgroups of children aged 4 to 10 years with and without fecal impaction were included and evaluated through physical examination, DRE, and trans-abdominal radiography (as the standard), along with a detailed medical history.
Results:  The positive abdominal examination in the groups with and without fecal impaction was 33.5% and 7.9%, respectively, indicating a significant difference (p < 0.001). In the groups with and without fecal impaction, positive medical history related to functional constipation was revealed in 85.3% and 4.2%, respectively, indicating a significant difference (p <0.001). Also, in the DRE method, compared to abdominal radiography, fecal impaction was positive in 85.9% of patients with fecal impact. In comparison, only 8.5% of the control group indicated a significant difference (p < 0.001).
Conclusion: A combination of history taking, DRE, and, if necessary, abdominal radiography should be considered to diagnose fecal impaction in children with functional constipation.
کلیدواژه‌ها
Abdominal Examination؛ Child؛ Constipation؛ Digital Rectal Examination؛ Fecal Impaction؛ Radiography
مراجع
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