Modern gender-age features of chronic organic constipation in children
The paper reports the results of comprehensive examination of 109 children aged 4-15 yr with chronic organic constipation associated with elongation of a sigmoid intestine (dolichosigma). Three groups of patients were distinguished with compensated (35.78%), subcompensated (33.03%), and decompensated (31.19%) stages of chronic constipation. Analysis of gender-age characteristics of the children revealed the relationship between clinical features of the disease, sex and age of the patients. It was shown that chronic constipation with dolichosigma occurs more frequently in boys than in girls. The disease is more severe, leads to complications, and tends to be decompensated in males. Decompensation develops in the children suffering chronic constipation over 7 years and a long period (more than 3 years in 89.29% of the cases) between the first manifestations of the disease and application for medical assistance. The authors emphasize the importance of timely and comprehensive examination of children with chronic organic constipation for the early detection of this pathology and prescription of nutritive correction and adequate therapy for the prevention of decompensation with a high risk of complications and subsequent surgical intervention.