Çocuklarda Konstipasyonun Multidisipliner Yönetiminde Anestezi

Yazarlar

Yeşim Andıran Şenaylı
https://orcid.org/0000-0003-4145-9187

Referanslar

Tabbers MM, DiLorenzo C, Berger MY, Faure C, Langendam MW, Nurko S, et al. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr. 2014;58(2):258-74.

Modrzyk A, Pasierbek MJ, Korlacki W, Grabowski A. Introducing enhanced recovery after surgery protocol in pediatric surgery. Adv Clin Exp Med. 2020;29(8):937-942. doi:10.17219/acem/121931.

Geary T, Negus A, Anderson BJ, Zernikow B. Perioperative management of the child on long-term opioids. Paediatr Anaesth. 2012;22(3):189-202. doi:10.1111/j.1460-9592.2011.03737.x.

Solana MJ, Manrique G, Slocker M, Fernández R, Gil R, Yun C, et al. Early vs late enteral nutrition in pediatric intensive care unit: Barriers, benefits, and complications. Nutr Clin Pract. 2023;38(2):442-448. doi:10.1002/ncp.10922.

Wilson L, de Beer D. Enhanced Recovery After Surgery (ERAS) in the paediatric population. Anaesth Tutorial Week. 2020;430:1-8.

Singh N, Ahn J, Chen X, Park S, Singh S, Cardamone S, et al. Improved post-operative outcomes and reduced narcotic use with ERAS protocol in a pediatric ambulatory surgery setting. Paediatr Neonatal Pain. 2025;7(1):e70004. doi:10.1002/pne2.70004.

Shahrahmani F, Parvizi Mashhadi M, Khadembashi A, Abbasi Shaye Z, Bagheri E, Shojaeian R. Implementation of ERAS protocol in pediatric colostomy closure: a randomized clinical trial. Pediatr Surg Int. 2025;41(1):151. doi:10.1007/s00383-025-06049-z.

Bokova E, Svetanoff WJ, Rosen JM, Levitt MA, Rentea RM. State of the art bowel management for pediatric colorectal problems: Functional constipation. Children (Basel). 2023;10(6):1078. doi:10.3390/children10061078.

Farmer AD, Bruckner Holt CE, Downes TJ, Ruggeri E, Del Vecchio S, De Giorgio R. Pathophysiology, diagnosis, and management of opioid-induced constipation. Lancet Gastroenterol Hepatol. 2018;3(3):203-212. doi:10.1016/S2468-1253(18)30008-6.

Khilnani P, Rawal N, Singha C. Gastrointestinal issues in critically ill children. Indian J Crit Care Med. 2020;24(Suppl 4):S225-S230. doi:10.5005/jp-journals-10071-2363

Liu X, Yu N, Lu H, Zhang P, Liu C, Liu Y. Effect of opioids on constipation in critically ill patients: a meta-analysis. Aust Crit Care. 2024;37(2):338-345. doi:10.1016/j.aucc.2023.08.011.

Canarie MF, Loth A, Dickenson SC, White LJ, Faustino EVS. Constipation and duration of mechanical ventilation in the Pediatric ICU. Pediatr Anesth Crit Care J. 2018;6(2):77-83. doi:10.14587/paccj.2018.12.

Rafeeqi T, Pearson EG. Enhanced recovery after surgery in children. Transl Gastroenterol Hepatol. 2021;6:46. doi:10.21037/tgh-20-188.

Freedman SB, Thull-Freedman J, Rumantir M, Eltorki M, Schuh S. Pediatric constipation in the emergency department: evaluation, treatment, and outcomes. J Pediatr Gastroenterol Nutr. 2014;59(3):327-333. doi:10.1097/MPG.0000000000000402.

de Geus A, Koppen IJN, Flint RB, Benninga MA, Tabbers MM. An update of pharmacological management in children with functional constipation. Pediatr Drugs. 2023;25(4):343-358. doi:10.1007/s40272-023-00563-0.

Pan S, Li W, Shi C, Tang W, Lu C. Features of defecation dysfunction among patients with Hirschsprung disease in early childhood. BMC Gastroenterol. 2025;25:510. doi:10.1186/s12876-025-04106-4.

Rajindrajith S, Devanarayana NM. Childhood constipation: Current status, challenges, and future perspectives. World J Clin Pediatr. 2022.

Yeh A, Butler G, Strotmeyer S, Austin K, Visoiu M, Cladis F, et al. ERAS protocol for pediatric laparoscopic cholecystectomy promotes safe and early discharge. J Pediatr Surg. 2020;55(1):96-100. doi:10.1016/j.jpedsurg.2019.09.053.

Leeds IL, Boss EF, George JA, Strockbine V, Wick EC, Jelin EB. Preparing enhanced recovery after surgery for implementation in pediatric populations. J Pediatr Surg. 2016;51(12):2126-2129. doi:10.1016/j.jpedsurg.2016.08.029.

Hyams JS, Di Lorenzo C, Saps M, et al. Functional Disorders: Children and Adolescents. Gastroenterology. 2016. (Rome IV)

Davidson AJ, et al.Clinical Practice Guideline for the Management of Preoperative Anxiety in Children. Paediatr Anaesth. 2022.

Kain ZN, Caldwell-Andrews AA, Krivutza DM, Weinberg ME, Wang SM, Gaal D. Trends in the practice of parental presence during induction of anesthesia and the use of preoperative sedative premedication in the United States, 1995-2002: results of a follow-up national survey.Anesth Analg. 2004; 98(5):1252-1259. doi:10.1213/01.ANE.0000111183.38618.D8.

Arnaud MJ. Mild dehydration: a risk factor of constipation? Eur J Clin Nutr. 2003;57(Suppl 2):S88-S95.

Miller RD, Cohen NH, Eriksson LI, et al., editors. Miller's Anesthesia. 10th ed. Philadelphia: Elsevier; 2025.

Hyman PE, Milla PJ, Benninga MA, Davidson GP, Fleisher DF, Taminiau J. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2006;130:1519-26

Ori Y, Rozen-Zvi B, Chagnac A, et al. Fatalities and severe metabolic disorders associated with the use of sodium phosphate enemas: a single center's experience. Arch Intern Med. 2012;172:263-5.

Van de Putte P, Perlas A. Ultrasound assessment of gastric content and volume. Br J Anaesth. 2014 Jul;113(1):12-22. doi:10.1093/bja/aeu151.

Karroum R, Wolski T, Engler LJ, France L, Boulanger S, Bhalla T. Decreasing opioid usage in pediatric cholecystectomy through care standardization: a quality improvement project using enhanced recovery after surgery protocols. Paediatr Anaesth. 2025;35(5):527-534. doi:10.1111/pan.15103.

Cote CJ, Lerman J, Anderson BJ. A Practice of Anesthesia for Infants and Children. 7th ed. Philadelphia: Elsevier; 2024.

Chia PA, Cannesson M, Bui CCM. Opioid free anesthesia: feasible? Curr Opin Anaesthesiol. 2020;33(4):512-517. doi:10.1097/ACO.0000000000000878.

Admiraal M, Hollmann MW, van der Burg FAE, Hermanns H, Hermanides J, Benninga MA, et al. Different analgesia techniques for postoperative pain in children undergoing abdominal surgery for intractable constipation: a retrospective cohort study in a single tertiary children's hospital. J Clin Med. 2024;13(2):349. doi:10.3390/jcm13020349.

Jonker CAL, van Os TM, Gorter RR, Levitt MA, Benninga MA. Current treatment options for children with functional constipation—what is in the pipeline? Children (Basel). 2025;12(7):857 1-15. doi:10.3390/children12070857.

Glare P, Aubrey KR, Myles PS. Transition from acute to chronic pain after surgery. Lancet. 2019;393(10180):1537-1546. doi:10.1016/S0140-6736(19)30352-6.

Patel D, Saikumar P, Jayaraman M, Desai C, Rosen J, Rodriguez L. Efficacy of anal botulinum toxin injection in children with functional constipation. J Pediatr Gastroenterol Nutr. 2025;80(6):956-962.

Kuizenga-Wessel S, Koppen IJN, Zwager LW, Di Lorenzo C, de Jong JR, Benninga MA. Surgical management of children with intractable functional constipation: experience of a single tertiary children's hospital. Neurogastroenterol Motil. 2017;29(5):e13005. doi:10.1111/nmo.13005.

Albal M, Kundra D, Zaki BM. Anorectal malformation: presentation beyond adolescence. J Case Rep. 2014;4(1):196-198.

Hencke J, Staubach R, Loff K. Manometric evaluation of the sphincter complex in anterior anus and mild anorectal malformations—an important diagnostic tool. Diagnostics (Basel). 2025;15(9):1078. doi:10.3390/diagnostics15091078.

Hotonu S, Annett A, Campbell A, Bradnock T, Walker G. Outcomes of management of anterior anus in girls in Glasgow, UK. J Pediatr Surg. 2025;60(3):162023. doi:10.1016/j.jpedsurg.2024.162023.

Fleshner PR, Meshkinpour H, Kodner IJ, et al. Nitrous oxide increases the incidence of bowel distension in patients undergoing elective colon resection. Anesthesiology. 2004;100(5):1081-1087.

Tsigkouli I, Hoddes J. Management of constipation in patients up to 18 years following major surgery. Arch Dis Child. 2021;106(Suppl 1):A356-A357. doi:10.1136/archdischild-2021-rcpch.620.

Han DS, Brockel MA, Boxley PJ, Dönmez MI, Saltzman AF, Wilcox DT, et al. Enhanced recovery after surgery and anesthetic outcomes in pediatric reconstructive urologic surgery. Pediatr Surg Int. 2021;37(1):151-159. doi:10.1007/s00383-020-04775-0.

Bokova E, Elhalaby I, Svetanoff WJ, Lawal TA, Levitt MA, Lim IIP, et al. Global strategies for postoperative care and bowel management in patients with anorectal malformations: varied practices and barriers. J Pediatr Surg. 2024;59(12):161697. doi:10.1016/j.jpedsurg.2024.161697.

Munyali A, Buhendwa CP, Ganywamulume B, Gloire B, Ndanda L, Longombe AO. Adolescent anorectal malformations: Case series about 3 cases. Int J Surg Case Rep. 2025;127:110913. doi:10.1016/j.ijscr.2025.110913.

Ishaque S, Shakir M, Ladak A, Ul Haque A. Gastrointestinal complications in critically ill children: Experience from a resource-limited country. Pak J Med Sci. 2021;37(3):657-662. doi:10.12669/pjms.37.3.3493.

López J, Sánchez C, Fernández SN, González R, Solana MJ, Urbano J, et al. Development and validation of a clinical score for early diagnosis of constipation in critically ill children. Sci Rep. 2023;13(1):14822. doi:10.1038/s41598-023-41674-5.

López J, Solana MJ, López-Herce J. Narrative review of constipation in the critically ill child. Pediatr Med. 2021;4:14. doi:10.21037/pm-20-63

Tofil NM, Benner KW, Faro SJ, Winkler MK. The use of enteral naloxone to treat opioid-induced constipation in a pediatric intensive care unit. Pediatr Crit Care Med. 2006;7(3):252–254.

Mills KP, McPherson CC, Said AS, Lahart MA. Successful use of intravenous methylnaltrexone for opioid-induced constipation in critically ill pediatric patients. J Pediatr Intensive Care. 2024;13(1):25-31. doi:10.1055/s-0043-1777828.

Nordgaard M, Kjelsvik M, Schnell Husby VK. The troublesome bowel: A qualitative study of intensive care nurses' experiences with constipation in critically ill children in a pediatric intensive care unit. J Pediatr Nurs. 2025;82:123-129. doi:10.1016/j.pedn.2025.03.008.

Al-Ghamdi AA, Alzahrani AM, Alghamdi AA, et al. Comparison of opioid-free anesthesia with opioid-based anesthesia in neonates and infants undergoing laparoscopic or endoscopic surgeries: a randomized controlled trial. Saudi J Anaesth. 2025;19(4):559-565

Yıldırım D, Can G. Opioid ilaç kullanan hastalarda gelişen konstipasyonun yönetimi. Balıkesir Sağlık Bilimleri Dergisi. 2019;8(1):27-32.

Roller MD, Panchal A, Duesing L, Mikhailov TA. Incidence of opioid-induced constipation in the pediatric intensive care unit: A descriptive cohort study. J Parenter Enteral Nutr. 2024;48:354–359

Kara B, Akın S. Yoğun bakım hastalarında konstipasyon ve diyare. Yoğun Bakım Hemşireliği Dergisi. 2016;20(1):37-43.

López J, Botrán M, García A, González R, Solana MJ, Urbano J, et al. Constipation in the critically ill child: Frequency and related factors. J Pediatr. 2015;167(4):857-861.e1. doi:10.1016/j.jpeds.2015.06.046.

Mehta NM. Approach to enteral feeding in the PICU. Nutr Clin Pract. 2009;24(3):377-387. doi:10.1177/0884533609335175.

Yayınlanan

6 Ekim 2026

Lisans

Lisans