Long-term Efficacy of Polyethylene Glycol 3350 for the Treatment of Chroni Constipation in Children with and without Encopresis

Seventy-four children (43 with chronic constipation, 31 with constipation and encopresis) treated with polyethylene glycol 3350 (PEG) for longer than 3 months were studied to assess long-term efficacy. The mean duration of PEG therapy was 8.4 months (range, 3-30). Weekly stool frequency, stool consistency, and symptoms associated with constipation improved significantly with PEG therapy in all 74 patients. In 31 children with encopresis, soiling ceased completely in 16 patients and frequency of soiling decreased significantly in all others. The average effective long-term dose of PEG was 0.7 g/kg/day. Long-term PEG therapy is effective for the treatment of chronic constipation with and without encopresis in children.

[1]  V. Loening-Baucke,et al.  Safety of polyethylene glycol 3350 for the treatment of chronic constipation in children. , 2003, Archives of pediatrics & adolescent medicine.

[2]  D. Canning Efficacy and optimal dose of daily polyethylene glycol 3350 for treatment of constipation and encopresis in children. , 2003, The Journal of urology.

[3]  J. Hixon,et al.  Comparison of Polyethylene Glycol 3350 and Lactulose for Treatment of Chronic Constipation in Children , 2002, Clinical pediatrics.

[4]  D. Cox,et al.  Treatment of Childhood Encopresis: A Randomized Trial Comparing Three Treatment Protocols , 2002, Journal of pediatric gastroenterology and nutrition.

[5]  V. Loening-Baucke Polyethylene Glycol Without Electrolytes for Children With Constipation and Encopresis , 2001, Journal of pediatric gastroenterology and nutrition.

[6]  Robert A. Ruben,et al.  New Polyethylene Glycol Laxative for Treatment of Constipation in Adults: A Randomized, Double-Blind, Placebo-Controlled Study , 2001, Southern medical journal.

[7]  B. Kolts,et al.  A randomized, placebo-controlled, multicenter study of the safety and efficacy of a new polyethylene glycol laxative , 2000, American Journal of Gastroenterology.

[8]  J. Croffie,et al.  Constipation in infants and children: evaluation and treatment. A medical position statement of the North American Society for Pediatric Gastroenterology and Nutrition. , 1999, Journal of pediatric gastroenterology and nutrition.

[9]  V. Loening-Baucke Balloon defecation as a predictor of outcome in children with functional constipation and encopresis. , 1996, The Journal of pediatrics.

[10]  V. Loening-Baucke Constipation in early childhood: patient characteristics, treatment, and longterm follow up. , 1993, Gut.

[11]  F. Oberklaid,et al.  Randomised trial of laxatives in treatment of childhood encopresis , 1991, The Lancet.

[12]  J. Dipiro,et al.  Absorption of polyethylene glycol after administration of a PEG-electrolyte lavage solution. , 1986, Clinical pharmacy.