Skip to main navigation menu Skip to main content Skip to site footer
Español (España) | English
Editorial
Revistas/Journals
Salud, Ciencia y Tecnología Metaverse Basic and Applied Research Data & Metadata Interdisciplinary Rehabilitation Salud, Ciencia y Tecnología - Serie de Conferencias Community and Interculturality in Dialogue Seminars in Medical Writing and Education Health Leadership and Quality of Life Gamification and Augmented Reality Southern perspective / Perspectiva austral
Home
Issue
Current Issue Archives Special Issue
About
About the Journal Editorial Team Privacy Statement Digital preservation policy Contact
Author Guidelines
Guidelines for authors Peer Review Process Open Access Policy and Copyright Ethical aspects Anti-plagiarism policy Crossmark policy page
Indexing
×
Español (España) | English
Editorial

Salud, Ciencia y Tecnología Metaverse Basic and Applied Research Data & Metadata Interdisciplinary Rehabilitation Salud, Ciencia y Tecnología - Serie de Conferencias Community and Interculturality in Dialogue Seminars in Medical Writing and Education Health Leadership and Quality of Life Gamification and Augmented Reality Southern perspective / Perspectiva austral
Home

Current Issue Archives Special Issue

About the Journal Editorial Team Privacy Statement Digital preservation policy Contact

Guidelines for authors Peer Review Process Open Access Policy and Copyright Ethical aspects Anti-plagiarism policy Crossmark policy page
Indexing
Original
Published: 2023-09-24
DOI: https://doi.org/10.56294/saludcyt2023576

Resection of the extravertebral portion of the filum terminale with posterior internal sphincterotomy, a surgical technique for managing chronic constipation and encopresis in children

By
Freddy Alexander Aldaz Vallejo ,
Freddy Alexander Aldaz Vallejo

Baca Ortiz Hospital, Specialist in Pediatric Surgery, Quito, Ecuador

Search this author on:

PubMed | Google Scholar
Victor Sebastian Encalada Vasconez ,
Victor Sebastian Encalada Vasconez

One Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador

Search this author on:

PubMed | Google Scholar
Johanna Mosquera Moscoso ,
Johanna Mosquera Moscoso

One Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador

Search this author on:

PubMed | Google Scholar
Jennifer Carolina Martìnez ,
Jennifer Carolina Martìnez

Saint-Petersburg State Pediatric Medical University, Specialist in Pediatric Surgery, Saint- Petersburg, Russia

Search this author on:

PubMed | Google Scholar
Pablo Javier Castillo Herrera ,
Pablo Javier Castillo Herrera

Trauma- Hospital, Specialist in Pediatric Surgery, El Oro, Ecuador

Search this author on:

PubMed | Google Scholar

Abstract

Background: Constipation is a frequent digestive complaint in children and can be refractory to treatment in approximately 30% of patients. Etiologies that are linked to this pathology include rectal hyporeflexia, achalasia of the internal anal sphincter, and neurological disorders such as tight filum terminale syndrome. For these conditions, the resection of the extra vertebral portion of the filum terminale and posterior internal sphincterotomy has shown potential benefits for management.
Methods: We conducted a cross-sectional descriptive study between 2020 and 2021. We collected data from 219 children's medical records at Saint Petersburg State Pediatric Hospital, Russia, that fulfilled the diagnostic criteria and were managed surgically. We analyze their demographic characteristics and clinical outcomes.
Results: We found that 83.6% (n=183) of participants showed improvement, while 16.4% (n=36) experienced no improvement or complications. Patients in the 16-17 age group had the highest proportion of lack of improvement or complications, with 12.8% and the 1-5 age group exhibited a 100% improvement rate. Male patients exhibited a decreased probability of experiencing complications in the postoperative period.
Conclusion: Resection of the extravertebral portion of the filum terminale with posterior internal sphincterotomy has shown potential benefits in managing chronic constipation and encopresis in pediatric patients. However, further research is warranted to investigate the benefits and risks of this surgical technique.

Keywords:

Chronic constipation,
Tight filum terminale syndrome,
Encopresis,

How to Cite

1.
Aldaz Vallejo FA, Encalada Vasconez VS, Mosquera Moscoso J, Martínez JC, Castillo Herrera PJ. Resection of the extravertebral portion of the filum terminale with posterior internal sphincterotomy, a surgical technique for managing chronic constipation and encopresis in children. Salud, Ciencia y Tecnología [Internet]. 2023 Sep. 24 [cited 2024 Jul. 27];3:576. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/576

Copyright Notice

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

Article metrics

Google scholar: See link

Metrics

Metrics Loading ...

Vol. 3 (2023)
See full issue

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.