© 2004 BMJ Publishing Group & Royal College of Paediatrics and Child Health
COMMENTARY
Gastroenterology
Colonic transit times and behaviour profiles in children with defecation disorders
Correspondence to:
Correspondence to:
Dr H Marcovitch
Syndication Editor, BMJ Publishing Group, Twwistock Square, London WC1H 9JR, UK; h.marcovitch@btinternet.com
Commentary on the paper by Benninga et al
Keywords: constipation; functional non-retentive faecal soiling; recurrent abdominal pain; child behaviour checklist
| The first 150 words of the full text of this article appear below. |
When the editorial committee discussed whether to accept the paper by Benninga et al for publication,1 some members raised concerns over the propriety of undertaking rectal manometry on children with abdominal pain. In response, the authors promptly provided their correspondence with the appropriate ethical committee (institutional review board). These revealed that the authors had properly obtained approval for the investigation in constipated children, their siblings (following fully informed consent), and those undergoing endoscopy for other conditions.
We accepted the authors’ explanation that the children with a prime complaint of abdominal pain had been referred to their specialised dysmotility clinic. The inference is that those referring the patients considered their pain might be due to constipation.
They wrote: "... in our outpatient clinic, the standard work-up for all children with functional defecation disorders or functional abdominal pain (irritable bowel syndrome or recurrent abdominal pain) includes a thorough medical history and
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