Is anterior anus associated to chronic constipation in children?
está ou não associado com a constipação crônica na criança?
DOI:
https://doi.org/10.22491/2357-9730.125094Keywords:
Chronic constipation, anterior anus, anogenital indexAbstract
OBJECTIVE: To study the association between the anterior anus, measured through anal position index, and the presence of longstanding chronic constipation in children.
MATERIALS AND METHODS: 195 pediatric patients of the outpatient unit at HCPA were analyzed (ages: from 10 days to 9 years and 10 months; sex: 94 girls and 101
boys). Children were considered constipated when presenting a period of more than 3 days without bowel movements and large and hard, or pelletlike, stools. Anterior anus was identified by anal indexes lower than the average minus the standard deviation of the control group of children without constipation; that is < 0.40 for boys, and < 0.24 for girls.
RESULTS: Chronic constipation was diagnosed in 58 of the 195 children (29.7%; 28.7% of boys, and 30.9% of girls). There was no significant difference in relation to
sex, constipation, or regarding the presence of anterior anus. Fifty-eight children (39.4%) with constipation had anterior anus, whereas 60.6% of children without constipation had anterior anus. There was no significant correlation between anterior position of anus and chronic constipation.
CONCLUSION: There was no correlation between chronic constipation and anterior anus among the analyzed children.
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