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Comparison of polyethylene glycol 4000 and lactulose for treatment of chronic functional constipation in children

Korean Journal of Pediatrics 2007;50(8):752-756.
Published online August 15, 2007.
Comparison of polyethylene glycol 4000 and lactulose for treatment of chronic functional constipation in children
Ji Hyun Uhm
Department of Pediatrics, College of Medicine, Eulji University, Seoul, Korea
소아의 만성 기능성 변비 치료에 polyethylene clycol 4000과 락툴로스의 효과 비교
엄지현
을지의과대학교 노원을지병원 소아과
Correspondence: 
Ji Hyun Uhm, Email: eomjie@eulji.ac.kr
Abstract
Purpose
: The aim of this study was to compare 2 laxatives, namely, polyethylene glycol 4000 without electrolytes and lactulose, evaluating the efficacy and safety for the treatment of constipation in children.
Methods
: Fifty-six children with chronic functional constipation were randomly assigned to receive polyethylene glycol 4000 (24 patients) or lactulose (32 patients). Patients or their parents reported defecation frequency, stool consistency, abdominal pain, stool incontinence and side effects after 1, 3, 6 and 12 months of treatment. Percentage of recovered patients were compared with each group.
Results
: Defecation frequency, abdominal pain and stool incontinence were improved in each group. At 12 months of follow up, 60% of patients treated with polyethylene glycol and 57.7% of patients treated with lactulose were considered as recovered.
Conclusion
: In this study, both polyethylene glycol and lactulose were equally effective and safe in the long-term treatment of constipation in children. There were no significant differences in recovery rates between 2 groups.
Key Words: Constipation, Children, Polyethylene glycol


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