Macrogol (polyethylene glycol) laxatives in children with functional constipation and faecal impaction: a systematic review
2009

Effectiveness of Polyethylene Glycol Laxatives in Children with Constipation

Sample size: 594 publication Evidence: moderate

Author Information

Author(s): Candy D, Belsey J

Primary Institution: Royal West Sussex NHS Trust

Hypothesis

Is polyethylene glycol (PEG) more effective than other laxatives for treating functional constipation in children?

Conclusion

Polyethylene glycol-based laxatives are effective and well-tolerated as a first-line treatment for childhood constipation.

Supporting Evidence

  • PEG was significantly more effective than placebo.
  • PEG was equivalent to or superior to lactulose and milk of magnesia in several studies.
  • Children treated with PEG had higher defaecation rates compared to those on other laxatives.

Takeaway

This study shows that a special medicine called polyethylene glycol helps kids with constipation go to the bathroom better than other treatments.

Methodology

A systematic review of randomized controlled trials comparing PEG with placebo or other laxatives in children under 18 with chronic constipation.

Potential Biases

Variability in treatment protocols and potential biases in study designs.

Limitations

Differences in study design and patient populations prevented meaningful meta-analysis.

Participant Demographics

Children aged under 18 with chronic constipation.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1136/adc.2007.128769

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