CLINICAL EVALUATION AND APPLICABILITY OF ELECTRICAL STIMULATION TRANSCUTANEOUS IN THE POSTERIOR TIBIAL NERVE FOR THE TREATMENT OF POSTOPERATIVE CONSTIPATION IN CHILDREN AND ADOLESCENTS WITH ANORRECTAL MALFORMATION OR HIRSCHSPRUNG DISEASE.

• Grant number: 23/02486-0
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: June 01, 2023
• End date: May 31, 2024
• Field of knowledge: Health Sciences - Medicine - Surgery
• Principal Investigator: Pedro Luiz Toledo de Arruda Lourencao
• Grantee: Gustavo de Melo Martins
• Host Institution: Faculdade de Medicina (FMB). Universidade Estadual Paulista (UNESP). Campus de Botucatu. Botucatu , SP, Brazil

Abstract

Constipation is the most common defecation disorder in pediatric patients, and several organic diseases can cause it. Among the organic causes, there are anorectal anomalies and Hirschsprung's disease. Few therapeutic interventions are available for the treatment of constipation refractory to conventional therapies. Recent studies have included the use of neurostimulation in the treatment of functional gastrointestinal disorders, such as sacral electrostimulation and transcutaneous electrostimulation of the posterior tibial nerve, which has shown promise, due to the lower cost, to be less invasive, with fewer complications and easier to perform.