Bowel management for the treatment of pediatric fecal incontinence

被引:90
作者
Bischoff, Andrea [1 ]
Levitt, Marc A. [1 ]
Pena, Alberto [1 ]
机构
[1] Cincinnati Childrens Hosp, Colorectal Ctr Children, Med Ctr, Cincinnati, OH 45229 USA
关键词
Fecal incontinence; Bowel management; Enemas; Anorectal malformations; RADIOFREQUENCY ENERGY DELIVERY; SACRAL NERVE-STIMULATION; COLONIC TRANSIT-TIME; PHOSPHATE ENEMA; COLOSTOMY IRRIGATION; SPINA-BIFIDA; SACROCOCCYGEAL TERATOMA; DYNAMIC GRACILOPLASTY; SECONDARY OPERATION; CONTINENCE;
D O I
10.1007/s00383-009-2502-z
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Fecal incontinence is a devastating underestimated problem, affecting a large number of individuals all over the world. Most of the available literature relates to the management of adults. The treatments proposed are not uniformly successful and have little application in the pediatric population. This paper presents the experience of 30 years, implementing a bowel management program, for the treatment of fecal incontinence in over 700 pediatric patients, with a success rate of 95%. The main characteristics of the program include the identification of the characteristics of the colon of each patient; finding the specific type of enema that will clean that colon and the radiological monitoring of the process.
引用
收藏
页码:1027 / 1042
页数:16
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