Critical analysis of fecal incontinence scores

Bischoff, Andréa; Bealer, John F.; Peña, Alberto

doi:10.1007/s00383-016-3909-y

Cited by 23 publications

(17 citation statements)

References 19 publications

(31 reference statements)

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“…41/50 patients had aganglionosis restricted to the rectosigmoid colon. Median age was 8,1 (3,(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)6) and 15,4 (9,9-25) years at FU1 and FU2, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…Bowel function was classified according to the Krickenbeck score (Table 1). Although not a validated score, it is frequently used to describe bowel function in patients operated for HD and anorectal malformations [13].…”

Section: Definitionsmentioning

confidence: 99%

“…Results: 50 of the original 62 patients responded for a second interview. Median age at the two interviews was 8,1 (3,(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)6) and 15,4 (9,9-25) years respectively. There was no difference in the rate of soiling at first (52%) and second (52%) follow-up.…”

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confidence: 99%

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Bowel function after transanal endorectal pull-through for Hirschsprung disease – does outcome improve over time?

Fosby

Stensrud

Björnland

2020

Journal of Pediatric Surgery

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Background:The reported functional outcome in patients operated with transanal endorectal pull-through (ERPT) for Hirschsprung disease (HD) varies greatly. Some studies suggest better functional outcome in older than in younger HD patients, but there are almost no longitudinal studies that have demonstrated such improvement. Therefore, we aimed to compare functional outcome in a cohort of HD patients over time to assess whether bowel function improves with increasing age. Methods: Functional outcome in HD patients operated with ERPT from 1998 to 2007 was recorded by standardized interviews by an independent investigator during 2008-2011 and again in 2017/2018. Bowel function was assessed using the Krickenbeck questionnaire. Clinical data were collected prospectively. Results: 50 of the original 62 patients responded for a second interview. Median age at the two interviews was 8,1 (3,(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)6) and 15,4 (9,9-25) years respectively. There was no difference in the rate of soiling at first (52%) and second (52%) follow-up. Constipation was reported in 20% of the patients at first, and in 24% at second follow-up. Bowel management was used by 30% and 32% at first and second interview respectively. Conclusion: Soiling and constipation are common in HD patients several years after surgery, and no improvement of bowel function with increasing age could be demonstrated. Level of Evidence: Level II.

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Section: Resultsmentioning

confidence: 99%

Section: Definitionsmentioning

confidence: 99%

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Bowel function after transanal endorectal pull-through for Hirschsprung disease – does outcome improve over time?

Fosby

Stensrud

Björnland

2020

Journal of Pediatric Surgery

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“…To accomplish this, we utilized and incorporated many of the questions retrieved from validated tools such as Krickenbeck's pediatric fecal incontinence score. 16 Two questions addressed how soon patient returned to normal school and normal activity after surgery. One question addressed any complication that required an emergency room visit, hospital, or another FIG.…”

Section: Quality Of Life Questionnairementioning

confidence: 99%

“…The fecal incontinence questions in our QoL addressed presence of soiling in the underwear, which is one of the two major components of Krickenbeck's validated pediatric fecal incontinence score. 16…”

Section: Quality Of Life Questionnairementioning

confidence: 99%

Same-Day Discharge and Quality of Life for Primary Laparoscopic Rectopexy for Rectal Prolapse in Children: A 10-Year Experience

Osuchukwu

Dorman

Dekonenko

et al. 2020

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Introduction: Rectal prolapse (RP) in pediatric patients may require surgical intervention. Varying surgical approaches and heterogenous patient populations have resulted in difficulty defining surgical outcomes and superiority of technique. We sought to review our surgical and self-reported outcomes of patients who underwent laparoscopic rectopexy for idiopathic RP. Methods: Records of children <18 years who underwent primary laparoscopic rectopexy between March 2009 and March 2019 were retrospectively reviewed. Patients with redo rectopexy were excluded. Demographics, pre-and postoperative treatment, and outcome data were collected and reported using descriptive statistics. Qualitative analysis of a quality of life (QoL) questionnaire administered to patients and parents 2-10 years postoperatively was performed. Results: Fifteen patients were included. Median age at surgery was 5 years (interquartile range [IQR] 3, 12.5); 60% were male and median weight was 22 kg (IQR 16.4, 39.2). Median length of stay was 6 hours (IQR 4, 22) with 9 (60%) discharged the same day. Perioperatively, 73% were on laxative for constipation, whereas only 33% were on laxative therapy at 6 months postrectopexy. Median follow-up was 19 months (IQR 8, 39). Three patients (20%) suffered recurrent RP (2 required redo rectopexy), and 2 patients self-limited urinary retention. Respondents to the QoL questionnaire indicated improvement in symptoms after surgery. No patient reported fecal incontinence, smearing, or leakage of stool. Conclusion: Laparoscopic rectopexy is a safe minimally invasive approach for children with idiopathic RP that offers high patient satisfaction with same-day discharge, early recovery, and low recurrence.

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The Patients with Hirschsprung's Disease Who Underwent Pull‐Through at Age Less than 1 Year: Longitudinal Bowel Function

Youn

Han

et al. 2020

World j. surg.

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Background Frequent stooling immediately after pull-through (PT), fecal soiling, and constipation are chronic complications of Hirschsprung's disease (HD). This study aimed to investigate the longitudinal outcomes in terms of bowel function of patients below the age of 1 year undergoing PT. Methods We retrospectively evaluated 396 patients who underwent PT for HD between September 1979 and March 2014. Stool frequency was analyzed up to 10 years of age, and soiling and constipation were analyzed up to 15 years of age. Results After resection of the aganglionic segment (AS), stool frequency decreased over time. Furthermore, stool frequency among the three groups was similar 4 years after PT. Among the patients with aganglionic bowel resection, those who underwent the Soave procedure (SP) had an increase (0.56/day) in stool frequency than those who underwent the Duhamel procedure (DP). The soiling severity according to the AS was similar after 5 years of age. More severe soiling was better associated with patients who underwent the SP than those who underwent the DP. The constipation severity increased gradually until around 5 years and declined thereafter. More severe constipation was better associated with the DP than with the SP. Conclusion The result of the analysis of stool frequency and soiling in patients with HD indicated that shorter ASs resulted in fewer bowel movements and less severe soiling. However, with the increase in patient age, the differences became similar. Compared to the DP, the SP was associated with an increased frequency of bowel movements and soiling severity; however, the constipation severity was lower.

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Critical analysis of fecal incontinence scores

Cited by 23 publications

References 19 publications

Bowel function after transanal endorectal pull-through for Hirschsprung disease – does outcome improve over time?

Bowel function after transanal endorectal pull-through for Hirschsprung disease – does outcome improve over time?

Same-Day Discharge and Quality of Life for Primary Laparoscopic Rectopexy for Rectal Prolapse in Children: A 10-Year Experience

The Patients with Hirschsprung's Disease Who Underwent Pull‐Through at Age Less than 1 Year: Longitudinal Bowel Function

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