How to establish a successful bowel management programme in children: a tertiary paediatric centre experience

Costigan, A; Orr, Stephanie; Alshafei, Abdulrahman; Antao, Brice

doi:10.1007/s11845-018-1819-9

Cited by 12 publications

(10 citation statements)

References 13 publications

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“…Education and behavioural interventions must be ongoing elements during bowel evacuation, maintenance treatment and follow-up. The goal is to enable the child to develop a regular bowel pattern and remain socially clean (Costigan, Orr, Alshafei, & Antao, 2019).…”

Section: Treatment Regimensmentioning

confidence: 99%

Childhood functional constipation : Parents' everyday life experiences

Flankegård

2022

Linköping Studies in Health Sciences. Thesis

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Background: Functional constipation is the most common chronic disorder in childhood with a great impact on family life. Treatment focuses on the behavioural nature of the disorder with toilet training and laxatives, with the goal of daily stool passage without difficulties. Management of care is predominantly carried out at home by parents, making them key partners in the paediatric care. Aim:The overall aim of this thesis was to explore and understand childhood functional constipation through the experiences of parents.Design and method: This thesis comprise two studies based on a phenomenological research method and design with an inductive reflective lifeworld approach using qualitative individual interviews to gather data. A theoretical framework was used in the analysis to further elucidate the findings.

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Section: Treatment Regimensmentioning

confidence: 99%

Childhood functional constipation : Parents' everyday life experiences

Flankegård

2022

Linköping Studies in Health Sciences. Thesis

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“…Considering this challenging condition, bowel retraining is a tool to regularly evacuate the bowels, promoting social fecal continence and guaranteeing independence in bowel management. 5 , 6 , 9 Proactive and systematic approaches can lead to more functional lifestyles, and advances in treatment should start with less invasive strategies, only then progressing to more invasive ones, adapting them to the physical and cognitive strengths of the individual and to their family context. 6 , 7 , 10 , 11…”

Section: Introductionmentioning

confidence: 99%

“… 7 , 12 In this context, research has highlighted the role of transanal irrigation (TAI) as a practice to achieve social fecal continence, reducing the time spent in bowel management and favoring autonomy and independence in self-care. 9 , 10 , 11 , 13 , 14 , 15 …”

Section: Introductionmentioning

confidence: 99%

Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review

Xavier¹,

Duarte²,

Martins³

2023

Jornal de Pediatria

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“…[2] In an effort to develop an approach to this group of disorders; an individualized bowel management programs (BMP) has been implemented to keep patients clean in the underwear, to improve their quality of life (QOL) and to avoid any negative impact on their lives. [3] One major element in this BMP, is saline enema administration which is a mechanical evacuation of stool by means of irrigation. Variable irrigation modalities can be used, antegrade enemas, trans-anal retrograde enemas, and trans-stoma enema.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Irrigation Systems in Managing Fecal Soiling in Children. A Single Center Experience

Nafesa

Maary

AlEnazi

2023

Preprint

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Purpose To evaluate saline enema success and the effectiveness of irrigation system in managing fecal soiling in pediatric patients with colorectal condition. Methods A retrospective cohort chart review of pediatric patients attending a bowel management clinic in a tertiary center in Riyadh, Saudi Arabia over 15months period (January 2022- March 2023). We included all pediatric patients (age 3–18 years) enrolled in bowel management program at our center, who are on saline enema protocol using the available irrigation system. Antegrade colonic enema or retrograde enema were used in managing fecal soiling. Patients with colorectal conditions having true fecal incontinence or constipation with pseudo incontinence were enrolled. Idiopathic constipation, spina bifida, neurogenic disorder and cloaca exstrophy were excluded. Results Forty-one patients who attended the clinic over one year were included. Thirty- five (85.4%) had true fecal incontinence, and 6 (14.6%) had constipation (overflow pseudo-incontinence). The majority were boys 30 (73.2%). Underlying disorders were anorectal malformation 27 (65.9%), cloaca anomaly 8 (19.5%), and Hirschsprung’s disease 6 (14.6%). Methods used in irrigation/saline enema administration varied, 31 (12.7%) were on trans-anal (regular Foley catheter, balloon tip catheter, cone tip catheter), 8 (19.5%) were on antegrade irrigation (Malone, neo-Malone and cecostomy) using (Nelton/feeding tube catheter), and 2 (4.9%) were on trans-stoma (cone tip catheter). Thirty-five (85.4%) succeeded and remained completely clean in the underwear for 24 hours till the next enema, 3 (7.3%) failed and were not clean between enema, 2 lost follow up, and 1on hold. The reasons for failure were either compliance or short colon or damaged internal canal. The utilization of different irrigation systems improved the noncompliance rate in 7 patients (2.9%). Conclusion Bowel management program has proved successful in many countries since its implementation. The underlying conditions remain the main determinant of success as well as a significant factor in the failure of any program. However, considering the compliance in pediatric age group, few are still facing some degree of social embarrassment with accidents. When it comes to compliance, utilizing different available irrigation systems is helpful.

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How to establish a successful bowel management programme in children: a tertiary paediatric centre experience

Cited by 12 publications

References 13 publications

Childhood functional constipation : Parents' everyday life experiences

Childhood functional constipation : Parents' everyday life experiences

Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review

The Effectiveness of Irrigation Systems in Managing Fecal Soiling in Children. A Single Center Experience

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