Peristeen^Ⓒ  Transanal Irrigation System for Paediatric Faecal Incontinence: A Single Centre Experience

Abstract

Aim. To evaluate the efficacy of the PeristeenⒸ transanal irrigation system when treating faecal incontinence in children due to chronic idiopathic constipation. Methods. A retrospective study was conducted of the first cohort of patients affected with faecal incontinence and referred to our centre for PeristeenⒸ transanal irrigation treatment between January 2010 and December 2012. Patients with neurogenic bowel disturbance were excluded. A previously described and validated faecal continence scoring system was used to assess bowel function and social problems before and after treatment with PeristeenⒸ. Results. 13 patients were referred for PeristeenⒸ transanal irrigation during the study period. Mean time of using PeristeenⒸ was 12.6 months (±0.6 months) and mean length of follow-up was 21.2 months (±0.9 months). All patients were noted to have an improvement in their faecal continence score, with a mean improvement from 9.7 ± 1.4 to 14.8 ± 2.7 (P = 0.0008) and a reduction in episodes of soiling and increasing in quality of life scores. Conclusion. In this initial study, PeristeenⒸ appears to be a safe and effective bowel management system, which improves bowel function and quality of life in children affected with faecal incontinence as a result of chronic idiopathic constipation, Hirschsprung's disease, and anorectal malformations.

Prospective evaluation of Peristeen® transanal irrigation system with the validated neurogenic bowel dysfunction score sheet in the pediatric population

“…In this analysis it was noted that product‐related costs for Peristeen® was higher although the costs to the carer were lower, as were costs with associated urinary tract infections and patient time. Overall they found a total cost to society to be lower in those using Peristeen® than the conservative bowel management in their regions (Germany, Denmark, Italy, Sweden and the United Kingdom) . Comparisons in the United States for financial effects have not been carried out.…”

“…Recent studies evaluating the use of Peristeen in reduce fecal incontinence and constipation have been conducted on children with NBD and also with other disorders causing constipation. These studies have been very promising with ranges of about 80% of those enrolled achieving social fecal continence . Alenezi et al's study looked at 18 patients with NBD who were scheduled to undergo bladder reconstruction and MACE surgeries .…”

Encopresis in Children: An Overview of Recent Findings

“…Children and their parents should be prepared for a long-term process with many ups and downs. The aim is to prevent accidents and achieve regular bowel emptying, emphasizing the importance of immediately going to the toilet (35,36). In addition, the education of both children and their parents in colorectal physiology, defecation and faecal incontinence can help significantly.…”

Functional Constipation in Children

“…This has been shown to be effective in the management of children with neurogenic defecation disorders and anorectal malformations [ 94 -100 ], but data on the effectiveness of transanal irritation in children with FC are scarce [ 101 ]. This has been shown to be effective in the management of children with neurogenic defecation disorders and anorectal malformations [ 94 -100 ], but data on the effectiveness of transanal irritation in children with FC are scarce [ 101 ].…”