Self washout method for defecational complaints following low anterior rectal resection

Iwama, Takeo; Imajo, Mahito; Yaegashi, Kanji; Mishima, Yoshio

doi:10.1007/bf02471596

Cited by 31 publications

(26 citation statements)

References 2 publications

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“…Two other groups [19][20][21][22][23] reported their results with RCI. A Japanese group [19] introduced RCI first successfully in 10 patients with evacuation after a lower anterior resection with defecation problems.…”

Section: Discussionmentioning

confidence: 99%

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Anal plugs and retrograde colonic irrigation are helpful in fecal incontinence or constipation

Cazemier¹,

Felt‐Bersma²,

Mulder³

2007

WJG

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AIM:To evaluate the feasibility, clinical effect and predicting factors for favorable outcome of treatment with anal plugs in fecal incontinence and retrograde colonic irrigation (RCI) in patients with fecal incontinence or constipation. METHODS:Patients who received treatment with an anal plug or RCI between 1980 and 2005 were investigated with a questionnaire. RESULTS:Of the 201 patients (93 adults, 108 children), 101 (50%) responded. Adults: anal plugs (8), five stopped immediately, one stopped after 20 mo and two used it for 12-15 mo. RCI (40, 28 fecal incontinence, 12 constipation), 63% are still using it (mean 8.5 years), 88% was satisfied. Younger adults (< 40 years) were more satisfied with RCI (94 % vs 65%, P = 0.05).Children: anal plugs (7), 5 used it on demand for an average of 2.5 years with satisfactory results, one stopped immediately and one after 5 years. RCI (26 fecal incontinence, 22 constipation), 90% are still using it (mean time 6.8 years) and felt satisfied. Children tend to be more satisfied (P = 0.001). Besides age, no predictive factors for success were found. There was no difference in the outcome between patients with fecal incontinence or constipation. CONCLUSION:RCI is more often applied than anal plugs and is helpful in patients with fecal incontinence or constipation, especially for younger patients. Anal plugs can be used incidentally for fecal incontinence, especially in children.

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Section: Discussionmentioning

confidence: 99%

“…A Japanese group [19] introduced RCI first successfully in 10 patients with evacuation after a lower anterior resection with defecation problems. A Danish group reported in 25 adults and 10 children, a 42% improvement in patients with fecal incontinence and 8% in patients with constipation [20] .…”

Section: Discussionmentioning

confidence: 99%

Anal plugs and retrograde colonic irrigation are helpful in fecal incontinence or constipation

Cazemier¹,

Felt‐Bersma²,

Mulder³

2007

WJG

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“…34 Importantly, in the post-operative population with an anastomosis just above the anus, there were no major complications with TAI after a mean follow-up of 56 months. Other reports have documented the use of TAI after anterior resection 35,36 or after dynamic graciloplasty, 37 and various studies have enrolled mixed patient populations, including patients with a history of abdominal surgery, idiopathic (neurogenic) bowel dysfunction, irritable bowel syndrome, anorectal malformation, coloanal anastomosis, diabetes mellitus, multiple sclerosis, SCI and neural tube closure defect. 29,32,34,38,39 Owing to the heterogeneous nature of these mixed patient populations and the low number of patients of each type, further investigation is required to confirm the efficacy of TAI in each of these settings.…”

Section: Efficacy Of Tai In Other Populationsmentioning

confidence: 99%

Review of the efficacy and safety of transanal irrigation for neurogenic bowel dysfunction

Emmanuel

2010

Spinal Cord

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Study design: Neurogenic bowel dysfunction (NBD) is a common occurrence after spinal cord injury (SCI) and in patients with spina bifida or multiple sclerosis. The impact of NBD on well-being is considerable, affecting both physical and psychological aspects of quality of life. Transanal irrigation (TAI) of the colon promotes the evacuation of faeces by introducing water into the colon and rectum through a catheter inserted into the anus. Regular and controlled evacuation in this manner aims at preventing both constipation and faecal soiling. Objectives: The aim of this study was to review current evidence for the efficacy and safety of TAI in patients with NBD. Materials and methods: A literature search was conducted in PubMed. All identified papers were assessed for relevance based on the title and abstract; this yielded 23 studies that were considered to be of direct relevance to the topic of the review. Results: A multicentre, randomized, controlled trial has supported observational reports in demonstrating that TAI offers significant benefits over conservative bowel management in patients with SCI, in terms of managing constipation and faecal incontinence, reducing NBD symptoms and improving quality of life. Among other populations with NBD, TAI shows the greatest promise in children with spina bifida; however, further investigation is required. The overall safety profile of TAI is good, with few, and rare, adverse effects. Conclusions: Building on the positive data reported for patients with SCI, continued evaluation in the clinical trial setting is required to further define the utility of TAI in other populations with NBD.

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“…13 TAI can improve both faecal incontinence and defecation disorders in this group. [14][15][16] Moreover, resectional and ileo-anal pouch surgery may cause functional problems, and efficacy of TAI in this patient group has been shown too, with specifically enhanced ability to cope with the long-term consequences of surgery. 17 The effect of TAI varies considerably between patients: some report full satisfaction and great improvements in their quality of life, whereas others experience poor or no efficacy and abandon treatment.…”

Section: Introductionmentioning

confidence: 99%

Consensus review of best practice of transanal irrigation in adults

et al. 2013

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Study design: Review article. Objectives: To provide a consensus expert review of the treatment modality for transanal irrigation (TAI). Methods: A consensus group of specialists from a range of nations and disciplines who have experience in prescribing and monitoring patients using TAI worked together assimilating both the emerging literature and rapidly accruing clinical expertise. Consensus was reached by a round table discussion process, with individual members leading the article write-up in the sections where they had particular expertise. Results: Detailed trouble-shooting tips and an algorithm of care to assist professionals with patient selection, management and follow-up was developed. Conclusion: This expert review provides a practical adjunct to training for the emerging therapeutic area of TAI. Careful patient selection, directly supervised training and sustained follow-up are key to optimise outcomes with the technique. Adopting a tailored, stepped approach to care is important in the heterogeneous patient groups to whom TAI may be applied. Sponsorship: The review was financially supported by Coloplast A/S.

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Self washout method for defecational complaints following low anterior rectal resection

Cited by 31 publications

References 2 publications

Anal plugs and retrograde colonic irrigation are helpful in fecal incontinence or constipation

Anal plugs and retrograde colonic irrigation are helpful in fecal incontinence or constipation

Review of the efficacy and safety of transanal irrigation for neurogenic bowel dysfunction

Consensus review of best practice of transanal irrigation in adults

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