The Role of Retrograde Colonic Enema in Children With Spina Bifida: Is It Inferior to the Antegrade Continence Enema?

Matsuno, Daisuke; Yamazaki, Yoji; Suzuki, Mari; Shiroyanagi, Yoshiyuki; Hagiwara, Ayako; Ichiroku, Terumi

doi:10.1016/s0022-5347(08)60861-7

Cited by 12 publications

(25 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The majority of questionnaires appeared to be completed by parents either within the clinical setting as part of the child's normal health care follow-up [9][10][11] or over the telephone. 4,5,12,13 Several of the studies reported data collected retrospectively from medical case notes 6,13,14 or reported findings based on data without it being stated how data had been obtained. 6,[15][16][17][18] The follow-up of children after initiation of transanal irrigation varied widely both within and across the studies.…”

Section: Details Of the Included And Excluded Studiesmentioning

confidence: 99%

“…4,5,12,13 Several of the studies reported data collected retrospectively from medical case notes 6,13,14 or reported findings based on data without it being stated how data had been obtained. 6,[15][16][17][18] The follow-up of children after initiation of transanal irrigation varied widely both within and across the studies. Where detailed, follow-up and data collection occurred from 3 months, 10 4 months, 8,17 12 months, 4 33 months, 14 64 months 6 to 96 months.…”

Section: Details Of the Included And Excluded Studiesmentioning

confidence: 99%

“…The definitions used to define continence/ Transanal irrigation in children and young people L Bray and C Sanders Transanal irrigation in children and young people L Bray and C Sanders incontinence and constipation varied between studies. Definitions and criteria to judge incontinence varied from any episodes or incidences of staining, soiling or faecal incontinence, 4,6,9,11,12,19 soiling once a month, 10 soiling three times a month, 16 not needing to wear pads for stool incontinence 13 to no information being supplied on how the studies had characterised continence or incontinence. 5,14,15,17,18 This review has correlated with the studies, whose report rates of continence were achieved.…”

Section: Effectiveness Of Transanal Irrigation In Childrenmentioning

confidence: 99%

“…Transanal irrigation was reported as improving the continence in 346 from 383 (90%) children using transanal irrigation at the point of follow-up in the various studies. 4,6,[9][10][11]14,16,17,19 The reports of continence achieved within this figure ranged from 66% 14 to 100% 11,16 (Table 2).…”

Section: Effectiveness Of Transanal Irrigation In Childrenmentioning

confidence: 99%

“…13 Saline (either isotonic or made by families within the home) was used to irrigate the bowel in 8 of the 17 studies, 4,7,12,[15][16][17][18][19] which included 495 children. Tap water was used in 7 of the studies, 5,6,8,[9][10][11]14 which in total included 270 children. One paper did not report the type of solution used to irrigate the bowel.…”

Section: Effectiveness Of Transanal Irrigation In Childrenmentioning

confidence: 99%

See 4 more Smart Citations

An evidence-based review of the use of transanal irrigation in children and young people with neurogenic bowel

Bray

Sanders

2012

Spinal Cord

View full text Add to dashboard Cite

Study design: Evidence-based review. Objective: To determine the effectiveness and acceptability of transanal irrigation in children and young people with neurogenic bowel. Setting: International literature. Methods: Electronic databases were searched supported by hand-searching strategies to conduct a comprehensive literature review in accordance with Centre for Reviews and Dissemination procedures guidelines. Sixteen studies were selected for inclusion. Results: The studies indicate that transanal irrigation can be an effective treatment for children and young people with constipation or faecal incontinence as a result of neurogenic bowel (90%, n ¼ 346 children). Transanal irrigation is reported as improving quality of life and family's satisfaction with their bowel management, although the procedure is invasive, time consuming and can impact negatively on child, parent and family life. Conclusion: Transanal irrigation may be considered as a first line treatment option for children and young people with neurogenic bowel but further research is required to prove the efficacy and acceptability of this procedure. Spinal Cord (2013) 51, 88-93; doi:10.1038/sc.2012.146; published online 11 December 2012Keywords: transanal irrigation; rectal irrigation; children; neurogenic bowel INTRODUCTION Transanal irrigation involves the physical placement of an irrigation catheter or cone device safely into the rectum to allow the administration of irrigation fluid. The aim of irrigation is to washout stool from the rectum and lower end of the descending colon in order to facilitate a period of faecal continence and/or alleviate constipation. Transanal irrigation is not a new technique but is regaining popularity as a treatment option in the management of neurogenic bowel following the advent of new and improved irrigation systems. Transanal irrigation is a prescribed regime, which should only be started or considered as a treatment after assessment by suitably qualified or experienced health professional. Neurogenic bowel often occurs in children or young people as a result of neurological antenatal development, such as spina bifida, childhood spinal cord injury or acute viral illness such as transverse myellitus. Although there is an evidence that transanal irrigation is a useful management approach in adult patients with neurogenic bowel, 1,2 there is less published research on the use of this approach with children and young people. This review aimed to systematically examine the current literature relating to the use of transanal irrigation in children and young people with neurogenic bowel.

show abstract

Section: Details Of the Included And Excluded Studiesmentioning

confidence: 99%

Section: Details Of the Included And Excluded Studiesmentioning

confidence: 99%

Section: Effectiveness Of Transanal Irrigation In Childrenmentioning

confidence: 99%

Section: Effectiveness Of Transanal Irrigation In Childrenmentioning

confidence: 99%

Section: Effectiveness Of Transanal Irrigation In Childrenmentioning

confidence: 99%

See 3 more Smart Citations

An evidence-based review of the use of transanal irrigation in children and young people with neurogenic bowel

Bray

Sanders

2012

Spinal Cord

View full text Add to dashboard Cite

show abstract

Bowel management for the treatment of pediatric fecal incontinence

2009

View full text Add to dashboard Cite

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.

show abstract

Satisfaction after the Malone antegrade continence enema procedure in patients with spina bifida

et al. 2013

View full text Add to dashboard Cite

Study design: Retrospective chart review. Objective: To evaluate the clinical outcomes and factors influencing patient satisfaction with Malone antegrade continence enema (MACE) in patients with spina bifida. Setting: Japan. Methods: We performed retrospective analysis of 21 patients with spina bifida who underwent surgical creation of an MACE stoma. Clinical outcomes were evaluated by medical records, operative notes and mailed questionnaires. Patient satisfaction scores (SSs) were measured on a modified visual analog scale (VAS) from 1 to 10, and the factors influencing the SS were analyzed. Results: A 100% return rate for the mailed questionnaires was achieved. All patients underwent in situ appendicocecostomy with cecal plication. There was only one complication that required surgical revision. Regarding fecal continence, the overall success rate was 90%. Although 4 patients (19%) had severe irrigation pain and 4 patients (19%) found the washout time intolerably long, 18 (85%) of them were satisfied with the MACE procedure. Age at operation, experience of retrograde colonic enema (RCE), experience of stomal leakage, increased comfort at school or workplace and increased comfort at sleepovers significantly influenced SSs. Conclusion: MACE is a valuable option in achieving fecal continence in patients with spina bifida, with most patients being satisfied with the procedure. In our analysis, younger age at operation, previous experience of RCE, no stomal leakage and improvement of quality of life (enhanced comfort at school, workplace and sleepovers) significantly influenced the high satisfaction after MACE. Spinal Cord (2014) 52, 54-57; doi:10.1038/sc.2013.111; published online 1 October 2013Keywords: Malone antegrade continence enema; quality of life; patient satisfaction; fecal incontinence; spina bifida INTRODUCTIONThe Malone antegrade continence enema (MACE) procedure, which was first described in 1990 by Malone et al., 1 has revolutionized the management and improved the quality of life (QOL) of patients with spina bifida who suffer from refractory constipation and fecal incontinence. However, it has been reported in a long-term followup study that a considerable number of patients have ceased the MACE procedure. 2 To select good candidates for the MACE procedure among patients with spina bifida, it is important to evaluate not only the status of the bowel, but also the overall patient satisfaction after the procedure. The aim of this study was to evaluate the factors that influence overall satisfaction after the MACE procedure in patients with spina bifida.

show abstract

The Role of Retrograde Colonic Enema in Children With Spina Bifida: Is It Inferior to the Antegrade Continence Enema?

Cited by 12 publications

References 0 publications

An evidence-based review of the use of transanal irrigation in children and young people with neurogenic bowel

An evidence-based review of the use of transanal irrigation in children and young people with neurogenic bowel

Bowel management for the treatment of pediatric fecal incontinence

Satisfaction after the Malone antegrade continence enema procedure in patients with spina bifida

Contact Info

Product

Resources

About