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Long-term transanal irrigation's continuation at home. Preliminary study
J Hamonet-Torny1, J Bordes, J-C Daviet
1Service de médecine physique et réadaptation, pôle neurosciences tête et cou, hôpital Jean-Rebeyrol, CHU de Limoges, avenue du Buisson, 87042 Limoges cedex, France. juliahamonet@hotmail.com
Objective:
To determine the long-term outcome of Peristeen's home use.
Method:
Retrospective study on the 16 first patients treated by Peristeen in the department of physical and readaptation medicine of Limoges universitary hospital, by the mean of phone interviews.
Results:
Successful outcome was achieved in 62.5% patients after a mean follow-up of 2.6 years. All patients had neurogenic bowel disorders, including 75% of constipation. Most of cases of Peristeen discontinuation occurred at the treatment beginning, one month after introduction in two thirds of cases. In patients who were still using transanal irrigation (TAI), mean grade of satisfaction with the Peristeen system was 9.12/10, despite the high rate of technical problems (77.8% of cases).
Conclusion:
This study highlights the limits of Peristeen's long-term using and suggests the interest of a specific therapeutic education to Peristeen and of a systematic control consultation within the 3 first months of treatment.