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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
Annals of Physical and Rehabilitation Medicine
|March 7, 2013
Summary
This study evaluated long-term outcomes of Peristeen transanal irrigation (TAI) for neurogenic bowel disorders. While 62.5% achieved success, early discontinuation and technical issues were noted, suggesting improved patient education is needed.
Area of Science:
- Physical Medicine and Rehabilitation
- Gastroenterology
- Urology
Background:
- Neurogenic bowel dysfunction significantly impacts quality of life.
- Transanal irrigation (TAI) offers a management option for these conditions.
- Peristeen is a TAI system used for home management.
Purpose of the Study:
- To assess the long-term effectiveness and patient satisfaction with home use of the Peristeen system.
- To identify factors influencing treatment adherence and discontinuation.
Main Methods:
- Retrospective study involving 16 patients using Peristeen for neurogenic bowel disorders.
- Data collected via phone interviews after a mean follow-up of 2.6 years.
Main Results:
- Successful outcomes were observed in 62.5% of patients.
- Constipation was the primary indication (75%) among patients with neurogenic bowel disorders.
- Discontinuation often occurred early in treatment; however, users reported high satisfaction (9.12/10) despite frequent technical issues (77.8%).
Conclusions:
- Long-term use of Peristeen presents challenges, including technical problems and early discontinuation.
- Enhanced therapeutic education and systematic follow-up within the first three months are recommended to improve outcomes.