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[Role of bowel management program in pediatric patients with fecal incontinence]
Yong Wang1, Jiakang Yu, Jun Zhong
1Department of Pediatric Surgery, Women and Children's Medical Center of Guangzhou, Guangzhou 510623, China. jiakangyu2006@126.com.
Insights
This study shows a new bowel management program effectively treats pediatric fecal incontinence. Consistent enema use and hygiene are key to successful outcomes for children with this condition.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Background:
- Fecal incontinence in children poses significant challenges.
- Effective management strategies are crucial for improving quality of life.
Purpose of the Study:
- To evaluate a novel bowel management program for pediatric fecal incontinence.
- To assess the clinical efficacy of this intervention.
Main Methods:
- Retrospective analysis of 19 children with fecal incontinence.
- Data collected between January 2012 and January 2013.
- Evaluation of clinical outcomes following the bowel management program.
Main Results:
- 15 children had genuine fecal incontinence requiring enema treatment.
- 4 children had false fecal incontinence.
- Improvements in soiling and constipation observed in genuine cases; 2 false cases achieved independent defecation, and 2 were cured.
Conclusions:
- The bowel management program is an effective treatment for pediatric fecal incontinence.
- Sustained perianal hygiene through adjusted enema protocols is essential for success.
Objective:
To investigate a new bowel management program for children patients with fecal incontinence.
Methods:
Clinical data of 19 children with fecal incontinence undergoing bowel management program in our center between January 2012 and January 2013 were retrospectively analyzed. The main outcome measure was clinical efficacy of this program.
Results:
Fifteen out of 19 cases were genuine fecal incontinence and required continuous treatment by enema. The other 4 cases were false fecal incontinence. After treatment with this program, stool dirty and constipation were improved in genuine incontinence. Two cases of false continence could control defecation independently by oral administration of antispasmodic drug. Two cases of false continence were cured and did not need medical interference.
Conclusions:
Bowel management program is an effective treatment for pediatric patients with fecal incontinence. The key of success is maintenance of perianal hygiene for 24 hours by continual adjustment of the elements and volumes of enemas.
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