Faecal incontinence--Willis Home Bowel Washout Programme

R A Willis1

  • 1Urology Unit, Royal Childrens Hospital, Parkville, Victoria, Australia.

Insights

A straightforward bowel management technique effectively helps children with spina bifida and other disabilities achieve reliable continence. This simple procedure offers a high success rate for pediatric bowel incontinence.

Area of Science:

  • Pediatric Gastroenterology
  • Neurodevelopmental Disabilities
  • Rehabilitation Medicine

Background:

  • Bowel incontinence is a common challenge for children with spina bifida and other developmental disabilities.
  • Effective management strategies are crucial for improving quality of life and reducing caregiver burden.
  • Existing treatments may be complex or invasive, necessitating simpler alternatives.

Purpose of the Study:

  • To describe a simple, effective procedure for managing bowel incontinence in children with disabilities.
  • To evaluate the efficacy of this procedure in a pediatric population.
  • To assess the rate of achieved reliable continence.

Main Methods:

  • A cohort of 100 children with spina bifida and other disabilities participated.
  • A specific, simple bowel management protocol was implemented.
  • Outcomes were assessed based on the achievement of reliable bowel continence.

Main Results:

  • The majority of the 100 children treated achieved reliable bowel continence.
  • The procedure demonstrated a high success rate in managing pediatric bowel incontinence.
  • The simplicity of the method facilitated adherence and implementation.

Conclusions:

  • The described simple procedure is a highly effective method for managing bowel incontinence in children with spina bifida and other disabilities.
  • This approach offers a practical solution for achieving continence, improving patient outcomes.
  • Further research can explore long-term efficacy and applicability across diverse pediatric populations.

Related Concept Videos

Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Drugs for Treatment of Constipation-Predominant IBS01:21

Drugs for Treatment of Constipation-Predominant IBS

Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
Physiology of the Gastrointestinal System III: Elimination01:26

Physiology of the Gastrointestinal System III: Elimination

The gastrointestinal elimination process involves a complex interplay of neural and hormonal mechanisms that coordinate the final waste removal from the body. This intricate operation encompasses the absorption of water and electrolytes, vital for transforming the remaining indigestible food matter into feces. The large intestine is pivotal in water and electrolyte absorption, forming feces from unabsorbed minerals, undigested food, bacteria, bile pigments, and shed epithelial cells. Essential...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...