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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.
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Author Spotlight: Implementation of BIVA for Analyzing Disease Risk Factors in Patients with Low Body Cell Mass
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Bowel management program in patients with spina bifida.

Julie Schletker1, Tiffany Edmonds2, Rebecca Jacobson2

  • 1Department of Pediatric Surgery, International Center for Colorectal and Urogenital Care, Children's Hospital Colorado, University of Colorado, Anschutz Medical Campus, 13123 East 16th Avenue, Box 323, Aurora, CO, 80045, USA. Julie.Schletker@childrenscolorado.org.

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Summary

This study shows that a bowel management program using enemas is effective for managing fecal incontinence in spina bifida patients. Key challenges include solution leakage, which can be managed by adjusting enema administration techniques.

Keywords:
Bowel managementConstipationEnemaFecal incontinenceMyelomeningoceleNeurogenic bowelSpina bifida

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neuroscience

Background:

  • Fecal incontinence is a common challenge in patients with spina bifida.
  • Bowel management programs (BMPs) are crucial for improving quality of life.
  • Increasing numbers of spina bifida patients require effective fecal incontinence management.

Purpose of the Study:

  • To review the efficacy of a bowel management program (BMP) for fecal incontinence in spina bifida patients.
  • To identify challenges unique to managing fecal incontinence in this population.
  • To evaluate the success rate of BMP in spina bifida patients.

Main Methods:

  • Retrospective chart review of spina bifida patients in a BMP from February 2016 to April 2018.
  • Data collected included prenatal interventions, age, enema characteristics, and outcomes.
  • Success was defined as being clean of stool.

Main Results:

  • Seventeen out of twenty-two (77%) spina bifida patients achieved success (clean of stool).
  • The most common challenge was solution leakage during enema administration.
  • Leakage was successfully managed by increasing Foley balloon fill volume.

Conclusions:

  • The implemented bowel management program using enemas is effective for spina bifida patients.
  • Specific considerations for this population include frequent adjustments and close follow-up.
  • Optimized administration techniques are vital for successful outcomes.