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Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children

P Lallemant-Dudek1, C Cretolle2, F Hameury3

  • 1Reference center for vertebral and spinal cord malformations, pediatric department of physical medicine and rehabilitation, university hospital Trousseau, Sorbonne Université, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France.

Annals of Physical and Rehabilitation Medicine
|May 4, 2019
PubMed

Insights

Transanal irrigation (TAI) shows high mid-term adherence in children with faecal incontinence, with 86.6% continuing the treatment. Effective training and daily frequency are key factors for successful TAI continuation in paediatric patients.

Area of Science:

  • Pediatric Gastroenterology
  • Bowel Management
  • Medical Device Adherence

Background:

  • Transanal irrigation (TAI) using the Peristeen® device has been an alternative treatment for faecal incontinence (FI) in France since 2009.
  • Paediatric patients with complex bowel conditions often require specialized management strategies.

Purpose of the Study:

  • To assess the mid-term adherence to transanal irrigation (TAI) in paediatric patients.
  • To identify factors influencing the continuation of TAI therapy in children.

Main Methods:

  • An observational study was conducted in 5 French paediatric centres.
  • 149 children educated in TAI for at least 9 months were prospectively reviewed.
  • Data were collected on adherence, motivations, and reasons for discontinuation.

Main Results:

  • High mid-term adherence to TAI was observed, with 86.6% of children continuing the procedure at a mean follow-up of 14 months.
  • The primary motivation for continuing TAI was the resolution of faecal incontinence and/or constipation.
  • Factors associated with continuation included supervised training and daily TAI frequency; discontinuation was linked to ongoing constipation treatment.

Conclusions:

  • Transanal irrigation (TAI) demonstrates very high mid-term adherence in a paediatric cohort.
  • Pragmatic, personalized, and repeated training is crucial for successful TAI implementation.
  • TAI is an effective treatment option for paediatric faecal incontinence and constipation when properly managed.
Abstract

Keywords:
AdherenceChildrenConstipationFaecal incontinenceTherapeutic educationTraining sessionTransanal irrigation

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