Neurogenic Bowel Dysfunction in Children and Adolescents.

Area of Science:

• Pediatric Gastroenterology
• Pediatric Neurology
• Pediatric Urology

Background:

• Neurogenic/neuropathic bowel dysfunction (NBD) is prevalent in children with neurological disorders, impacting their quality of life.
• Historically, NBD has been under-recognized compared to neurogenic bladder, often associated primarily with spina bifida.
• The incidence of pediatric NBD is rising due to improved survival rates and diagnostic capabilities.

Purpose of the Study:

• To provide expert consensus on the management of NBD in children and adolescents.
• To outline the diverse causes and therapeutic strategies for pediatric NBD.
• To emphasize the need for individualized, multidisciplinary care plans.

Main Methods:

• A modified Delphi method was employed by an expert panel of pediatric specialists.
• Literature review and personal experience informed the consensus statement.
• The study focused on children and adolescents experiencing NBD.

Main Results:

• The paper discusses the broad spectrum of causes for pediatric NBD.
• Various conservative and medical management options are presented, including Transanal Irrigation (TAI).
• NBD management must be individualized, considering the underlying cause and comorbidities.

Conclusions:

• Pediatric NBD necessitates a tailored, multidisciplinary approach for optimal outcomes.
• Early and accurate diagnosis, alongside comprehensive management, is crucial for improving patient quality of life.
• Collaboration among pediatric urologists, surgeons, and gastroenterologists is key to effective NBD care.