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Pediatric neurogenic bowel dysfunction: ICCS review document
M S Kelly1, M A Benninga2, S S Yang3
1Division of Healthcare of Women and Children, School of Nursing, Duke University, Durham, NC 27710, USA; Department of Surgery, Division of Urology, Duke Health, Durham, NC 27710, USA.
Introduction:
The International Children's Continence Society (ICCS) aims to improve the quality of life in children with lower urinary tract dysfunction. A substantial portion of children also have problems with bowel dysfunction. There is a lack of evidence-based information on managing neurogenic bowel dysfunction (NBD) in children.
Objective/Methods:
The ICCS aimed to provide an up-to-date, selective, non-systematic review of NBD's definitions, assessment, and treatment.
Results:
Specific definitions and terminology are defined within the document. Recommendations and considerations for physical assessment, history taking, and diagnostic studies are made. Management updates, both surgical and non-surgical, are provided as well as recommendations for follow-up and monitoring of individuals with NBD.
Conclusion:
This review of the current literature will help guide NBD management and research to improve NBD care.
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