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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.

Journal of Pediatric Urology
|February 24, 2023
PubMed

Insights

This review provides guidance on managing neurogenic bowel dysfunction (NBD) in children, addressing definitions, assessment, and treatment to improve care and quality of life.

Area of Science:

  • Pediatric urology
  • Gastroenterology
  • Neurology

Background:

  • Lower urinary tract dysfunction in children often co-occurs with bowel dysfunction.
  • Neurogenic bowel dysfunction (NBD) significantly impacts children's quality of life.
  • There is a need for evidence-based information on pediatric NBD management.

Purpose of the Study:

  • To offer an updated, selective review of NBD in children.
  • To consolidate current knowledge on NBD definitions, assessment, and treatment.
  • To guide clinical practice and future research in pediatric NBD.

Main Methods:

  • Selective, non-systematic literature review.
  • Focus on definitions, assessment strategies, and management options.
  • Inclusion of recommendations for follow-up and monitoring.

Main Results:

  • Established clear definitions and terminology for NBD.
  • Provided guidance on physical assessment, history taking, and diagnostic studies.
  • Outlined updated surgical and non-surgical management strategies for NBD.

Conclusions:

  • This review offers a framework for improving NBD management in children.
  • The findings aim to enhance the care and outcomes for children with NBD.
  • Further research is encouraged to advance the field of pediatric NBD.
Abstract

Keywords:
ConstipationFecal incontinenceNeurogenic bowel

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