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Position paper on transanal irrigation in chronic non-organic constipation
G Bazzocchi1, E S Corazziari2, A Staiano3
1Montecatone Rehabilitation Institute, Imola - University of Bologna, Italy.
Summary
Trans Anal Irrigation (TAI) offers a standardized method for treating chronic constipation, particularly in neurological conditions. This review clarifies TAI
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Medical Devices
Background:
- Recto-colonic water irrigation has ancient origins but lacked standardization.
- Modern Trans Anal Irrigation (TAI) utilizes controlled devices for precise water delivery.
- TAI shows promise for refractory chronic constipation, especially in neurological diseases.
Purpose of the Study:
- To clarify the elements of Trans Anal Irrigation (TAI) beneficial for functional constipation.
- To define TAI procedures for functional defecation disorders based on Rome Criteria.
- To address adherence and practical implementation of TAI.
Main Methods:
- Review of existing literature and clinical expertise on Trans Anal Irrigation (TAI).
- Focus on standardized TAI methodology using controlled devices.
- Application of the latest Rome Diagnostic Criteria for functional disorders.
Main Results:
- TAI with controlled devices offers a standardized approach to recto-colonic irrigation.
- Favorable responses observed in patients with neurogenic chronic constipation.
- Further clarification needed for TAI in broader functional constipation and defecation disorders.
Conclusions:
- Standardized Trans Anal Irrigation (TAI) is a valuable therapeutic option for specific constipation types.
- Clearer guidelines are needed to optimize TAI for functional constipation and defecation disorders.
- Adherence and practical aspects are crucial for successful TAI implementation.
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