Bowel management for the treatment of pediatric fecal incontinence.
Fecal incontinence is a devastating underestimated problem, affecting a large number of individuals all over the world. Most of the available literature relates to the management of adults. The treatments proposed are not uniformly successful and have little application in the pediatric population. This paper presents the experience of 30 years, implementing a bowel management program, for the treatment of fecal incontinence in over 700 pediatric patients, with a success rate of 95%. The main characteristics of the program include the identification of the characteristics of the colon of each patient; finding the specific type of enema that will clean that colon and the radiological monitoring of the process.
Bischoff
Andrea
A
Colorectal Center for Children, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, ML 2023, Cincinnati, OH 45229, USA.
Levitt
Marc A
MA
Peña
Alberto
A
D001003:Anal Canal / Q000601:surgery; D000930:Antidiarrheals / Q000627:therapeutic use*; D001676:Biofeedback, Psychology / Q000379:methods*; D002648:Child; D004043:Dietary Fiber / Q000627:therapeutic use*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004599:Electric Stimulation Therapy / Q000379:methods*; D005242:Fecal Incontinence / Q000628:therapy*; D006801:Humans; D011379:Prognosis
D000930:Antidiarrheals; D004043:Dietary Fiber