title: Consensus review of best practice of transanal irrigation in adults.
abstract: METHODS
  Review article.
  
  
  OBJECTIVE
  To provide a consensus expert review of the treatment modality for transanal irrigation (TAI).
  
  
  METHODS
  A consensus group of specialists from a range of nations and disciplines who have experience in prescribing and monitoring patients using TAI worked together assimilating both the emerging literature and rapidly accruing clinical expertise. Consensus was reached by a round table discussion process, with individual members leading the article write-up in the sections where they had particular expertise.
  
  
  RESULTS
  Detailed trouble-shooting tips and an algorithm of care to assist professionals with patient selection, management and follow-up was developed.
  
  
  CONCLUSIONS
  This expert review provides a practical adjunct to training for the emerging therapeutic area of TAI. Careful patient selection, directly supervised training and sustained follow-up are key to optimise outcomes with the technique. Adopting a tailored, stepped approach to care is important in the heterogeneous patient groups to whom TAI may be applied.
  
  
  BACKGROUND
  The review was financially supported by Coloplast A/S.
authors: Department of GI Physiology, University College London, London, UK.
authors: A V
authors: AV
authors: Emmanuel
authors: K
authors: K
authors: Krogh
authors: G
authors: G
authors: Bazzocchi
authors: A-M
authors: AM
authors: Leroi
authors: A
authors: A
authors: Bremers
authors: D
authors: D
authors: Leder
authors: D
authors: D
authors: van Kuppevelt
authors: G
authors: G
authors: Mosiello
authors: M
authors: M
authors: Vogel
authors: B
authors: B
authors: Perrouin-Verbe
authors: M
authors: M
authors: Coggrave
authors: P
authors: P
authors: Christensen
mesh_terms: D000328:Adult; D032921:Consensus; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods; D018579:Patient Selection; D013119:Spinal Cord Injuries / Q000175:diagnosis / Q000628:therapy*; D007507:Therapeutic Irrigation / Q000379:methods