Antegrade continence enemas in the treatment of slow-transit constipation
| Autor: | John M. Hutson, M. P. Stanton, N. Anticich, J. Marshall |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty Constipation Adolescent Colon Manometry medicine.medical_treatment Enema Colonic Diseases Quality of life Colon surgery medicine Humans Malone antegrade continence enema Prospective Studies Child Gastrointestinal Transit Prospective cohort study business.industry Surgical Stomas General Medicine medicine.disease Combined Modality Therapy Surgery Stenosis Treatment Outcome El Niño Child Preschool Pediatrics Perinatology and Child Health Quality of Life Female medicine.symptom business Fecal Incontinence Follow-Up Studies |
| Zdroj: | Journal of Pediatric Surgery. 36:1227-1230 |
| ISSN: | 0022-3468 |
| DOI: | 10.1053/jpsu.2001.25768 |
| Popis: | Background/Purpose: Children with anorectal dysfunction can now be treated by antegrade continence enema (ACE), as described Malone et al. Those with idiopathic constipation, however, are not thought to be suitable for this treatment. Over 150 children attend the authors' department with proven slow transit constipation (mostly proven on nuclear transit/X-ray study), and the authors reviewed the outcome in the 40 of these who have had the ACE procedure. Families completed a questionnaire and attended interview with an independent assessor. Methods: Of the 40 patients, 32 patients were assessed. Follow-up ranged from 3 to 54 months (median, 18 months) and age ranged from 5 to 17 years (median age, 10 years). Three of 32 stomas were no longer in use. Frequency of soiling was reduced significantly in 20 patients, and a further 6 patients were clean ( P P Results: Stomal complications were frequent, (stenosis in 16 of 29, mucus leak in 20 of 29, fecal leak 3 of 29, catheter-related pain in 20 of 29). Slow evacuation (12 of 29) and pain with enema (17 of 20) also were common. Conclusion: Malone appendicostomy does improve the well being of patients with slow transit constipation, but the advantages are less dramatic than in children with normal motility. J Pediatr Surg 36:1227-1230. Copyright © 2001 by W.B. Saunders Company. |
| Databáze: | OpenAIRE |
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