How to establish a successful bowel management programme in children: a tertiary paediatric centre experience
| Autor: | Stephanie Orr, Brice Antao, Abdulrahman Alshafei, Ann Costigan |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Constipation Bowel management Enema Disease 030204 cardiovascular system & hematology Bowel Pattern Anus Imperforate Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Medicine Humans 030212 general & internal medicine Hirschsprung Disease Child Spinal Dysraphism Retrospective Studies Retrospective review business.industry Spina bifida Outcome measures Disease Management General Medicine medicine.disease Child Preschool Female medicine.symptom business Imperforate anus Fecal Incontinence Program Evaluation |
| Zdroj: | Irish journal of medical science. 188(1) |
| ISSN: | 1863-4362 |
| Popis: | Bowel management is a term used to describe a medical approach to the management of faecal incontinence. To present the outcomes of an individualised bowel management programme developed by a tertiary paediatric centre and evaluate contributory factors for successful bowel management in children. A retrospective review of children attending a bowel management clinic in a tertiary centre in Dublin, Ireland, over 5 years (2010–2015). The main outcome measure was the ability to achieve a regular bowel pattern and remain socially clean. Multiple linear regression analyses were used to determine the factors contributing to successful bowel management. One hundred ninety-two children attended the clinic over 5 years. The median age at commencement of washouts was 7 years. Underlying diagnosis was spina bifida in 50%, imperforate anus in 17.7%, Hirschsprung’s disease in 14.6%, idiopathic constipation in 7.8%, and other conditions in 9.9% of patients. Children with spina bifida and Hirschsprung’s disease preferred Peristeen washouts, while those with imperforate anus and idiopathic constipation preferred Willis washouts (p |
| Databáze: | OpenAIRE |
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