Retrograde continence enema in children with spina bifida: Not as effective as first thought

Details

Serval ID
serval:BIB_4E7F61FC0F8E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Retrograde continence enema in children with spina bifida: Not as effective as first thought
Journal
J Paediatr Child Health
Author(s)
King S. K., Stathopoulos L., Pinnuck L., Wells J., Hutson J., Heloury Y.
ISSN
1440-1754 (Electronic)
ISSN-L
1034-4810
Publication state
Published
Issued date
04/2017
Peer-reviewed
Oui
Volume
53
Number
4
Pages
386-390
Language
english
Notes
King, Sebastian K
Stathopoulos, Lefteris
Pinnuck, Loreto
Wells, Judy
Hutson, John
Heloury, Yves
eng
Australia
J Paediatr Child Health. 2017 Apr;53(4):386-390. doi: 10.1111/jpc.13408. Epub 2016 Nov 10.
Abstract
AIM: The aim of the study is to investigate the effectiveness of Peristeen retrograde continence enema (RCE) in the management of faecal incontinence in children with spina bifida. METHODS: We identified a homogenous group of spina bifida patients in whom RCE was initiated (Jan 2006-July 2013). Confidential assessments included (i) Fecal Incontinence Quality Of Life (FIQOL), (ii) St Marks Faecal Incontinence score, (iii) Cleveland Clinic Constipation score and (iv) Neurogenic Bowel Dysfunction score. RESULTS: Of 20 patients, 11 (mean age 14.5 +/- 5.3 years) were male. Of 20 patients, nine were still using RCE (mean follow-up 4.1 years). Three patients ceased RCE within 10 days, six after 4-12 months and two after 36-48 months. Reasons for cessation included balloon difficulties (n = 4), procedure deemed too difficult (n = 4) and pain (n = 3). There were no differences between the groups in length of training time for technique, instillate fluid/volume used and time taken to perform RCE. There were no differences between the groups for quality of life, faecal incontinence or constipation scores. CONCLUSIONS: We demonstrated a high rate of cessation with RCE in patients with spina bifida. This could not be explained by associated conditions, or by enema-related parameters. One possible explanation is the lack of ongoing outpatient support for the children and their families.
Keywords
Adolescent, Fecal Incontinence/*etiology/therapy, Female, Humans, Interviews as Topic, Male, Outcome Assessment, Health Care, Qualitative Research, Quality of Life, Spinal Dysraphism/*complications, Young Adult, Peristeen, faecal incontinence, retrograde continence enema, spina bifida
Pubmed
Funding(s)
CHUV//CHP OTHER//Société académique vaudoise OTHER//SICPA
Create date
17/05/2021 20:12
Last modification date
28/10/2021 5:45
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