Trial reportChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2018
Short versus mid-long-term outcome of transanal irrigation in children with spina bifida and anorectal malformations.
Trial report in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
13 citing papers in PubMed, 31 citations in OpenAlex.
- Transanal irrigation bowel routine for people with Cauda Equina Syndrome.The journal of spinal cord medicine · 2024Trial
- "Prophylactic" transanal irrigation (TAI) to prevent symptoms of low anterior resection syndrome (LARS) after rectal resection: results at 12-month follow-up of a controlled randomized multicenter trial.Techniques in coloproctology · 2020Trial
- Clinical, social, and motility factors influencing transanal irrigation response in pediatric patients.Journal of pediatric gastroenterology and nutrition · 2026Article
- EAU-ESPU-ERN eUROGEN-ERN ITHACA-ERN ERKNet-IFSBH Guidelines on Spinal Dysraphism in Children and Adolescents: Summary of the Guideline.European urology open science · 2026Article
- Low Anterior Resection Syndrome Evaluation and Management.Clinics in colon and rectal surgery · 2026Review
- The Effects of Administering the Bowel Management Program in the Treatment of Fecal Incontinence Among Children With Chronic Refractory Constipation.Journal of family & reproductive health · 2025Article
- Long-term outcome of transanal irrigation for individuals with spina bifida: a 12-year experience study.Techniques in coloproctology · 2024Article
- A Systematic Review of Telehealth Utilization for Bowel Management Programs in Pediatric Colorectal Surgery.Children (Basel, Switzerland) · 2024Review
- Association Between Quality of Life and Neurogenic Bowel Symptoms by Bowel Management Program in Spina Bifida.Urology · 2024Article
- Advanced Management Protocol of Transanal Irrigation in Order to Improve the Outcome of Pediatric Patients with Fecal Incontinence.Children (Basel, Switzerland) · 2021Article
- Neurogenic Bowel Dysfunction in Children and Adolescents.Journal of clinical medicine · 2021Review
- Assessment of neurogenic bowel symptoms with the bowel dysfunction score in children with spina bifida: a prospective case-control study.Pediatric surgery international · 2020Observational
- Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review.Jornal de pediatriaArticle
Corrections and comments
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Authors and funding
12 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe assessed short- and mid-long-term clinical efficacy of transanal irrigation (TAI) and its effect on the quality of life of children with spina bifida (SB) and anorectal malformations (ARM).
methodsSeventy-four pediatric patients (age 6-17 years) with SB and ARM with neurogenic bowel dysfunction were enrolled for a prospective and multicentric study. Patients were evaluated before the beginning of TAI (T0), after 3 months (T1) and after at least 2 years (range 24-32 months) (T2) using a questionnaire assessing bowel function, the Bristol scale, and two validated questionnaires on quality of life: the CHQ-PF50 questionnaire for the parents of patients aged 6-11 years and the SF36 questionnaires for patients aged between 12 and 18 years.
resultsSeventy-two patients completed TAI program in T1, and 67 continued into T2. Bowel outcomes (constipation and fecal incontinence) improved in both the SB and the ARM groups in the short and mid-long term. In both groups at T1 and T2, parents and children reported an improvement in quality of life and there was a significant increase of stool form types 4 and 5 as described by the Bristol scale. Common adverse effects during the study were similar at T1 and T2 without serious complications.
conclusionsWe observed a sustained improvement in bowel management and quality of life in SB and ARM children during the study, more significant in the short term than in mid-long term. To maintain success rates in the mid-long term and to reduce the dropout rate, we propose patient training and careful follow-ups.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.