ArticleChildren (Basel, Switzerland)2021
Advanced Management Protocol of Transanal Irrigation in Order to Improve the Outcome of Pediatric Patients with Fecal Incontinence.
Article in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Clinical, social, and motility factors influencing transanal irrigation response in pediatric patients.Journal of pediatric gastroenterology and nutrition · 2026Article
- Current Treatment Options for Children with Functional Constipation-What Is in the Pipeline?Children (Basel, Switzerland) · 2025Review
- State of the Art Bowel Management for Pediatric Colorectal Problems: Functional Constipation.Children (Basel, Switzerland) · 2023Review
- Evaluation of Anal Sphincter with High Resolution Anorectal Manometry and 3D Reconstruction in Patients with Anorectal Malformation.Children (Basel, Switzerland) · 2023Article
- Post-Operative Anorectal Manometry in Children following Anorectal Malformation Repair: A Systematic Review.Journal of clinical medicine · 2023Review
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransanal irrigation (TAI) is employed for children with fecal incontinence, but it can present several problems which require a study of their outcomes among different pathologies and without a tailored work up. The aim of our study was to evaluate the effectiveness of an advanced protocol in order to tailor TAI, prevent complications, and evaluate outcomes.
methodsWe included 70 patients (14 anorectal malformation, 12 Hirschsprung's disease, 24 neurological impairment, 20 functional incontinence) submitted to a comprehensive protocol with Peristeen
resultsAmong the patients, 62.9% needed adaptations to the parameters, mainly volume of irrigated water and number of puffs of balloon. These adaptations were positively correlated with pre-treatment manometric and enema data. In each group, the improvement of score was statistically significant in all cases (
conclusionsOur results showed that TAI should not be standardized for all patients, because each one has different peculiarities; evaluation of patients before TAI with rectal ultrasound, enema, and manometry allowed us to tailor the treatment, highlighting different outcomes among various pathologies, thus improving the efficacy.
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