Clinical value of colonic irrigation in patients with continence disturbances

Briel, J. W.; Schouten, W. R.; Vlot, Eline A; Smits, Saskia L.; Kessel, Irena

doi:10.1007/bf02055436

Cited by 50 publications

(41 citation statements)

References 15 publications

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“…3,4 In this study, 14 percent of patients used bowel irrigation with an irrigation pump postoperatively and were continent for solid stool (Grade 2 or 3). 20 When patients experience an acceptable social life with the use of enemas, colonic irrigation, and medication, results after surgical correction of ARM are considerably good or fair. 1,9 Complications were noted in 53 percent of patients.…”

Section: Discussionmentioning

confidence: 99%

Dynamic Graciloplasty in Patients Born With an Anorectal Malformation

Koch

Uludag

Rongen

et al. 2004

Diseases of the Colon &Amp; Rectum

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Results of dynamic graciloplasty for fecal incontinence are reasonable for this specific group of patients with limited treatment options. Despite functional dynamic graciloplasty, the results are worse than those for the total group of patients with dynamic graciloplasty. Rectal sensitivity and type of malformation are prognostic factors for outcome and can be used to select patients for treatment with dynamic graciloplasty, thereby improving treatment outcome.

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Section: Discussionmentioning

confidence: 99%

Dynamic Graciloplasty in Patients Born With an Anorectal Malformation

Koch

Uludag

Rongen

et al. 2004

Diseases of the Colon &Amp; Rectum

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“…Two other groups [19][20][21][22][23] reported their results with RCI. A Japanese group [19] introduced RCI first successfully in 10 patients with evacuation after a lower anterior resection with defecation problems.…”

Section: Discussionmentioning

confidence: 99%

Anal plugs and retrograde colonic irrigation are helpful in fecal incontinence or constipation

Cazemier¹,

Felt‐Bersma²,

Mulder³

2007

WJG

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AIM:To evaluate the feasibility, clinical effect and predicting factors for favorable outcome of treatment with anal plugs in fecal incontinence and retrograde colonic irrigation (RCI) in patients with fecal incontinence or constipation. METHODS:Patients who received treatment with an anal plug or RCI between 1980 and 2005 were investigated with a questionnaire. RESULTS:Of the 201 patients (93 adults, 108 children), 101 (50%) responded. Adults: anal plugs (8), five stopped immediately, one stopped after 20 mo and two used it for 12-15 mo. RCI (40, 28 fecal incontinence, 12 constipation), 63% are still using it (mean 8.5 years), 88% was satisfied. Younger adults (< 40 years) were more satisfied with RCI (94 % vs 65%, P = 0.05).Children: anal plugs (7), 5 used it on demand for an average of 2.5 years with satisfactory results, one stopped immediately and one after 5 years. RCI (26 fecal incontinence, 22 constipation), 90% are still using it (mean time 6.8 years) and felt satisfied. Children tend to be more satisfied (P = 0.001). Besides age, no predictive factors for success were found. There was no difference in the outcome between patients with fecal incontinence or constipation. CONCLUSION:RCI is more often applied than anal plugs and is helpful in patients with fecal incontinence or constipation, especially for younger patients. Anal plugs can be used incidentally for fecal incontinence, especially in children.

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“…Other reports have documented the use of TAI after anterior resection 35,36 or after dynamic graciloplasty, 37 and various studies have enrolled mixed patient populations, including patients with a history of abdominal surgery, idiopathic (neurogenic) bowel dysfunction, irritable bowel syndrome, anorectal malformation, coloanal anastomosis, diabetes mellitus, multiple sclerosis, SCI and neural tube closure defect. 29,32,34,38,39 Owing to the heterogeneous nature of these mixed patient populations and the low number of patients of each type, further investigation is required to confirm the efficacy of TAI in each of these settings. The potential of TAI in the treatment of the very distressing low anterior resection syndrome is of particular interest and merits further investigation, although this will need a cautious approach to avoid the possibility of perforation in this at-risk group.…”

Section: Efficacy Of Tai In Other Populationsmentioning

confidence: 99%

Review of the efficacy and safety of transanal irrigation for neurogenic bowel dysfunction

Emmanuel

2010

Spinal Cord

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Study design: Neurogenic bowel dysfunction (NBD) is a common occurrence after spinal cord injury (SCI) and in patients with spina bifida or multiple sclerosis. The impact of NBD on well-being is considerable, affecting both physical and psychological aspects of quality of life. Transanal irrigation (TAI) of the colon promotes the evacuation of faeces by introducing water into the colon and rectum through a catheter inserted into the anus. Regular and controlled evacuation in this manner aims at preventing both constipation and faecal soiling. Objectives: The aim of this study was to review current evidence for the efficacy and safety of TAI in patients with NBD. Materials and methods: A literature search was conducted in PubMed. All identified papers were assessed for relevance based on the title and abstract; this yielded 23 studies that were considered to be of direct relevance to the topic of the review. Results: A multicentre, randomized, controlled trial has supported observational reports in demonstrating that TAI offers significant benefits over conservative bowel management in patients with SCI, in terms of managing constipation and faecal incontinence, reducing NBD symptoms and improving quality of life. Among other populations with NBD, TAI shows the greatest promise in children with spina bifida; however, further investigation is required. The overall safety profile of TAI is good, with few, and rare, adverse effects. Conclusions: Building on the positive data reported for patients with SCI, continued evaluation in the clinical trial setting is required to further define the utility of TAI in other populations with NBD.

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Clinical value of colonic irrigation in patients with continence disturbances

Cited by 50 publications

References 15 publications

Dynamic Graciloplasty in Patients Born With an Anorectal Malformation

Dynamic Graciloplasty in Patients Born With an Anorectal Malformation

Anal plugs and retrograde colonic irrigation are helpful in fecal incontinence or constipation

Review of the efficacy and safety of transanal irrigation for neurogenic bowel dysfunction

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