Encopresis

Har, Aileen F.; Croffie, Joseph M.

doi:10.1542/pir.31.9.368

Cited by 6 publications

(4 citation statements)

References 8 publications

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“…Discovery of additional triggers that potentially stimulate the vagal pathway inducing GCR might have clinical relevance as GCR has been used during bowel training and treatment of constipation. 4, [30][31][32][33] Interestingly, median baseline colonic MI was found to be significantly higher (by more than 70%) among patients lacking sensory GCR compared to patients with positive sensory GCR, as well as in patients with absent postprandial GCR compared to patients with positive postprandial GCR (by almost 30% in median). No change in colonic motor pattern was noted.…”

Section: Discussionmentioning

confidence: 99%

“…A significantly higher increase in MI of the proximal colon, compared to the distal colon in patients with sensory GCR, supports proposed vagal driven response which innervates the proximal colon, while the distal colon is innervated by the sacral nerves. Discovery of additional triggers that potentially stimulate the vagal pathway inducing GCR might have clinical relevance as GCR has been used during bowel training and treatment of constipation 4,30‐33 …”

Section: Discussionmentioning

confidence: 99%

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Novel sensory trigger for gastrocolonic response

Dorfman

Wongteerasut

El‐Chammas

et al. 2023

Neurogastroenterology Motil

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The gastrocolonic response (GCR), often referred to as gastrocolonic reflex, describes a physiologic increase in motor activity of the colon following meal ingestion, which was first described by Cannon in 1902, with the term GCR being proposed by Hertz a few years later. 1,2 The increase in colonic motor activity from baseline maybe subtle or more pronounced, mostly in younger children, resulting in high amplitude propagated contractions (HAPC). 3 The response propagates fecal content and gas throughout the colon and allows new intestinal content to enter the colon. It is typically noted within minutes after meal ingestion. 4 This physiologic response is used as a marker of an intact neuromuscular interaction between the central and enteric nerval system (ENS) in colonic manometry studies. 5 The exact stimuli and pathway of the GCR remain unclear. The vagus nerve was shown to have a stimulatory effect on the GCR. 6 The GCR is evoked by gastric distention and by lipid infusion into the

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Novel sensory trigger for gastrocolonic response

Dorfman

Wongteerasut

El‐Chammas

et al. 2023

Neurogastroenterology Motil

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“…Encopresis has varying prevalence rates but is most common in school‐age children (ages 6–12) with between 0.8% and 7.8% of youth affected 6 . Chronic constipation and encopresis can have negative physiological implications, including increased risk for urinary tract infections, increased rates of enuresis, and loss of nerve functioning in the rectum 7 . In addition to the physical symptoms, constipation and encopresis can impact children's psychological wellbeing and interfere with daily functioning.…”

Section: Pediatric Constipation and Encopresismentioning

confidence: 99%

“…These withholding behaviors often lead to further encopretic episodes and larger, more painful stools thus perpetuating the cycle of fecal incontinence. Encopresis has varying prevalence rates but is most common in school-age children (ages [6][7][8][9][10][11][12] with between 0.8% and 7.8% of youth affected. 6 Chronic constipation and encopresis can have negative physiological implications, including increased risk for urinary tract infections, increased rates of enuresis, and loss of nerve functioning in the rectum.…”

mentioning

confidence: 99%

Psychosocial factors impacting antegrade continence enema outcomes in pediatric patients

Benson

Bazier

Schwartzkopf

et al. 2023

Neurogastroenterology Motil

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BackgroundChildren with constipation and encopresis are often treated with medication and behavioral approaches. When constipation persists, surgical interventions such as antegrade continence enema (ACE) procedures are considered. Many children benefit from these procedures; however, some children continue to have incontinence, experience complications, or discontinue the use of the ACE stoma. There is some evidence in the literature to indicate that psychosocial factors can have an impact on ACE outcomes; however, standardized biopsychosocial guidelines related to ACE candidacy and surgery do not currently exist.PurposeThe purpose of this review is to summarize the research to date on psychosocial factors related to ACE treatment outcomes and complications. Identifying what is known and what limitations remain can support future research to inform development of guidelines for pre‐procedure evaluations. Psychosocial pre‐procedure evaluations could help to inform eligibility for the procedure as well as interventions to enhance outcomes for children at increased risk for poor outcomes or complications from ACE. Age, psychiatric symptoms, and adherence to the ACE flush regimen were some of the factors identified in the literature as impacting ACE outcomes; however, there is limited research in this area.

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Elimination Disorders

2016

Selecting Effective Treatments

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Encopresis

Cited by 6 publications

References 8 publications

Novel sensory trigger for gastrocolonic response

Novel sensory trigger for gastrocolonic response

Psychosocial factors impacting antegrade continence enema outcomes in pediatric patients

Elimination Disorders

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