One-year impact of a bowel management program in treating fecal incontinence in patients with anorectal malformations

Wood, Richard J.; Vilanova-Sánchez, Alejandra; El-Gohary, Yousef; Ahmad, Hira; Halleran, Devin R.; Reck-Burneo, Carlos A.; Rentea, Rebecca M.; Sebastião, Yuri V.; Nash, Onnalisa; Booth, Kristina; Trimble, Casey; Zahora, Pooja; Baxter, Cheryl; Driesbach, Sarah; Halaweish, Ihab; Gasior, Alessandra C.; Levitt, Marc A.

doi:10.1016/j.jpedsurg.2021.04.029

Cited by 31 publications

(32 citation statements)

References 21 publications

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“…It has been shown previously in patients with anorectal malformation who have underwent a BMP that the VSS improves as fecal continence in the population improves [15]. Children with anorectal malformation have known associated urologic abnormalities and commonly have di culty with urinary and bowel elimination.…”

Section: Discussionmentioning

confidence: 99%

“…The BCS is a scoring measure used to assess social continence in children who have underwent repair of an anorectal malformation [17]. The patients in this cohort had FC, not an anorectal malformation, but both populations have been known to have concomitant urinary dysfunction [6,11,15]. The CCCS, while validated for adults, is a scoring system that assesses the severity of symptoms of constipation [16].…”

Section: Discussionmentioning

confidence: 99%

“…A recent study examining continence outcomes in patients with anorectal malformation was able to show that undergoing a BMP improved urinary symptoms in these patients with underlying anatomic abnormalities of the urologic system [15]. While not speci c for improvement in BBD, the Baylor Continence Scale (BCS) and Cleveland Clinic Constipation Score (CCCS) are also PROMs that are used to assess changes in bowel and bladder symptoms after intervention, which the aforementioned study examined as well [16,17].…”

Section: Introductionmentioning

confidence: 99%

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Improvement in Bladder Function in Children With Functional Constipation After a Bowel Management Program

Knaus

Ahmad

Bourgeois

et al. 2022

Preprint

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Purpose We sought to determine if children with functional constipation (FC) would have an improvement in bladder function with treatment of constipation with a bowel management program (BMP). Methods A single-institution review was performed in children aged 3-18 with FC who underwent a BMP from 2014-2020. Clinical characteristics, bowel management details, and the Vancouver Symptom Score for Dysfunctional Elimination Syndrome (VSS), Baylor Continence Scale (BCS), and Cleveland Clinic Constipation Score (CCCS) were collected. Data were analyzed using linear mixed effect modeling with random intercept.Results 241 patients were included with a median age of 9 years. Most were White (81%) and 47% were female. Univariate tests showed improvement in VSS (-3.6, P<0.0001), BCS (-11.96, P<0.0001), and CCCS (-1.9, P<0.0001) among patients having undergone one BMP. Improvement was noted in VSS and CCCS among those with more than one BMP (VSS: -1.66, P=0.023; CCCS: -2.69, P<0.0001). Multivariate tests indicated undergoing a BMP does result in significant improvement in VSS, BCS, and CCCS (P<0.0001).Conclusions There is significant improvement in bladder function in children with FC who undergo a BMP. For patients with bowel and bladder dysfunction and FC, a BMP is a reasonable treatment strategy for lower urinary tract symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Improvement in Bladder Function in Children With Functional Constipation After a Bowel Management Program

Knaus

Ahmad

Bourgeois

et al. 2022

Preprint

Self Cite

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show abstract

“…It has been shown previously in patients with anorectal malformation who have underwent a BMP that the VSS improves as fecal continence in the population improves [ 15 ]. Children with anorectal malformation have known associated urologic abnormalities and commonly have difficulty with urinary and bowel elimination.…”

Section: Discussionmentioning

confidence: 99%

“…A recent study examining continence outcomes in patients with anorectal malformation was able to show that undergoing a BMP improved urinary symptoms in these patients with underlying anatomic abnormalities of the urologic system [ 15 ]. While not specific for improvement in BBD, the Baylor Continence Scale (BCS) and Cleveland Clinic Constipation Score (CCCS) are also PROMs that are used to assess changes in bowel and bladder symptoms after intervention, which the aforementioned study examined as well [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Improvement in bladder function in children with functional constipation after a bowel management program

et al. 2022

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Purpose We sought to determine if children with functional constipation (FC) would have an improvement in bladder function with treatment of constipation with a bowel management program (BMP). Methods A single-institution review was performed in children aged 3–18 with FC who underwent a BMP from 2014 to 2020. Clinical characteristics, bowel management details, and the Vancouver Symptom Score for Dysfunctional Elimination Syndrome (VSS), Baylor Continence Scale (BCS), and Cleveland Clinic Constipation Score (CCCS) were collected. Data were analyzed using linear mixed effect modeling with random intercept. Results 241 patients were included with a median age of 9 years. Most were White 81 and 47% were female. Univariate tests showed improvement in VSS (− 3.6, P < 0.0001), BCS (− 11.96, P < 0.0001), and CCCS (− 1.9, P < 0.0001) among patients having undergone one BMP. Improvement was noted in VSS and CCCS among those with more than one BMP (VSS: − 1.66, P = 0.023; CCCS: − 2.69, P < 0.0001). Multivariate tests indicated undergoing a BMP does result in significant improvement in VSS, BCS, and CCCS ( P < 0.0001). Conclusions There is significant improvement in bladder function in children with FC who undergo a BMP. For patients with bowel and bladder dysfunction and FC, a BMP is a reasonable treatment strategy for lower urinary tract symptoms.

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Pilot bowel management program at Mbarara Hospital, Uganda

Trinidad,

Oyania,

Bingana

et al. 2023

Pediatr Surg Int

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One-year impact of a bowel management program in treating fecal incontinence in patients with anorectal malformations

Cited by 31 publications

References 21 publications

Improvement in Bladder Function in Children With Functional Constipation After a Bowel Management Program

Improvement in Bladder Function in Children With Functional Constipation After a Bowel Management Program

Improvement in bladder function in children with functional constipation after a bowel management program

Pilot bowel management program at Mbarara Hospital, Uganda

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