Prospective evaluation of Peristeen<b>®</b> transanal irrigation system with the validated neurogenic bowel dysfunction score sheet in the pediatric population

Kelly, Maryellen S.; Dorgalli, Crystal; McLorie, Gordon A.; Khoury, Antoine E.

doi:10.1002/nau.22979

Cited by 17 publications

(10 citation statements)

References 18 publications

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“…Quality of life, associated with bowel dysfunction, was evaluated in 12 studies. In eight, enhanced quality of life was seen (significant results) (Ausili et al, 2010; Choi et al, 2015; Christensen et al, 2006,2008; Del Popolo et al, 2008; Kelly, Dorgalli, McLorie, & Khoury, 2017; Kim et al, 2013; Loftus et al, 2012). However, King et al (2017) reported no significant difference among users when compared with those no longer using TAI.…”

Section: Resultsmentioning

confidence: 99%

Transanal Irrigation for People With Neurogenic Bowel Dysfunction

Boman

Nylander

Oja

2022

Gastroenterology Nursing

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Transanal irrigation has been introduced as a complement to standard bowel care for people with neurogenic bowel dysfunction. There is no contemporary integrative review of the effectiveness and feasibility of transanal irrigation from a holistic nursing perspective, only fragments of evidence to date. The aim was to investigate the effectiveness and feasibility of transanal irrigation for people with neurogenic bowel dysfunction. An integrative literature review was conducted. Nineteen studies were included. According to the results, transanal irrigation can reduce difficulties associated with defecation, episodes of incontinence, and the time needed for evacuation and bowel care. Transanal irrigation can increase general satisfaction with bowel habits and quality of life and decrease level of dependency. However, there are practical problems to overcome and adverse effects to manage. Discontinuation is relatively common. The results support the effectiveness of transanal irrigation, but feasibility is inconclusive. Users, including caregivers, report practical problems, and compliance was not always easy to achieve. It is important that users, including caregivers, are well informed and supported during transanal irrigation treatment, especially during introduction. The quality of the studies found was generally weak; therefore, high-quality quantitative and qualitative studies are needed on the topic.

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Section: Resultsmentioning

confidence: 99%

Transanal Irrigation for People With Neurogenic Bowel Dysfunction

Boman

Nylander

Oja

2022

Gastroenterology Nursing

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“…In children with NBD who do not respond to conservative or medical treatments, TAI is an increasingly accepted treatment [13]. There are studies demonstrating improved QoL and outcomes with children utilizing TAI for functional incontinence and functional constipation, and some authors recommend TAI should be mandated prior to considering any invasive surgical intervention [146]. A summary publication of TAI use in children incorporated a literature review comprising 27 studies with 1040 patients whose average age was 8 years old [13].…”

Section: Transanal Irrigationmentioning

confidence: 99%

Neurogenic Bowel Dysfunction in Children and Adolescents

Mosiello

Safder

Marshall

et al. 2021

JCM

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Neurogenic/neuropathic bowel dysfunction (NBD) is common in children who are affected by congenital and acquired neurological disease, and negatively impacts quality of life. In the past, NBD received less attention than neurogenic bladder, generally being considered only in spina bifida (the most common cause of pediatric NBD). Many methods of conservative and medical management of NBD are reported, including relatively recently Transanal Irrigation (TAI). Based on the literature and personal experience, an expert group (pediatric urologists/surgeons/gastroenterologists with specific experience in NBD) focused on NBD in children and adolescents. A statement document was created using a modified Delphi method. The range of causes of pediatric NBD are discussed in this paper. The various therapeutic approaches are presented to improve clinical management. The population of children and adolescents with NBD is increasing, due both to the higher survival rate and better diagnosis. While NBD is relatively predictable in producing either constipation or fecal incontinence, or both, its various effects on each patient will depend on a wide range of underlying causes and accompanying comorbidities. For this reason, management of NBD should be tailored individually with a combined multidisciplinary therapy appropriate for the status of the affected child and caregivers.

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“…The SNM procedure has been described in detail previously [15]. The procedure is divided into two stages.…”

Section: Snm Proceduresmentioning

confidence: 99%

“…The testing phase does not usually exceed 4 weeks. Under normal conditions, success of SNM is usually defined as at least a 50% improvement in the number of voids, the number of episodes of urgency and incontinence in patients with overactive bladder, voided volume, number of catheterizations and catheterized volume in patients with urinary retention [15]. If the test was considered positive, a pulse generator (InterStim model 3023, Medtronic Inc.) was implanted and connected to the tined lead inserted during the testing phase.…”

Section: Snm Proceduresmentioning

confidence: 99%

“…The severity of NBD is classified into four grades: very minor (0-6); minor (7)(8)(9); moderate (10)(11)(12)(13) and severe (≥ 14). In recent studies, the NBD score has been used to assess the symptoms, pathophysiology and management of NBD [14,15]. Thus, the purpose of this retrospective study was to evaluate the clinical effect of SNM on NBD in neurogenic bladder patients using the NBD score.…”

Section: Introductionmentioning

confidence: 99%

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Effect of sacral neuromodulation on bowel dysfunction in patients with neurogenic bladder

2020

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Aim The aim of this retrospective study was to evaluate the clinical effect of sacral neuromodulation (SNM) on bowel dysfunction in patients with neurogenic bladder using the neurogenic bowel dysfunction (NBD) score. Method Between July 2012 and July 2019, 41 patients with both neurogenic bladder and bowel dysfunction underwent permanent SNM implantation. The NBD score was used to evaluate the bowel symptoms before the testing phase and at follow-up. The first follow-up was at the time of discharge after permanent implantation. The second follow-up was conducted by telephone after discharge. Results The mean NBD score before the testing phase was 11.0 AE 5.83, whilst it significantly decreased to 5.2 AE 5.32 (n = 41, P < 0.05) at the first follow-up (32 AE 3.9 days). Before the testing phase, there were 9 patients with very minor NBD, 10 with minor NBD, 13 with moderate NBD and 9 with severe NBD. At the first follow-up, there were 26 patients with very minor NBD, 7 with minor NBD, 4 with moderate NBD and 4 with severe NBD (P < 0.05). Twenty-six patients were interviewed in the long-term follow-up (34 AE 30.9 months). The NBD score in these 26 patients was 5.6 AE 5.18, which was not significantly different from the NBD score (5.5 AE 5.33) at the first follow-up (n = 26, P > 0.05). Conclusion SNM facilitates a significant reduction in NBD score in patients with neurogenic bladder and bowel dysfunction. The improvement in NBD symptoms can also be used as a future indicator to determine the clinical efficacy of permanent SNM implantation in the treatment of neurogenic bladder.

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Prospective evaluation of Peristeen® transanal irrigation system with the validated neurogenic bowel dysfunction score sheet in the pediatric population

Cited by 17 publications

References 18 publications

Transanal Irrigation for People With Neurogenic Bowel Dysfunction

Transanal Irrigation for People With Neurogenic Bowel Dysfunction

Neurogenic Bowel Dysfunction in Children and Adolescents

Effect of sacral neuromodulation on bowel dysfunction in patients with neurogenic bladder

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