Role of bowel management program in pediatric patients with fecal incontinence / 中华胃肠外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate a new bowel management program for children patients with fecal incontinence.</p><p><b>METHODS</b>Clinical data of 19 children with fecal incontinence undergoing bowel management program in our center between January 2012 and January 2013 were retrospectively analyzed. The main outcome measure was clinical efficacy of this program.</p><p><b>RESULTS</b>Fifteen out of 19 cases were genuine fecal incontinence and required continuous treatment by enema. The other 4 cases were false fecal incontinence. After treatment with this program, stool dirty and constipation were improved in genuine incontinence. Two cases of false continence could control defecation independently by oral administration of antispasmodic drug. Two cases of false continence were cured and did not need medical interference.</p><p><b>CONCLUSIONS</b>Bowel management program is an effective treatment for pediatric patients with fecal incontinence. The key of success is maintenance of perianal hygiene for 24 hours by continual adjustment of the elements and volumes of enemas.</p>