Scholarlink

Objectives <p>Transanal irrigation (TAI) is an emerging minimally invasive therapy for children with severe bowel dysfunction, including fecal incontinence and refractory constipation. The aim of this study was to evaluate the impact of TAI on bowel habits, medication use, quality of life, and caregiver burden in a pediatric population.</p> Methods <p>A prospective observational study was conducted on 20 pediatric patients with fecal incontinence. A structured questionnaire assessing bowel function and quality of life was administered at baseline and after 60 days of TAI. Outcomes were compared using Fisher’s exact and Wilcoxon signed-rank tests.</p> Results <p>Significant improvements were observed in bowel care time (<i>p</i> &lt; 0.01), frequency of soiling (<i>p</i> &lt; 0.01), fecal incontinence episodes (<i>p</i> &lt; 0.01), and dependence on laxatives or enemas (<i>p</i> &lt; 0.01). Social participation and emotional well-being also improved. Most patients reported better autonomy and reduced discomfort related to bowel management.</p> Conclusions <p>TAI is an effective strategy to improve continence, reduce the burden of bowel care, and enhance quality of life in children with refractory bowel dysfunction.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Transanal irrigation in pediatric bowel dysfunction: a prospective study on clinical outcomes and quality of life

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月29日

查看全文
  • Marco Di Mitri,
  • Annalisa Di Carmine,
  • Simone D’Antonio,
  • Francesca Ruspi,
  • Cristian Bisanti,
  • Edoardo Collautti,
  • Sara Maria Cravano,
  • Michele Libri,
  • Riccardo Coletta,
  • Roberto Lo Piccolo,
  • Tommaso Gargano,
  • Enrico Ciardini,
  • Mario Lima

摘要

Objectives

Transanal irrigation (TAI) is an emerging minimally invasive therapy for children with severe bowel dysfunction, including fecal incontinence and refractory constipation. The aim of this study was to evaluate the impact of TAI on bowel habits, medication use, quality of life, and caregiver burden in a pediatric population.

Methods

A prospective observational study was conducted on 20 pediatric patients with fecal incontinence. A structured questionnaire assessing bowel function and quality of life was administered at baseline and after 60 days of TAI. Outcomes were compared using Fisher’s exact and Wilcoxon signed-rank tests.

Results

Significant improvements were observed in bowel care time (p < 0.01), frequency of soiling (p < 0.01), fecal incontinence episodes (p < 0.01), and dependence on laxatives or enemas (p < 0.01). Social participation and emotional well-being also improved. Most patients reported better autonomy and reduced discomfort related to bowel management.

Conclusions

TAI is an effective strategy to improve continence, reduce the burden of bowel care, and enhance quality of life in children with refractory bowel dysfunction.