Tag Archives: transanal irrigation

Prospective Study: Transanal Irrigation For Neurogenic Bowel

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J Fernandez et al. JPGN 2022; 74: 454-459.

This prospective study (n=80) expands on previous observations regarding the use of a transanal irrigation device for neurogenic bowel management.

Key points:

  • The neurogenic bowel dysfunction (NBD) score improved at both time points (<6 months, >6 months) by 14 and 13 points respectively. 94% and 98% had improved NBD score at time 1 and time 2 respectively
  • Patient satisfaction was high, though 8 patients discontinued device early on due to either discomfort or poor results
  • NBD score can used to monitor treatment effectiveness

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Bowel Management Recommendations

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A recent “consensus” review on bowel management (G Mosiello et al. JPGN 2017; 64: 343-52) is available as an open access article –Link: Consensus Review of Best Practic of Transanal Irrigation in Children

The use of bowel management tube (or cone) for transanal irrigation has been around since ~1987 (B Shandling et. al. J Ped Surg 1987; 22: 271-3) and generally is considered in children older than 3 years of age with severe problems with defecation (organic and functional).

This particular review has a very good table on troubleshooting (Table 4) and a succinct summary of indications/contraindications (Table 2).

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