Abstract

Aim. To evaluate the efficacy of the PeristeenⒸ transanal irrigation system when treating faecal incontinence in children due to chronic idiopathic constipation. Methods. A retrospective study was conducted of the first cohort of patients affected with faecal incontinence and referred to our centre for PeristeenⒸ transanal irrigation treatment between January 2010 and December 2012. Patients with neurogenic bowel disturbance were excluded. A previously described and validated faecal continence scoring system was used to assess bowel function and social problems before and after treatment with PeristeenⒸ. Results. 13 patients were referred for PeristeenⒸ transanal irrigation during the study period. Mean time of using PeristeenⒸ was 12.6 months (±0.6 months) and mean length of follow-up was 21.2 months (±0.9 months). All patients were noted to have an improvement in their faecal continence score, with a mean improvement from 9.7 ± 1.4 to 14.8 ± 2.7 (P = 0.0008) and a reduction in episodes of soiling and increasing in quality of life scores. Conclusion. In this initial study, PeristeenⒸ appears to be a safe and effective bowel management system, which improves bowel function and quality of life in children affected with faecal incontinence as a result of chronic idiopathic constipation, Hirschsprung's disease, and anorectal malformations.

Highlights

  • Childhood constipation is a common problem worldwide with an estimated median prevalence in the general population of 8.9% [1]

  • We report the effective use of the PeristeenD transanal irrigation system for faecal incontinence secondary to chronic idiopathic constipation (CIC), Hirschsprung’s disease (HD), and anorectal malformations (ARM)

  • Albeit in a small study, that PeristeenD is a safe and effective bowel management system for children with chronic idiopathic constipation not caused by neuropathic bowel disturbance

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Summary

Introduction

Childhood constipation is a common problem worldwide with an estimated median prevalence in the general population of 8.9% [1]. Chronic constipation can occur secondary to neuropathic bowel dysfunction due to spina bifida or traumatic spinal cord injuries. The PeristeenD transanal irrigation system involves water irrigation of the large intestine through a disposable balloon catheter and has been successfully employed in the treatment of faecal incontinence in patients with neuropathic bowel dysfunction secondary to spinal cord injuries [7,8,9]. There is no published literature on its use in treatment of faecal incontinence in children due to CIC, HD, or ARM excluding neuropathic bowel patients. We report the effective use of the PeristeenD transanal irrigation system for faecal incontinence secondary to CIC, HD, and ARM

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