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Antegrade continence enemas improve quality of life in patients with medically-refractory encopresis
- Source :
- Journal of Pediatric Surgery. 52:778-782
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Fecal incontinence is a socially debilitating problem for many children. We hypothesized that in selected patients with medically-refractory encopresis, placement of an appendicostomy or cecostomy tube for administration of antegrade continence enemas (ACE) would improve quality of life (QOL).We reviewed all patients with encopresis who underwent appendicostomy or cecostomy placement from 2003 to 2014 at our institution. We contacted subjects' parents by phone and administered 3 surveys: a survey reflecting current stooling habits, a disease-specific QOL survey, and the PedsQL™ QOL survey. QOL surveys were completed twice by parents, once reflecting pre-operative QOL, then again reflecting current QOL. Pre-procedure and post-procedure scores were compared by paired t-test.Ten patients underwent appendicostomy/cecostomy for encopresis. Eight completed phone surveys. All procedures were performed laparoscopically. All patients experienced fecal soiling pre-operatively, whereas 5/8 surveyed patients (63%) noted complete resolution of soiling post-procedure (p0.01). General and disease-specific QOL improved from pre-procedure to post-procedure in the following domains: social habits, physical activity, ability to spend the night elsewhere, feeling, and overall QOL (p0.05). PedsQL™ scores improved significantly in physical functioning, social functioning, and overall functioning (p0.05).Antegrade continence enemas significantly improve quality of life in patients with medically-refractory encopresis, likely related to resolution of soiling.4.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Fecal soiling
Enema
Appendix
03 medical and health sciences
0302 clinical medicine
Quality of life
Refractory
030225 pediatrics
medicine
Health Status Indicators
Humans
Fecal incontinence
In patient
Child
Retrospective Studies
Encopresis
business.industry
General Medicine
Evidence-based medicine
Complete resolution
humanities
Cecostomy
Treatment Outcome
Child, Preschool
030220 oncology & carcinogenesis
Pediatrics, Perinatology and Child Health
Quality of Life
Physical therapy
Female
Laparoscopy
Surgery
medicine.symptom
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 00223468
- Volume :
- 52
- Database :
- OpenAIRE
- Journal :
- Journal of Pediatric Surgery
- Accession number :
- edsair.doi.dedup.....13517404bea9a6df69a3c930ab25c439