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Functional Fecal Incontinence in Children: Epidemiology, Pathophysiology, Evaluation, and Management

Authors :
Nikhil Thapar
Shaman Rajindrajith
Marc A. Benninga
Niranga Manjuri Devanarayana
Paediatric Gastroenterology
AGEM - Amsterdam Gastroenterology Endocrinology Metabolism
ARD - Amsterdam Reproduction and Development
Source :
Journal of pediatric gastroenterology and nutrition, 72(6), 794-801. Lippincott Williams and Wilkins
Publication Year :
2021
Publisher :
Ovid Technologies (Wolters Kluwer Health), 2021.

Abstract

Functional fecal incontinence (FI) is a worldwide problem in children and comprises constipation-associated FI and nonretentive FI. Irrespective of pathophysiology, both disorders impact negatively on the psychological well-being and quality of life of affected children. A thorough clinical history and physical examination using the Rome IV criteria are usually sufficient to diagnose these conditions in most children. Evolving investigations such as high-resolution anorectal and colonic manometry have shed new light on the pathophysiology of functional FI. Although conventional interventions such as toilet training and laxatives successfully treat most children with constipation-associated FI, children with nonretentive FI need more psychologically based therapeutic options. Intrasphincteric injection of botulinum toxin, transanal irrigation and, in select cases, surgical interventions have been used in more resistant children with constipation-associated FI.

Details

ISSN :
15364801 and 02772116
Volume :
72
Database :
OpenAIRE
Journal :
Journal of Pediatric Gastroenterology & Nutrition
Accession number :
edsair.doi.dedup.....e28a011db107ac74fb766160aef32081
Full Text :
https://doi.org/10.1097/mpg.0000000000003056