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Functional Fecal Incontinence in Children: Epidemiology, Pathophysiology, Evaluation, and Management
- 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.
- Subjects :
- medicine.medical_specialty
Colon
Manometry
MEDLINE
Psychological intervention
Physical examination
Transanal irrigation
03 medical and health sciences
0302 clinical medicine
Quality of life
030225 pediatrics
Epidemiology
medicine
Humans
Fecal incontinence
Child
Intensive care medicine
medicine.diagnostic_test
business.industry
Gastroenterology
Botulinum toxin
Pediatrics, Perinatology and Child Health
Quality of Life
030211 gastroenterology & hepatology
medicine.symptom
business
Constipation
Fecal Incontinence
medicine.drug
Subjects
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