Adjuncts to bowel management for fecal incontinence and constipation, the role of surgery; appendicostomy, cecostomy, neoappendicostomy, and colonic resection.
Semin Pediatr Surg
; 29(6): 150998, 2020 Dec.
Article
en En
| MEDLINE
| ID: mdl-33288138
ABSTRACT
Constipation and fecal incontinence are common problems in children after repair of an anorectal malformation (ARM). While many children can be effectively managed with an oral laxative regimen, others require a mechanical colonic washout to achieve social continence. Appendicostomy and cecostomy are two techniques which permit antegrade access to the colon for the purpose of enema delivery, which improves compliance and quality of life for patients and families. The purpose of this article is to review, using a case-based approach, the indications for placement of a channel for antegrade enema access, clinical scenarios in which one technique would be preferred over another, common complications following each procedure.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Complicaciones Posoperatorias
/
Enterostomía
/
Colectomía
/
Estreñimiento
/
Incontinencia Fecal
/
Malformaciones Anorrectales
Tipo de estudio:
Etiology_studies
Límite:
Humans
Idioma:
En
Revista:
Semin Pediatr Surg
Asunto de la revista:
PEDIATRIA
Año:
2020
Tipo del documento:
Article