Management of Fecal Incontinence in Children Without Functional Fecal Retention

Current Treatment Options in Gastroenterology
Licia Pensabene, Samuel Nurko

Abstract

The management of the fecal incontinence in children is difficult, and its social consequences are usually devastating. The general objectives of any bowel program are to produce social continence, predictability, and eventually independence. How to achieve those goals depends in part on the underlying condition. In children, fecal incontinence can occur from a variety of conditions. The most common is overflow incontinence from functional fecal retention, but it can also occur in otherwise healthy children with functional nonretentive fecal soiling or in children with organic causes of fecal incontinence, such as congenital malformations, or any other condition affecting the anorectum, anal sphincters, or the spinal cord. The therapeutic regimen that is recommended in patients with nonretentive fecal soiling consists of explanation and support for the child and parents, a nonaccusatory approach, and a toilet training program with a rewarding system. Biofeedback does not play an important role, and laxatives need to be used with caution, as they may exacerbate the incontinence. For those patients with congenital/neuropathic incontinence a combination of maneuvers to change stool consistency, colonic transit, anorectal function,...Continue Reading

References

Oct 1, 1992·Journal of Pediatric Surgery·G K BlairB Irwin
Dec 1, 1988·Developmental Medicine and Child Neurology·V Loening-BauckeM Wolraich
Nov 1, 1993·Digestive Diseases and Sciences·P Enck
Jun 1, 1997·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·N PigeonP Arhan
Dec 13, 1997·Journal of Pediatric Surgery·M A LevittA Peña
Mar 14, 1998·Journal of Pediatric Surgery·D T Wilcox, E M Kiely
Aug 7, 1998·Journal of Pediatric Surgery·D E MeierD Coln
Aug 29, 1998·Journal of Pediatric Surgery·J L GrafC T Albanese
Oct 17, 1998·World Journal of Urology·P S MaloneA Osborne
Mar 3, 1999·Journal of Pediatric Surgery·J I CurryP S Malone
Aug 24, 1999·Gut·A Rasquin-WeberA Staiano
Dec 14, 1999·The British Journal of Surgery·B J ManderM R Keighley
Mar 25, 2000·Diseases of the Colon and Rectum·C J VaizeyR J Nicholls
Aug 5, 2000·The American Journal of Gastroenterology·C Di LorenzoP E Hyman
Aug 19, 2000·Diseases of the Colon and Rectum·P A LehurM Duinslaeger
Jan 4, 2001·American Journal of Surgery·A Peña, A Hong
Feb 15, 2001·Gastrointestinal Endoscopy·M T RiveraS L Werlin
Apr 26, 2001·Journal of Pediatric Gastroenterology and Nutrition·M A Benninga, J A Taminiau
May 2, 2001·Diseases of the Colon and Rectum·A J MaloufM A Kamm
May 24, 2001·The Journal of Urology·A WedderburnP S Malone
Aug 2, 2001·Journal of Pediatric Surgery·J MarshallM P Stanton
Mar 6, 2002·Journal of Pediatric Surgery·Steven L LeeStephen K Greenholz
Mar 6, 2002·Journal of Pediatric Surgery·Michael W L GaudererJohn T Boyle
Apr 4, 2002·Journal of Pediatric Gastroenterology and Nutrition·Nader N YoussefCarlo Di Lorenzo
Jul 18, 2002·ANZ Journal of Surgery·Erica Whineray Kelly, Brendon Bowkett
Feb 20, 2003·Journal of Pediatric Surgery·R DeyR R Turnock
Feb 26, 2003·Radiology·Peter G ChaitSigmund H Ein
Jun 27, 2003·Journal of Pediatric Gastroenterology and Nutrition·Claudio Morera, Samuel Nurko
Dec 11, 2003·Journal of Pediatric Surgery·Bernard M ChurchillJames B Atkinson
Feb 7, 2004·BJU International·P S J Malone
Feb 24, 2004·Gastroenterology·Carlo Di Lorenzo, Marc A Benninga
Mar 3, 2004·Pediatrics·Vera Loening-BauckeAnnamaria Staiano

❮ Previous
Next ❯

Citations

Sep 28, 2013·Expert Review of Gastroenterology & Hepatology·Lusine Ambartsumyan, Samuel Nurko
Feb 3, 2016·The British Journal of Surgery·D S Y Chan, R J Delicata
Mar 9, 2011·Best Practice & Research. Clinical Gastroenterology·S Nurko, S M Scott
Jan 4, 2017·Journal of Pediatric Gastroenterology and Nutrition·Lusine Ambartsumyan
Feb 21, 2013·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Caroline Sanders, Lucy Bray
Mar 28, 2009·Journal of Pediatric Gastroenterology and Nutrition·Rosa Burgers, Marc A Benninga
Jan 6, 2007·Journal of Pediatric Gastroenterology and Nutrition·Marloes E J BongersMarc A Benninga
Dec 20, 2018·Journal of Pediatric Rehabilitation Medicine·Lusine Ambartsumyan, Leonel Rodriguez
Dec 7, 2018·Journal of Pediatric Rehabilitation Medicine·Lusine Ambartsumyan, Leonel Rodriguez

❮ Previous
Next ❯

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved