Identifying predictive factors for bowel control in patients with spina bifida and spinal cord injuries.

Child Humans Fecal Incontinence / etiology Spinal Dysraphism / complications Feces Spinal Cord Injuries / complications Urinary Incontinence
Bowel management program Fecal continence Fecal incontinence Fetal Spina bifida Spinal cord injury

Journal

Pediatric surgery international
ISSN: 1437-9813
Titre abrégé: Pediatr Surg Int
Pays: Germany
ID NLM: 8609169

Informations de publication

Date de publication:
11 Jul 2023
Historique:
accepted: 29 06 2023
medline: 13 7 2023
pubmed: 11 7 2023
entrez: 11 7 2023
Statut: epublish

Résumé

This study aimed to assess our bowel management program (BMP) and identify predictive factors for bowel control in patients with Spina Bifida (SB) and Spinal Cord Injuries (SCI). Additionally, in patients with SB, we examined the impact of fetal repair (FRG) on bowel control. We included all patients with SB and SCI seen in the Multidisciplinary Spinal Defects Clinic at Children's Hospital Colorado from 2020 to 2023. 336 patients included. Fecal incontinence was present in 70% and bowel control in 30%. All patients with urinary control also had bowel control. Fecal incontinence prevalence was higher in patients with ventriculoperitoneal (VP) shunt (84%), urinary incontinence (82%), and wheelchair users (79%) compared to those who did not need a VP shunt (56%), had urinary continence (0%) and non-wheelchair users (52%), respectively (p =  < 0.001 in all three scenarios). After completing BMP, 90% remained clean for stool. There was no statistical significance when comparing bowel control in FRG with non-fetal repair group. Urinary continence predicts bowel control in patients with SB and SCI. Risk factors for fecal incontinence were the need for a VP shunt, urinary incontinence, and wheelchair usage. We did not find any positive impact of fetal repair on bowel and urinary control.

Identifiants

DOI: 10.1007/s00383-023-05509-8 PMID: 37432519
pubmed: 37432519
doi: 10.1007/s00383-023-05509-8
pii: 10.1007/s00383-023-05509-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

231

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Références

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Auteurs

Alfredo Domínguez-Muñoz (A)

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Children's Hospital Colorado, Department of Surgery, School of Medicine, Anschutz Medical Campus, University of Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Luis De La Torre (L)

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Children's Hospital Colorado, Department of Surgery, School of Medicine, Anschutz Medical Campus, University of Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Karla Santos-Jasso (K)

Deptartment of General Pediatric Surgery, Instituto Nacional de Pediatría, Insurgentes Sur 3700 C, Colonia Insurgentes Cuicuilco, Delegación Coyoacán, 04530, Ciudad de Mexico, CP, Mexico.

Lauren Schneider (L)

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Children's Hospital Colorado, Department of Surgery, School of Medicine, Anschutz Medical Campus, University of Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Anne Merritt (A)

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Children's Hospital Colorado, Department of Surgery, School of Medicine, Anschutz Medical Campus, University of Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Maura Wickham (M)

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Children's Hospital Colorado, Department of Surgery, School of Medicine, Anschutz Medical Campus, University of Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Jill Ketzer (J)

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Children's Hospital Colorado, Department of Surgery, School of Medicine, Anschutz Medical Campus, University of Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Victor Rodriguez (V)

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Children's Hospital Colorado, Department of Surgery, School of Medicine, Anschutz Medical Campus, University of Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Alberto Peña (A)

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Children's Hospital Colorado, Department of Surgery, School of Medicine, Anschutz Medical Campus, University of Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA.

Andrea Bischoff (A)

International Center for Colorectal and Urogenital Care, Division of Pediatric Surgery, Children's Hospital Colorado, Department of Surgery, School of Medicine, Anschutz Medical Campus, University of Colorado, 13213 E 16th Ave, Box 323, Aurora, CO, 80045, USA. andrea.bischoff@childrenscolorado.org.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Identifying predictive factors for bowel...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Identifying predictive factors for bowel...
questionsmedicales.fr › Maladies de l'appareil digestif › Maladies gastro-intestinales › Maladies intestinales › Maladies du rectum › Incontinence anale › Identifying predictive factors for bowel...
questionsmedicales.fr › Malformations et maladies congénitales, héréditaires et néonatales › Malformations › Malformations du système nerveux › Anomalies du tube neural › Dysraphie spinale › Identifying predictive factors for bowel...
questionsmedicales.fr › Liquides et sécrétions biologiques › Fèces › Identifying predictive factors for bowel...
questionsmedicales.fr › Plaies et blessures › Traumatismes de la moelle épinière › Identifying predictive factors for bowel...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations urologiques › Symptômes de l'appareil urinaire inférieur › Incontinence urinaire › Identifying predictive factors for bowel...