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17 Results Found

  • Article
  • Open Access
15 Citations
4,643 Views
12 Pages

Effects of Transanal Irrigation on Gut Microbiota in Pediatric Patients with Spina Bifida

  • Akira Furuta,
  • Yasuyuki Suzuki,
  • Ryosuke Takahashi,
  • Birte Petersen Jakobsen and ,
  • Takahiro Kimura,
  • Shin Egawa and
  • Naoki Yoshimura
  • + 2 authors+ 0 author

10 January 2021

Recent studies using 16S rRNA-based microbiota profiling have demonstrated dysbiosis of gut microbiota in constipated patients. The aim of this study was to investigate the changes in gut microbiota after transanal irrigation (TAI) in patients with s...

(This article belongs to the Special Issue Neurogenic Bowel Dysfunction)
  • Review
  • Open Access
6 Citations
10,739 Views
12 Pages

7 March 2024

Defecation function is negatively impacted in patients with neurogenic bowel dysfunction (NBD), who require effective bowel care for stool evacuation. NBD comprises fecal incontinence and/or constipation, which can reduce the quality of life and dign...

(This article belongs to the Special Issue Gastrointestinal Motility Disorders)
  • Article
  • Open Access
10 Citations
3,763 Views
13 Pages

Advanced Management Protocol of Transanal Irrigation in Order to Improve the Outcome of Pediatric Patients with Fecal Incontinence

  • Anna Maria Caruso,
  • Mario Pietro Marcello Milazzo,
  • Denisia Bommarito,
  • Vincenza Girgenti and ,
  • Glenda Amato,
  • Giuseppe Paviglianiti,
  • Alessandra Casuccio,
  • Pieralba Catalano,
  • Marcello Cimador and
  • Maria Rita Di Pace
  • + 5 authors+ 0 author

11 December 2021

Background: Transanal irrigation (TAI) is employed for children with fecal incontinence, but it can present several problems which require a study of their outcomes among different pathologies and without a tailored work up. The aim of our study was...

(This article belongs to the Section Pediatric Surgery)
  • Review
  • Open Access
3 Citations
8,271 Views
24 Pages

Transanal Irrigation (TAI) and Colon Hydrotherapy (CHT) represent emerging therapeutic options that may complement first-line interventions or serve as rescue treatments for chronic constipation and fecal incontinence. Their clinical utility depends...

  • Review
  • Open Access
69 Citations
8,738 Views
29 Pages

Transanal Irrigation for Neurogenic Bowel Disease, Low Anterior Resection Syndrome, Faecal Incontinence and Chronic Constipation: A Systematic Review

  • Mira Mekhael,
  • Helle Ø Kristensen,
  • Helene Mathilde Larsen,
  • Therese Juul and ,
  • Anton Emmanuel,
  • Klaus Krogh and
  • Peter Christensen
  • + 2 authors+ 0 author

13 February 2021

Transanal irrigation (TAI) has received increasing attention as a treatment option in patients with bowel dysfunction. This systematic review was conducted according to the PRISMA guidelines and evaluates the effect of TAI in neurogenic bowel dysfunc...

(This article belongs to the Special Issue Neurogenic Bowel Dysfunction)
  • Article
  • Open Access
10 Citations
7,764 Views
11 Pages

(1) Background: Bowel management contributes throughout the pathway of care for children with Hirschsprung. Preoperative bowel management prepares the child and family for the pull-through surgery. Perioperative bowel management supports early recove...

(This article belongs to the Special Issue Selected Papers from the OASIS (Holistic Care in Hirschsprung’s Disease) Meeting)
  • Systematic Review
  • Open Access
4 Citations
4,655 Views
17 Pages

Transanal Irrigation in Patients with Low Anterior Resection Syndrome After Rectal-Sphincter-Preserving Surgery for Oncological and Non-Oncological Disease: A Systematic Review

  • Andrea Morini,
  • Massimiliano Fabozzi,
  • Magda Zanelli,
  • Francesca Sanguedolce and ,
  • Andrea Palicelli,
  • Alfredo Annicchiarico,
  • Candida Bonelli and
  • Maurizio Zizzo
  • + 3 authors+ 0 author

22 December 2024

Background/Objectives: Transanal irrigation (TAI) has been recognized as a safe and effective treatment for neurological bowel dysfunction, chronic constipation or fecal incontinence and has also been proposed for patients with low anterior resection...

  • Review
  • Open Access
75 Citations
11,171 Views
11 Pages

27 January 2023

Introduction: A total of 60–80% of patients undergoing rectal resection (mostly as a treatment for rectal cancer) suffer from a variety of partly severe functional problems despite preservation of the anal sphincter. These patients are summariz...

(This article belongs to the Special Issue Diagnosis and Therapeutic Management of Gastrointestinal Cancers)
  • Article
  • Open Access
445 Views
28 Pages

Background/Objectives: Transanal irrigation (TAI) is an established bowel-emptying strategy for selected patients with bowel dysfunction, whereas evidence on Colon Hydrotherapy (CHT) in chronic gastrointestinal disorders remains limited. This pilot s...

(This article belongs to the Section Gastrointestinal Disease)
  • Review
  • Open Access
5 Citations
5,012 Views
14 Pages

State of the Art Bowel Management for Pediatric Colorectal Problems: Spinal Anomalies

  • Elizaveta Bokova,
  • Ninad Prasade,
  • John M. Rosen,
  • Irene Isabel P. Lim and ,
  • Marc A. Levitt and
  • Rebecca M. Rentea
  • + 1 author+ 0 author

15 September 2023

Background: Patients with spinal abnormalities often struggle with fecal and/or urinary incontinence (up to 87 and 92%, respectively) and require a collaborative approach to bowel management in conjunction. Methods: To define existing approaches and...

(This article belongs to the Special Issue Advance in Pediatric Surgery)
  • Review
  • Open Access
23 Citations
7,943 Views
13 Pages

State of the Art Bowel Management for Pediatric Colorectal Problems: Anorectal Malformations

  • Elizaveta Bokova,
  • Wendy Jo Svetanoff,
  • Joseph J. Lopez,
  • Marc A. Levitt and
  • Rebecca M. Rentea

Up to 79% of patients with anorectal malformations (ARMs) experience constipation and/or soiling after a primary posterior sagittal anoplasty (PSARP) and are referred to a bowel management program. We aim to report the recent updates in evaluating an...

(This article belongs to the Special Issue Advance in Pediatric Surgery)
  • Review
  • Open Access
44 Citations
13,167 Views
30 Pages

Neurogenic Bowel Dysfunction in Children and Adolescents

  • Giovanni Mosiello,
  • Shaista Safder,
  • David Marshall,
  • Udo Rolle and
  • Marc A. Benninga

13 April 2021

Neurogenic/neuropathic bowel dysfunction (NBD) is common in children who are affected by congenital and acquired neurological disease, and negatively impacts quality of life. In the past, NBD received less attention than neurogenic bladder, generally...

(This article belongs to the Special Issue Neurogenic Bowel Dysfunction)
  • Review
  • Open Access
19 Citations
11,503 Views
17 Pages

State of the Art Bowel Management for Pediatric Colorectal Problems: Functional Constipation

  • Elizaveta Bokova,
  • Wendy Jo Svetanoff,
  • John M. Rosen,
  • Marc A. Levitt and
  • Rebecca M. Rentea

19 June 2023

Background: Functional constipation (FC) affects up to 32% of the pediatric population, and some of these patients are referred to pediatric surgery units to manage their constipation and/or fecal incontinence. The aim of the current paper is to repo...

(This article belongs to the Special Issue Advance in Pediatric Surgery)
  • Article
  • Open Access
10 Citations
6,746 Views
7 Pages

Preliminary Study on the Echo-Assisted Intersphincteric Autologous Microfragmented Adipose Tissue Injection to Control Fecal Incontinence in Children Operated for Anorectal Malformations

  • Giovanni Parente,
  • Valentina Pinto,
  • Neil Di Salvo,
  • Simone D’Antonio and ,
  • Michele Libri,
  • Tommaso Gargano,
  • Vincenzo Davide Catania,
  • Giovanni Ruggeri and
  • Mario Lima
  • + 4 authors+ 0 author

13 October 2020

Aim of the study: To assess the efficacy of a novel technique (echo-assisted intersphincteric autologous microfragmented adipose tissue injection, also called “anal-lipofilling”) in the management of non-responsive fecal incontinence in c...

(This article belongs to the Special Issue Pediatric Gastroenterology and Nutrition)
  • Systematic Review
  • Open Access
4 Citations
3,101 Views
26 Pages

Quality of Life in Rectal Cancer Treatments: An Updated Systematic Review of Randomized Controlled Trials (2013–2023)

  • Silvia Negro,
  • Francesca Bergamo,
  • Lorenzo Dell’Atti,
  • Alessandra Anna Prete and ,
  • Sara Galuppo,
  • Marco Scarpa,
  • Quoc Riccardo Bao,
  • Stefania Ferrari,
  • Sara Lonardi and
  • Emanuele Damiano Luca Urso
  • + 6 authors+ 1 author

11 July 2025

Background: Rectal cancer management involves surgery, chemotherapy (CT), radiotherapy (RT), and patient care strategies, all of which significantly affect health-related quality of life (HRQoL). Understanding these effects is critical for optimizing...

(This article belongs to the Section Systematic Review or Meta-Analysis in Cancer Research)
  • Review
  • Open Access
38 Citations
13,481 Views
17 Pages

Clinical Management of Low Anterior Resection Syndrome: Review of the Current Diagnosis and Treatment

  • Ruijia Zhang,
  • Wenqin Luo,
  • Yulin Qiu,
  • Fan Chen and ,
  • Dakui Luo,
  • Yufei Yang,
  • Weijing He,
  • Qingguo Li and
  • Xinxiang Li
  • + 4 authors+ 0 author

16 October 2023

Background: Low anterior resection syndrome (LARS) is a series of bowel dysfunction symptoms, including altered bowel frequency, irregular bowel rhythms, fecal incontinence, and constipation. LARS occurs in 80% of patients undergoing sphincter-preser...

(This article belongs to the Section Cancer Therapy)
  • Review
  • Open Access
1,414 Views
13 Pages

Background: Faecal incontinence (FI) may occur in patients with irritable bowel syndrome (IBS), particularly when loose stool, urgency, reduced warning time, fluctuating bowel habits, or constipation with retention interferes with timely defaecation....