Long-term outcome of transanal irrigation for children with spina bifida

E. K. Choi, Sangwon Han, S. H. Shin, Y. Ji, J. H. Chon, Y. J. Im

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Study design: Experimental, prospective study. Objectives: We evaluated the long-term clinical efficacy of transanal irrigation (TAI) and its effect on the quality of life of spina bifida children and their caregivers. Setting: Republic of Korea.Method:Forty-four spina bifida pediatric patients with constipation, fecal incontinence or both, underwent a TAI program at our spina bifida clinic between December 2010 and October 2013. The children and their caregivers were evaluated using a self-administered questionnaire before TAI and at 3 months and 3 years after initiation of the program. Results: Successful treatment outcome was achieved in 38 (86.4%) children after a mean follow-up duration of 33 months (range, 30-36). The mean number of fecal incontinence episodes per week, the number of diaper changes and the total time for bowel care per day before the program decreased at the latest follow-up examination from 7.3 to 0.4 (P<0.001), 1.6 to 0.2 (P<0.001) and 29.2 to 19.4 min (P=0.038), respectively. These results remained constant from short-term follow-up at 3 months to 3 years. Caregivers and children could go out more often (P=0.002), and the emotional impact of bowel care on caregivers decreased (P<0.001). The reported mean overall satisfaction with TAI was 8/10. The common adverse effect during TAI was abdominal discomfort (60.5%). Conclusion: We observed a sustained significant improvement in defecation symptoms and quality of life for 3 years in spina bifida children who underwent continuous TAI.

Original languageEnglish
Pages (from-to)216-220
Number of pages5
JournalSpinal Cord
Volume53
Issue number3
DOIs
Publication statusPublished - 2015 Mar 1

Fingerprint

Spinal Dysraphism
Caregivers
Fecal Incontinence
Quality of Life
Republic of Korea
Defecation
Constipation
Research Design
Prospective Studies
Pediatrics

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology

Cite this

Choi, E. K., Han, S., Shin, S. H., Ji, Y., Chon, J. H., & Im, Y. J. (2015). Long-term outcome of transanal irrigation for children with spina bifida. Spinal Cord, 53(3), 216-220. https://doi.org/10.1038/sc.2014.234
Choi, E. K. ; Han, Sangwon ; Shin, S. H. ; Ji, Y. ; Chon, J. H. ; Im, Y. J. / Long-term outcome of transanal irrigation for children with spina bifida. In: Spinal Cord. 2015 ; Vol. 53, No. 3. pp. 216-220.
@article{3c9260a638c544589f82385638f38348,
title = "Long-term outcome of transanal irrigation for children with spina bifida",
abstract = "Study design: Experimental, prospective study. Objectives: We evaluated the long-term clinical efficacy of transanal irrigation (TAI) and its effect on the quality of life of spina bifida children and their caregivers. Setting: Republic of Korea.Method:Forty-four spina bifida pediatric patients with constipation, fecal incontinence or both, underwent a TAI program at our spina bifida clinic between December 2010 and October 2013. The children and their caregivers were evaluated using a self-administered questionnaire before TAI and at 3 months and 3 years after initiation of the program. Results: Successful treatment outcome was achieved in 38 (86.4{\%}) children after a mean follow-up duration of 33 months (range, 30-36). The mean number of fecal incontinence episodes per week, the number of diaper changes and the total time for bowel care per day before the program decreased at the latest follow-up examination from 7.3 to 0.4 (P<0.001), 1.6 to 0.2 (P<0.001) and 29.2 to 19.4 min (P=0.038), respectively. These results remained constant from short-term follow-up at 3 months to 3 years. Caregivers and children could go out more often (P=0.002), and the emotional impact of bowel care on caregivers decreased (P<0.001). The reported mean overall satisfaction with TAI was 8/10. The common adverse effect during TAI was abdominal discomfort (60.5{\%}). Conclusion: We observed a sustained significant improvement in defecation symptoms and quality of life for 3 years in spina bifida children who underwent continuous TAI.",
author = "Choi, {E. K.} and Sangwon Han and Shin, {S. H.} and Y. Ji and Chon, {J. H.} and Im, {Y. J.}",
year = "2015",
month = "3",
day = "1",
doi = "10.1038/sc.2014.234",
language = "English",
volume = "53",
pages = "216--220",
journal = "Spinal Cord",
issn = "1362-4393",
publisher = "Nature Publishing Group",
number = "3",

}

Choi, EK, Han, S, Shin, SH, Ji, Y, Chon, JH & Im, YJ 2015, 'Long-term outcome of transanal irrigation for children with spina bifida', Spinal Cord, vol. 53, no. 3, pp. 216-220. https://doi.org/10.1038/sc.2014.234

Long-term outcome of transanal irrigation for children with spina bifida. / Choi, E. K.; Han, Sangwon; Shin, S. H.; Ji, Y.; Chon, J. H.; Im, Y. J.

In: Spinal Cord, Vol. 53, No. 3, 01.03.2015, p. 216-220.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Long-term outcome of transanal irrigation for children with spina bifida

AU - Choi, E. K.

AU - Han, Sangwon

AU - Shin, S. H.

AU - Ji, Y.

AU - Chon, J. H.

AU - Im, Y. J.

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Study design: Experimental, prospective study. Objectives: We evaluated the long-term clinical efficacy of transanal irrigation (TAI) and its effect on the quality of life of spina bifida children and their caregivers. Setting: Republic of Korea.Method:Forty-four spina bifida pediatric patients with constipation, fecal incontinence or both, underwent a TAI program at our spina bifida clinic between December 2010 and October 2013. The children and their caregivers were evaluated using a self-administered questionnaire before TAI and at 3 months and 3 years after initiation of the program. Results: Successful treatment outcome was achieved in 38 (86.4%) children after a mean follow-up duration of 33 months (range, 30-36). The mean number of fecal incontinence episodes per week, the number of diaper changes and the total time for bowel care per day before the program decreased at the latest follow-up examination from 7.3 to 0.4 (P<0.001), 1.6 to 0.2 (P<0.001) and 29.2 to 19.4 min (P=0.038), respectively. These results remained constant from short-term follow-up at 3 months to 3 years. Caregivers and children could go out more often (P=0.002), and the emotional impact of bowel care on caregivers decreased (P<0.001). The reported mean overall satisfaction with TAI was 8/10. The common adverse effect during TAI was abdominal discomfort (60.5%). Conclusion: We observed a sustained significant improvement in defecation symptoms and quality of life for 3 years in spina bifida children who underwent continuous TAI.

AB - Study design: Experimental, prospective study. Objectives: We evaluated the long-term clinical efficacy of transanal irrigation (TAI) and its effect on the quality of life of spina bifida children and their caregivers. Setting: Republic of Korea.Method:Forty-four spina bifida pediatric patients with constipation, fecal incontinence or both, underwent a TAI program at our spina bifida clinic between December 2010 and October 2013. The children and their caregivers were evaluated using a self-administered questionnaire before TAI and at 3 months and 3 years after initiation of the program. Results: Successful treatment outcome was achieved in 38 (86.4%) children after a mean follow-up duration of 33 months (range, 30-36). The mean number of fecal incontinence episodes per week, the number of diaper changes and the total time for bowel care per day before the program decreased at the latest follow-up examination from 7.3 to 0.4 (P<0.001), 1.6 to 0.2 (P<0.001) and 29.2 to 19.4 min (P=0.038), respectively. These results remained constant from short-term follow-up at 3 months to 3 years. Caregivers and children could go out more often (P=0.002), and the emotional impact of bowel care on caregivers decreased (P<0.001). The reported mean overall satisfaction with TAI was 8/10. The common adverse effect during TAI was abdominal discomfort (60.5%). Conclusion: We observed a sustained significant improvement in defecation symptoms and quality of life for 3 years in spina bifida children who underwent continuous TAI.

UR - http://www.scopus.com/inward/record.url?scp=84920031412&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84920031412&partnerID=8YFLogxK

U2 - 10.1038/sc.2014.234

DO - 10.1038/sc.2014.234

M3 - Article

AN - SCOPUS:84920031412

VL - 53

SP - 216

EP - 220

JO - Spinal Cord

JF - Spinal Cord

SN - 1362-4393

IS - 3

ER -