Consensus review of best practice of transanal irrigation in children

Giovanni Mosiello, David Marshall, Udo Rolle, Célia Crétolle, Bruno G. Santacruz, Jason Frischer, Marc A. Benninga

Research output: Contribution to journalReview article

Abstract

Pediatric patients with either functional or organic bowel dysfunction may suffer from constipation and fecal incontinence and represent a complex group in whom management is often difficult. Many noninvasive and invasive treatments have been proposed, with variable efficacy and adverse effects. Transanal irrigation (TAI) is now an accepted alternative, in both children and adults, for bowel dysfunction that has not responded to conservative and medical therapies. There is, however, still some uncertainty about the use of TAI in pediatric populations. Hence, a group of specialists from different nations and pediatric disciplines, all with longstanding experience of bowel management in children, performed a literature search and had round table discussions to determine the best-practice use of TAI in the pediatric patient population. Based on these findings, this article provides best-practice recommendations on indications, patient selection, important considerations before treatment, patient and family training, treatment regimens, troubleshooting, and practical aspects of TAI. We conclude that careful patient selection, a tailored approach, directly supervised training, and sustained follow-up are key to optimize outcomes with TAI in children with functional or organic bowel dysfunction.

Original languageEnglish
Pages (from-to)343-352
Number of pages10
JournalJournal of Pediatric Gastroenterology and Nutrition
Volume64
Issue number3
DOIs
Publication statusPublished - Mar 1 2017

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Keywords

  • Anorectal Malformation
  • Best Practice
  • Bowel Dysfunction
  • Children
  • Neurogenic Bowel
  • Transanal Irrigation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Gastroenterology

Cite this

Mosiello, G., Marshall, D., Rolle, U., Crétolle, C., Santacruz, B. G., Frischer, J., & Benninga, M. A. (2017). Consensus review of best practice of transanal irrigation in children. Journal of Pediatric Gastroenterology and Nutrition, 64(3), 343-352. https://doi.org/10.1097/MPG.0000000000001483