Bowel Management Program for Children with True Fecal Incontinence and Its Efficacy on Their Quality of Life

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Wael Mohamed El-Shahat, Amr Ibrahim El-Yasargy, Hesham Qasem, Omar El-ekyaby, Amira Attia, Mohamed Ismail, Amr Mohamed El-Shaer, Khaled Elsayed Sheriff


Bowel Management Program, True Fecal Incontinence & Quality of Life.


Fecal incontinence (FI) resembles a disastrous challenge for those who suffer from it. It frequently makes it more difficult for children to fit in with society, resulting in serious psychological consequences. This study aimed to evaluate the effectiveness of bowel management program (BMP) for patients that have true FI. Subject & Methods: This prospective case series was conducted in the paediatric surgery department in Zagazig University hospitals, included 26 children with faecal incontinence after anorectal surgery who divided  equally according to type of colon by contrast enema into: Group (A)patients with dilated colon “hypomotile colon” which need large volume and concentrated enema; and Group (B) patients with non-dilated colon “hyper motile colon” which need small volume enema, constipating diet and may need loperamide. Results: The average ages of the studied groups were (8.1±1.5) and (7.9±1.1). Regarding sex, male to female ratio was 4:1. Majority of parents were poorly educated in both groups. There was a highly statistically significant association between the parent education and the easy follow-up visits. There was a statistically significant positive correlation (increase aged was accompanied by increased the amount of saline and glycerin) between the children age and the amount of saline and glycerin. There was a highly statistically significant improvement in all quality-of-life score items as provided by children and parents before and after 3 months of BMP among the hypo and hyper motile colon groups (p-value<0.001). Conclusion: The implementation of BMP after 3 months improves the quality of life of children and their parents in both hyper and hypomotile colon groups.

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