Ileal Neoappendicostomy in the Treatment of Fecal Incontinence in Children

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

DOI

  • Helle Attermann Abildgaaard, Syddansk Universitet
  • ,
  • Mark Bremholm Ellebæk, Syddansk Universitet
  • ,
  • Yazan F. Rawashdeh
  • Niels Qvist, Syddansk Universitet

Introduction An antegrade colonic enema (ACE) via an appendicostomy has been shown to be effective in the management of functional bowel problems. In cases with a missing appendix, a neoappendicostomy may be considered. Materials and Methods A retrospective review of clinical outcomes in children who underwent ileal neoappendicostomy for ACE. Medical records were reviewed for data on demography, intra- and postoperative complications. A follow-up questionnaire on stoma problems, ACE-related problems, bowel function, patient satisfaction, well-being, and effect on daily activities was performed. Results Ten patients were included at an average age of 10.6 years at surgery. In half of the patients, minor postoperative complications (Clavien-Dindo grade 2 or less) were found. Nine patients answered the questionnaire with a mean follow-up of 57 months. Despite complaints of stomal leakage, difficulties with catheterization, and pain during irrigation, they reported a high grade of satisfaction, improvements in well-being, and bowel function and the achievement of continence. Conclusion Ileal neoappendicostomy may be an alternative to ACE in children with severe and medically intractable constipation and or/and fecal incontinence where the appendix is missing or not available.

OriginalsprogEngelsk
TidsskriftEuropean Journal of Pediatric Surgery
Vol/bind31
Nummer5
Sider (fra-til)427-431
Antal sider5
ISSN0939-7248
DOI
StatusUdgivet - okt. 2021

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