Aim:To evaluate the outcome of transrectal irrigation(TRI)using clean tap water without salt in children with myelomeningocele and neurogenic bowel problems.Methods:40 children(21 boys and 19 girls;aged 10 mo to 11 y)...Aim:To evaluate the outcome of transrectal irrigation(TRI)using clean tap water without salt in children with myelomeningocele and neurogenic bowel problems.Methods:40 children(21 boys and 19 girls;aged 10 mo to 11 y)with myelomeningocele and neurogenic bowel dysfunction were treated with TRI given by a stoma cone irrigation set daily or every second day.A questionnaire on the effects on faecal incontinence,constipation and self-management was completed by the parents,4 mo-8 y(median 1.5 y)after start.Effects on rectal volume,anal sphincter pressure and plasma sodium were evaluated before and after the start of irrigation.Results:At follow-up,35 children remained on TRI,four had received appendicostomy,while one defecated normally.For all children but five(35/40;85%)the procedure worked satisfactorily,but a majority found the procedur every time consuming and only one child was able to perform it independently.All children were free of constipation;most(35/40)were also anal continent.Rectal volume and anal sphincter pressure improved,while plasma sodium values remained within the normal range.Conclusion:Transrectal irrigation with tap water is a safe method to resolve constipation and faecal incontinence in children with myelomeningocele and neurogenic bowel dysfunction,but it does not help children to independence at the toilet.展开更多
A female newborn was found to have a rachiopagus parasite consisting of hypoplastic lower limbs attached to the dorsal thoracolumbar region; at surgery, when the infant was 30 days old, the autosite spinal cord was fo...A female newborn was found to have a rachiopagus parasite consisting of hypoplastic lower limbs attached to the dorsal thoracolumbar region; at surgery, when the infant was 30 days old, the autosite spinal cord was found to have herniated through a spina bifida into the parasite.展开更多
文摘Aim:To evaluate the outcome of transrectal irrigation(TRI)using clean tap water without salt in children with myelomeningocele and neurogenic bowel problems.Methods:40 children(21 boys and 19 girls;aged 10 mo to 11 y)with myelomeningocele and neurogenic bowel dysfunction were treated with TRI given by a stoma cone irrigation set daily or every second day.A questionnaire on the effects on faecal incontinence,constipation and self-management was completed by the parents,4 mo-8 y(median 1.5 y)after start.Effects on rectal volume,anal sphincter pressure and plasma sodium were evaluated before and after the start of irrigation.Results:At follow-up,35 children remained on TRI,four had received appendicostomy,while one defecated normally.For all children but five(35/40;85%)the procedure worked satisfactorily,but a majority found the procedur every time consuming and only one child was able to perform it independently.All children were free of constipation;most(35/40)were also anal continent.Rectal volume and anal sphincter pressure improved,while plasma sodium values remained within the normal range.Conclusion:Transrectal irrigation with tap water is a safe method to resolve constipation and faecal incontinence in children with myelomeningocele and neurogenic bowel dysfunction,but it does not help children to independence at the toilet.
文摘A female newborn was found to have a rachiopagus parasite consisting of hypoplastic lower limbs attached to the dorsal thoracolumbar region; at surgery, when the infant was 30 days old, the autosite spinal cord was found to have herniated through a spina bifida into the parasite.
