Tantiphlachiva Kasaya, Rao Satish
King Chulalongkorn Memorial Hospital, Lumphini, Prathumwan, Thailand.
Dev Neurorehabil. 2009;12(6):442-9. doi: 10.3109/17518420903046745.
To describe the use of biofeedback therapy in management of bowel symptoms after definitive surgery for Hirschsprung's disease.
This study describes two cases that exemplify the complex nature of these problems. These patients presented with constipation and faecal seepage several years after receiving treatment for Hirschsprung's disease. The approach to management of these patients including the use of biofeedback therapy is described.
After biofeedback therapy, there was improvement in bowel symptoms in both subjects. In case 1 (constipation), stool frequency increased from 0.5-1 time/week to 5-6 times/week together with improved stool consistency. In case 2 (faecal seepage), the number of incontinence episode decreased from >1/day to complete continence, together with decreased stool frequency. They were still satisfied with their bowel movement at 1-year follow-up.
Recognition of the underlying problems and therapy directed towards correcting these abnormalities may lead to significant symptomatic improvement in these patients.
描述生物反馈疗法在先天性巨结肠根治术后肠道症状管理中的应用。
本研究描述了两个范例病例，以说明这些问题的复杂性。这些患者在接受先天性巨结肠治疗数年后面临便秘和粪便渗漏问题。文中描述了对这些患者的管理方法，包括生物反馈疗法的使用。
生物反馈疗法后，两名患者的肠道症状均有改善。病例1（便秘），排便频率从每周0.5 - 1次增加到每周5 - 6次，粪便稠度也有所改善。病例2（粪便渗漏），失禁发作次数从每天>1次减少到完全可控，排便频率也降低。在1年随访时，他们对排便情况仍感到满意。
认识潜在问题并针对纠正这些异常进行治疗可能会使这些患者的症状得到显著改善。
