Center for Motility and Functional Gastrointestinal Disorders, Children's Hospital, 300 Longwood Ave, Boston, MA 02155, USA.
Expert Rev Gastroenterol Hepatol. 2013 Sep;7(7):657-67. doi: 10.1586/17474124.2013.832500.
Even though fecal incontinence (FI) in children is most commonly the result of functional constipation, there are organic conditions that can be associated with incontinence. FI has a major impact on the quality of life of those children who experience it. The general objectives of any bowel program are to achieve predictability and independence. This is achieved by manipulating colonic transit and stool consistency and by producing more controlled evacuations, usually with the use of rectal interventions. Dietary interventions and medications can be used to change stool consistency or to manipulate transit by accelerating or slowing it down. Biofeedback or other interventions that increase sphincter pressure can also be used to improve anorectal function. Enemas or suppositories can be used to empty the sigmoid colon in a more controlled manner. With the recent advent of the antegrade colonic enemas, the patient can have predictable bowel movements and become independent.
尽管儿童粪便失禁（FI）最常见于功能性便秘，但也存在与失禁相关的器质性疾病。FI 会对患有该病的儿童的生活质量产生重大影响。任何肠道计划的总体目标都是实现可预测性和独立性。这可以通过操纵结肠转运和粪便稠度并通过产生更受控的排空来实现，通常使用直肠干预。饮食干预和药物可用于改变粪便稠度或通过加速或减缓来操纵转运。生物反馈或其他增加括约肌压力的干预措施也可用于改善肛肠功能。灌肠或栓剂可用于更受控地排空乙状结肠。随着顺行结肠灌肠术的出现，患者可以具有可预测的排便并变得独立。
