Caponcelli Enrica, Meroni Milena, Brisighelli Giulia, Rendeli Claudia, Ausili Emanuele, Gamba Piergiorgio, Marte Antonio, Iacobelli Barbara Daniela, Lombardi Laura, Leva Ernesto, Midrio Paola
Pediatric Surgery, Policlinico of Modena.
Pediatric Surgery, Bambini Vittore Buzzi Hospital, Milan.
Pediatr Med Chir. 2021 May 7;43(1). doi: 10.4081/pmc.2021.250.
Constipation and fecal incontinence in pediatric patients are conditions due to either functional or organic bowel dysfunction and may represent a challenging situation both for parents, pediatricians, and pediatric surgeons. Different treatments have been proposed throughout the past decades with partial and alternant results and, among all proposed techniques, in the adult population the Transanal Irrigation (TAI) has become popular. However, little is known about its efficacy in children. Therefore, a group of Italian pediatric surgeons from different centers, all experts in bowel management, performed a literature review and discussed the best-practice for the use of TAI in the pediatric population. This article suggests some tips, such as the careful patients' selection, a structured training with expert in pediatric colorectal diseases, and a continuous follow-up, that are considered crucial for the full success of treatment.
小儿便秘和大便失禁是由功能性或器质性肠功能障碍引起的病症，对家长、儿科医生和小儿外科医生来说，这可能是一个具有挑战性的情况。在过去几十年里，人们提出了不同的治疗方法，结果参差不齐，在所有提出的技术中，经肛门灌洗（TAI）在成人中已变得流行。然而，其在儿童中的疗效却鲜为人知。因此，一群来自不同中心的意大利小儿外科医生，都是肠道管理方面的专家，进行了一项文献综述，并讨论了在儿科人群中使用TAI的最佳实践。本文提出了一些建议，如仔细挑选患者、由小儿结直肠疾病专家进行结构化培训以及持续随访，这些被认为是治疗取得圆满成功的关键。
