ArticleJournal of pediatric gastroenterology and nutrition2022
Transanal Irrigation in Children: Treatment Success, Quality of Life, Adherence, Patient Experience, and Independence.
Article in Journal of pediatric gastroenterology and nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 20 citations in OpenAlex.
- Efficacy of low volume transanal irrigation in children with retentive fecal incontinence: A randomized controlled trial.Journal of pediatric gastroenterology and nutrition · 2026Trial
- Clinical utility of the Pediatric Bowel Management Scoring Tool in guiding management of childhood constipation-a prospective, multicenter study.European journal of pediatrics · 2026Observational
- Transanal irrigation in pediatric bowel dysfunction: clarifying baseline management, outcome measurement, and longer-term implementation.Pediatric surgery international · 2026Article
- Transanal irrigation in pediatric bowel dysfunction: a prospective study on clinical outcomes and quality of life.Pediatric surgery international · 2025Observational
- Current Treatment Options for Children with Functional Constipation-What Is in the Pipeline?Children (Basel, Switzerland) · 2025Review
- Empowerment in Adolescent Patients with a Disability/Chronic Condition: A Scoping Review.Children (Basel, Switzerland) · 2024Review
- Long-term outcome of transanal irrigation for individuals with spina bifida: a 12-year experience study.Techniques in coloproctology · 2024Article
- [Advances in the Treatment of Refractory Pediatric Constipation].Acta gastroenterologica LatinoamericanaReview
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the clinical effectiveness and patient experience of transanal irrigation (TAI) in children with constipation or fecal incontinence.
methodsCombined retrospective and cross-sectional study including pediatric patients who used a Navina TAI system. We retrospectively collected baseline characteristics and data on treatment success at 1- and 6-month follow-up (FU). Treatment success was defined as defecating at least 3 times per week and having less than 1 episode of fecal incontinence per week. We cross-sectionally assessed health-related quality of life (HRQoL), treatment adherence, treatment satisfaction (Treatment Satisfaction Questionnaire for Medication [TSQM]), illness perceptions, medication beliefs, and patient empowerment with validated questionnaires.
resultsThirty-four patients were included (median age at start TAI: 11 years old [range, 6-18]), 32 in the retrospective review, and 26 in the cross-sectional survey (median of 3 years after initiation). Most patients were diagnosed with functional constipation (n = 26; 76%) or a neurogenic bowel disorder (n = 6; 18%). Treatment success rates significantly improved at each FU compared with baseline (baseline: 4/25 [16%]; 1-month FU: 12/16 [75%], P = 0.008; 6-month FU: 11/18 [61%], P = 0.016; cross-sectional FU: 13/26 [50%], P = 0.008). HRQoL scores were high (PedsQL median, 73 [IQR, 54-85]). Adherence (defined as Medication Adherence Report Scale [MARS] ≥ 23) was low (36%), whereas TSQM effectiveness scores were high (median, 69 [IQR, 47-86]). The majority of children (61%) reported an increase in independence since TAI treatment. Patient empowerment (GYPES) levels were similar to those reported in children with other chronic conditions.
conclusionsTAI with a Navina system is an effective bowel management system for children with intractable constipation or fecal incontinence.
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