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Transanal irrigation is effective in functional fecal incontinence.

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eMediNexus    20 February 2018

Functional fecal incontinence (FFI) is divided into cases related to functional constipation (FC) and cases without concomitant constipation termed functional non-retentive fecal incontinence (FNRFI). A recent study published in the European Journal of Pediatrics evaluated the feasibility and efficacy of transanal irrigation (TAI) in the treatment of FFI. This was a retrospective study which included 72 children, with a mean age of 9.2 ± 2.2 years, having treatment-resistant FFI. The results showed that of the 63 children who fulfilled the Rome III criteria of constipation, 73% exhibited full response with complete remission of incontinence episodes, whereas 17% elicited partial response with ≥50% reduction. In addition, among children with FNRFI, 44% showed full response whereas 22% experienced partial response. Moreover, no significant difference was observed in the reduction of incontinence episodes between the children with FC and those with FNRFI. From the findings it was inferred that TAI is an effective, well-tolerated, and safe choice in children with FFI due to functional constipation.

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