Article

Objective :To determine the effectiveness and
acceptability of transanal irrigation in children and young people with
neurogenic bowel.Setting:International literature. Methods :Electronic databases
were searched supported by hand-searching strategies to conduct a comprehensive
literature review in accordance with Centre for Reviews and Dissemination
procedures guidelines. Sixteen studies were selected for inclusion. Results :The
studies indicate that transanal irrigation can be an effective treatment for
children and young people with constipation or faecal incontinence as a result of
neurogenic bowel (90%, n=346 children). Transanal irrigation is reported as
improving quality of life and family's satisfaction with their bowel management,
although the procedure is invasive, time consuming and can impact negatively on
child, parent and family life.Conclusion:Transanal irrigation may be considered
as a first line treatment option for children and young people with neurogenic
bowel but further research is required to prove the efficacy and acceptability of
this procedure.

Langue : ANGLAIS