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Consensus review of best practice of transanal irrigation in adults

EMMANUEL AV; KROGH K; BAZZOCCHI G; LEROI AM; BREMERS A; LEDER SB; VAN KUPPEVELT DH; MOSIELLO G; VOGEL M; PERROUIN VERBE B; COGGRAVE M; CHRISTENSEN P
SPINAL CORD , 2013, vol. 51, n° 10, p. 732-738
Doc n°: 166012
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.1038/sc.2013.86
Descripteurs : AE21 - ORIGINE TRAUMATIQUE, AH3 - TROUBLES ANO-RECTAUX

OBJECTIVES: To provide a consensus expert review of
the treatment modality for transanal irrigation (TAI). METHODS: A consensus group
of specialists from a range of nations and disciplines who have experience in
prescribing and monitoring patients using TAI worked together assimilating both
the emerging literature and rapidly accruing clinical expertise. Consensus was
reached by a round table discussion process, with individual members leading the
article write-up in the sections where they had particular expertise. RESULTS:
Detailed trouble-shooting tips and an algorithm of care to assist professionals
with patient selection, management and follow-up was developed. CONCLUSION: This
expert review provides a practical adjunct to training for the emerging
therapeutic area of TAI. Careful patient selection, directly supervised training
and sustained follow-up are key to optimise outcomes with the technique. Adopting
a tailored, stepped approach to care is important in the heterogeneous patient
groups to whom TAI may be applied.Sponsorship:The review was financially
supported by Coloplast A/S.

Langue : ANGLAIS

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