دورية أكاديمية
Medium-Term Outcomes of Antegrade Continent Enema (ACE): Cairo University Specialized Pediatric Hospital (CUSPH) Experience.
| العنوان: | Medium-Term Outcomes of Antegrade Continent Enema (ACE): Cairo University Specialized Pediatric Hospital (CUSPH) Experience. |
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| المؤلفون: | Gabr AA; Cairo University Specialized Pediatric Hospital, Cairo, Egypt. Electronic address: ahmedadelgabr87@gmail.com., Shalaby A; Cairo University Specialized Pediatric Hospital, Cairo, Egypt. Electronic address: alyshalaby@kasralainy.edu.eg., Elham Fares A; Cairo University Specialized Pediatric Hospital, Cairo, Egypt. Electronic address: ahmedelhamf@hotmail.com., Hussein Bahaaeldin K; Cairo University Specialized Pediatric Hospital, Cairo, Egypt. Electronic address: kbahaaeldin@kasralainy.edu.eg., Nabhan Kaddah S; Cairo University Specialized Pediatric Hospital, Cairo, Egypt. Electronic address: Sherif.kaddah@kasralainy.edu.eg., El Tagy G; Cairo University Specialized Pediatric Hospital, Cairo, Egypt. Electronic address: gamal.eltagy@kasralainy.edu.eg., Ahmed Gad M; Cairo University Specialized Pediatric Hospital, Cairo, Egypt. Electronic address: mostafagad@kasralainy.edu.eg. |
| المصدر: | Journal of pediatric surgery [J Pediatr Surg] 2023 Jul; Vol. 58 (7), pp. 1383-1388. Date of Electronic Publication: 2022 Dec 05. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Saunders Country of Publication: United States NLM ID: 0052631 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-5037 (Electronic) Linking ISSN: 00223468 NLM ISO Abbreviation: J Pediatr Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Philadelphia, PA : Saunders Original Publication: New York. |
| مواضيع طبية MeSH: | Fecal Incontinence*/therapy , Fecal Incontinence*/complications, Male ; Female ; Child ; Humans ; Treatment Outcome ; Hospitals, Pediatric ; Constriction, Pathologic/etiology ; Quality of Life ; Universities ; Retrospective Studies ; Enema/adverse effects ; Prolapse ; Constipation/etiology ; Follow-Up Studies |
| مستخلص: | Aim of the Study: To assess the medium-term outcomes of ACE in children with fecal incontinence (FI). Method: Eligible children were recruited from the colorectal clinic between December 2016 and January 2020 and were followed prospectively for 2-6 years. A series of questionnaires were used to assess QOL, patients and parent satisfaction, and to assess the outcomes of the ACE. Result: 24 children aged 6-12 years (mean age 8.17 ± 1.95), including 18 males (75%) and 6 females (25% were studied. Cases included anorectal malformations (45.83%)., Hirschsprung disease (25%), neural tube defects (16.66%), sacrococcygeal teratoma (4.16%), and intractable pseudoincontinence (8.33%). QOL improved from (3) [3 -3] to (16) [16-16],p < 0.05. Fecal incontinence index showed significant improvement: 20 [20-20] versus 3 [0-4],p < 0.05. Bowel symptoms demonstrated improvement in the ability to decide when to pass stools and a decrease in soiling. Stooling survey showed lower scores representing better outcome. ACE questionnaire showed that the range of irrigation volumes used by parents is wide, and that all families recommend the ACE for children with similar condition. Postoperative complications were stenosis (16.66%), stomal prolapse (12.5%), leakage (4.16%), and false passage (4.16%). Satisfaction questionnaire showed a median score of 9 (range, 5-10). Conclusion: ACE is an effective method to keep the child with FI clean, more socially active, and with a better QOL and FII in the medium-term. The reported complications were stenosis, false passage, and leakage. ACE mucosa prolapse is a novel complication picked up on medium-term follow up. (Copyright © 2022 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: ACE; Africa; Children; Fecal incontinence; Outcomes |
| تواريخ الأحداث: | Date Created: 20230111 Date Completed: 20230623 Latest Revision: 20230623 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jpedsurg.2022.11.016 |
| PMID: | 36628693 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1531-5037 |
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| DOI: | 10.1016/j.jpedsurg.2022.11.016 |