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01.12.2023 | Original Article

Radiologically supervised bowel management program outcome in patients with chronic idiopathic constipation

verfasst von: Alfredo Domínguez-Muñoz, Andrea Bischoff, Lea A. Wehrli, Laura Judd-Glossy, Lauren Schneider, Anne Merritt, Maura Wickham, Jill Ketzer, Víctor Rodriguez, Alberto Peña, Luis De La Torre

Erschienen in: Pediatric Surgery International | Ausgabe 1/2023

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Abstract

Purpose

This study aimed to analyze our radiologically supervised bowel management program (RS-BMP) outcomes in patients with chronic idiopathic constipation (CIC).

Methods

A retrospective study was conducted. We included all patients with CIC who participated in our RS-BMP at Children´s Hospital Colorado from July 2016 to October 2022.

Results

Eighty patients were included. The average time with constipation was 5.6 years. Before our RS-BMP, 95% had received non-radiologically supervised treatments, and 71% had attempted two or more treatments. Overall, 90% had tried Polyethylene Glycol and 43% Senna. Nine patients had a history of Botox injections. Five underwent anterograde continence procedure, and one a sigmoidectomy. Behavioral disorders (BD) were found in 23%. At the end of the RS-BMP, 96% of patients had successful outcomes, 73% were on Senna, and 27% were on enemas. Megarectum was detected in 93% of patients with successful outcomes and 100% with unsuccessful outcomes (p = 0.210). Of the patients with BD, 89% had successful outcomes, and 11% had unsuccessful.

Conclusion

Our RS-BMP has been proven to be effective in treating CIC. The radiologically supervised use of Senna and enemas was the appropriate treatment in 96% of the patients. BD and megarectum were associated with unsuccessful outcomes.

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Titel: Radiologically supervised bowel management program outcome in patients with chronic idiopathic constipation
verfasst von: Alfredo Domínguez-Muñoz
Andrea Bischoff
Lea A. Wehrli
Laura Judd-Glossy
Lauren Schneider
Anne Merritt
Maura Wickham
Jill Ketzer
Víctor Rodriguez
Alberto Peña
Luis De La Torre
Publikationsdatum: 01.12.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2023
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05508-9

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Radiologically supervised bowel management program outcome in patients with chronic idiopathic constipation