Pilot Study of an Adult Bowel Management Program for Fecal Incontinence
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Read the article on jpedsurg.org ↗Article · Apr 2022 · 1 min read
In brief
In brief
Retrospective study of 38 adult patients (median age 19) who completed a bowel management program for fecal incontinence or constipation, primarily those with anorectal malformations. Stool continence rates improved significantly from 52.7% to 87.6% post-program, demonstrating efficacy of pediatric bowel management protocols adapted for adult populations.
Written by the GCMD Library team from the article.
Objective
Bowel management programs are efficacious in pediatric patients with fecal incontinence or intractable constipation unresponsive to standard treatment. No studies have been done examining outcomes in adults. The objective of this study was to assess continence and quality of life outcomes in adults who have underwent bowel management program.
Methods
A retrospective review of patients 16 or older at the time they underwent a bowel management program for fecal incontinence or constipation was performed. Data collected included intake and follow-up stool and urinary continence, patient-reported outcomes measures (Cleveland Clinic Constipation Score, Baylor Continence Scale, Vancouver Symptom Score for Dysfunctional Elimination), and an age-adjusted health-related quality of life measure.
Results
The cohort included 38 patients with a median age of 19 years (range: 16-55) when they underwent our program. 50% of patients were female and the majority (33, 87%) were White. The most common diagnosis was anorectal malformation (16, 42%) followed by functional constipation (10, 27%). Stool continence rates improved after undergoing the program (52.7% prior to 87.6% at follow-up, p