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- aggregation classification "A1".
- aggregation creator person.
- aggregation creator person.
- aggregation creator person.
- aggregation creator person.
- aggregation creator person.
- aggregation creator person.
- aggregation date "2007".
- aggregation format "application/pdf".
- aggregation hasFormat 394361.bibtex.
- aggregation hasFormat 394361.csv.
- aggregation hasFormat 394361.dc.
- aggregation hasFormat 394361.didl.
- aggregation hasFormat 394361.doc.
- aggregation hasFormat 394361.json.
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- aggregation hasFormat 394361.txt.
- aggregation hasFormat 394361.xls.
- aggregation hasFormat 394361.yaml.
- aggregation isPartOf urn:issn:0022-5347.
- aggregation language "eng".
- aggregation rights "I have transferred the copyright for this publication to the publisher".
- aggregation subject "Medicine and Health Sciences".
- aggregation title "Achieving fecal continence in patients with spina bifida: a descriptive cohort study".
- aggregation abstract "Purpose: Fecal incontinence is a major problem in patients with myelomeningocele. We evaluate the results of a stratified approach aimed at obtaining fecal pseudo-continence in patients with myelomeningocele. Materials and Methods: We conducted a cross-sectional descriptive study of last file data in 80 patients 5 to 18 years old with myelomeningocele followed at our center. Beginning at birth patients with myelomeningocele were seen at least annually by the pediatric gastoenterologist, a member of the multidisciplinary "spina team." Constipation was treated with diet and osmotic laxatives. Starting at age 5 years, treatment was targeted at achieving pseudo-continence. A toilet training scheme was started, associated with induced defecation by digital stimulation. Retrograde tap water enemas were used in patients with unsatisfactory results. If retrograde enemas were unsuccessful, an antegrade continence enema procedure was proposed. For children unable to sit on a toilet regular manual evacuation of stools was advised. Results: Eight of the 80 patients were fecal continent. Pseudo-continence was achieved in 50 of the 72 incontinent patients (69%), including 5 of 5 following only a strict toilet scheme, 21 of 24 (87.5%) performing retrograde enemas, 16 of 20 (80%) performing orthograde enemas through an antegrade continence device and 8 of 10 performing regular manual evacuation of stools. In 4 of the 20 patients (20%) performing orthograde enemas complications led to closure of the antegrade continence device. Treatment failed and was stopped in 17 patients. Success of treatment was not related to level of spinal lesion or degree of mobility. Conclusions: Fecal pseudo-continence was achieved in 58 of 80 patients (72.5%) with myelomeningocele.".
- aggregation authorList BK480717.
- aggregation endPage "2644".
- aggregation issue "6".
- aggregation startPage "2640".
- aggregation volume "178".
- aggregation aggregates 587574.
- aggregation isDescribedBy 394361.
- aggregation similarTo j.juro.2007.07.060.
- aggregation similarTo LU-394361.