Treatment of fecal incontinence with a comprehensive bowel management program.

  title={Treatment of fecal incontinence with a comprehensive bowel management program.},
  author={Andr{\'e}a Bischoff and M Andrew Levitt and Cathy L Bauer and Lyndsey E Jackson and Monica Holder and A. Pena},
  journal={Journal of pediatric surgery},
  volume={44 6},
  pages={1278-83; discussion 1283-4}
PURPOSE Many articles describe the antegrade continence enemas (ACEs), but few refer to a bowel management program. A successful ACE may not help a patient without such management. Valuable lessons were learned by implementation of bowel management in 495 fecally incontinent patients. METHODS We previously reported 201 patients. Thereafter, another 294 patients participated in our program. On the basis of a contrast enema and symptoms, they were divided as follows: (a) 220 constipated… CONTINUE READING
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