Bowel Management is a topic covered in the Pediatric Surgery NaT.

To view the entire topic, please or .

APSA Pediatric Surgery Library combines Pediatric Surgery Not a Textbook (NaT) with APSA ExPERT, a powerful platform for earning MOC CME credits -- all powered by Unbound Medicine. Explore these free sample topics:

-- The first section of this topic is shown below --

Introduction

In evaluating a patient with fecal incontinence it is imperative to understand if the patient has true or pseudoincontinence. True fecal incontinence refers to those patients who have no potential for bowel control. The type of anorectal malformation, presence of spinal cord abnormalities and quality of the sacrum can determine the patient’s potential for bowel control. Patients with pseudo- or retentive fecal incontinence possess all of the features of good potential for bowel control but suffer from severe constipation with overflow incontinence. Treatment of individuals varies depending on the type of fecal incontinence.

continence predictor index
Descriptive text is not available for this image
The type of anorectal malformation, presence of spinal cord abnormalities and quality of the sacrum can determine the patient’s potential for bowel control
bowel management
Descriptive text is not available for this image
inforgraphic from the APSA Practicing Surgeons curriculum (Michael Livingston)

see also Cecostomy for Antegrade Enemasand Fecal Incontinence and Functional Constipation

Content in this module is referenced in SCOREAnorectal Malformation overview

-- To view the remaining sections of this topic, please or --

Introduction

In evaluating a patient with fecal incontinence it is imperative to understand if the patient has true or pseudoincontinence. True fecal incontinence refers to those patients who have no potential for bowel control. The type of anorectal malformation, presence of spinal cord abnormalities and quality of the sacrum can determine the patient’s potential for bowel control. Patients with pseudo- or retentive fecal incontinence possess all of the features of good potential for bowel control but suffer from severe constipation with overflow incontinence. Treatment of individuals varies depending on the type of fecal incontinence.

continence predictor index
Descriptive text is not available for this image
The type of anorectal malformation, presence of spinal cord abnormalities and quality of the sacrum can determine the patient’s potential for bowel control
bowel management
Descriptive text is not available for this image
inforgraphic from the APSA Practicing Surgeons curriculum (Michael Livingston)

see also Cecostomy for Antegrade Enemasand Fecal Incontinence and Functional Constipation

Content in this module is referenced in SCOREAnorectal Malformation overview

There's more to see -- the rest of this topic is available only to subscribers.

Last updated: January 18, 2022