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    Bowel Management

    Jeffrey Avansino, MD, K. Elizabeth Speck, MD, Marc Levitt, MD
    Bowel Management is a topic covered in the Pediatric Surgery NaT.

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    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

    The type of anorectal malformation, presence of spinal cord abnormalities and quality of the sacrum can determine the patient’s potential for bowel control

    see also Cecostomy for Antegrade Enemasand Fecal Incontinence and Functional Constipation

    Content in this module is referenced in SCOREAnorectal Malformation overview

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    Last updated: August 3, 2018

    Citation

    Avansino, Jeffrey, et al. "Bowel Management." Pediatric Surgery NaT, American Pediatric Surgical Association, 2018. APSA Webapp, www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829051/all/Bowel_Management.
    Avansino J, Speck K, Levitt M. Bowel Management. In: Waldhausen J, Powell D, Hirschl R, eds. Pediatric Surgery NaT. American Pediatric Surgical Association; 2018. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829051/all/Bowel_Management. Accessed March 20, 2019.
    Avansino, J., Speck, K., & Levitt, M. (2018). Bowel Management. In Waldhausen, J., Powell, D., & Hirschl, R. (Eds.), Pediatric Surgery NaT. Available from https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829051/all/Bowel_Management
    Avansino J, Speck K, Levitt M. Bowel Management [Internet]. In: Waldhausen J, Powell D, Hirschl R, editors. Pediatric Surgery NaT. American Pediatric Surgical Association; 2018. [cited 2019 March 20]. Available from: https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829051/all/Bowel_Management.
    * Article titles in AMA citation format should be in sentence-case
    TY - ELEC T1 - Bowel Management ID - 829051 A1 - Avansino,Jeffrey,MD AU - Speck,K. Elizabeth,MD AU - Levitt,Marc,MD ED - Waldhausen,John, ED - Powell,David, ED - Hirschl,Ron, Y1 - 2018/08/03/ BT - Pediatric Surgery NaT UR - https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829051/all/Bowel_Management PB - American Pediatric Surgical Association DB - APSA Webapp DP - Unbound Medicine ER -