Pediatric Surgery NaT
Fecal Incontinence and Functional Constipation
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Introduction
Functional constipation and fecal incontinence are common and result in a considerable burden on patients, families and financial strain on the health system. In most instances pediatric surgeons deal with the most complex and difficult cases. A sound and protocolized approach is needed. Both topics have been covered in the literature but here is great variability in how they are defined. The mostly widely accepted definitions are the Rome IV criteria published in 2017 [1]. The benefit of using standardized definitions cannot be underestimated. It facilitates the establishment of standards of care and multicenter research - the key to investigation and progress in this field as there is a paucity of high level evidence [2].
The purpose of this topic is to provide an orderly approach to both disorders using the evidence that is available and introduce standardized definitions and validated outcomes where practical.
see also Bowel Management
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Introduction
Functional constipation and fecal incontinence are common and result in a considerable burden on patients, families and financial strain on the health system. In most instances pediatric surgeons deal with the most complex and difficult cases. A sound and protocolized approach is needed. Both topics have been covered in the literature but here is great variability in how they are defined. The mostly widely accepted definitions are the Rome IV criteria published in 2017 [1]. The benefit of using standardized definitions cannot be underestimated. It facilitates the establishment of standards of care and multicenter research - the key to investigation and progress in this field as there is a paucity of high level evidence [2].
The purpose of this topic is to provide an orderly approach to both disorders using the evidence that is available and introduce standardized definitions and validated outcomes where practical.
see also Bowel Management
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