Bowel management program for fecal incontinenceBBowel management program for fecal incontinenceBowel management program for fecal incontinenceEnglishGastrointestinalPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)Large Intestine/Colon;RectumLarge intestine;RectumNon-drug treatmentCaregivers Adult (19+)NA2014-09-19T04:00:00Z8.4000000000000060.1000000000000821.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Find out how a bowel management program can help keep your child clean if they have problems controlling their bowel movements.</p><h2>What is a bowel management program?</h2><p>A bowel management program is a treatment for children who have problems controlling their bowel movements. It is designed to help a child keep "socially clean" using an enema so that they can wear underwear and not soil their clothes.</p><p>A child can have problems controlling their bowel for different reasons. Some children are born with conditions such as <a href="/Article?contentid=959&language=English">anorectal malformation</a> or <a href="/Article?contentid=848&language=English">spina bifida</a> that make bowel control difficult. Others might develop problems with bowel control later in life, for example if they are experiencing trauma.</p> <br><h2>Key points</h2> <ul> <li>A bowel management program uses an enema to help manage your child's bowel movements when a medical condition causes them to have poor bowel control.</li> <li>The program is designed to keep the bowel clean for 24 to 48 hours so the child can stay "socially clean" and not soil their clothes between enemas.</li> <li>There are two main types of enema: retrograde enema and antegrade continence enema.</li> <li>You will have regular discussions with your child's surgeon about the bowel management option that is best for your child.</li> </ul><h2>Goal of a bowel management program</h2> <p>The goal of a bowel management program is to keep the bowel empty for 24 to 48 hours. If the bowel is empty, a child should not have fecal soiling between enemas.</p> <p>The length of the bowel management program depends on each child's needs. For many children, this will be a program that they need to follow for the rest of their lives so that they can stay "socially clean".</p> <h2>Benefits of a bowel management program</h2> <p>A bowel management program can help your child feel more confident and allow them to take part in the same activities as other children their age, including swimming, schooling and family outings. Families can benefit too: improved continence reduces family stress about fecal soiling outside the home.</p><h2>How a bowel management program works</h2> <p>The bowel is cleaned with an enema every day or every other day. The enema contains a saline solution (mix of salt and water) that is poured into the bowel to flush out stool.</p> <p>There are two main types of enema:</p> <ul> <li>retrograde enema</li> <li>antegrade continence enema</li> </ul> <h3>Retrograde enema</h3> <p>A retrograde enema is given by passing a soft tube through your child's anus so that the liquid can be flushed into your child's bowel.</p> <table class="akh-table"> <thead> <tr><th>Benefits of retrograde enemas</th><th>Problems with retrograde enemas</th></tr> </thead> <tbody> <tr> <td>Your child will have more control over fecal soiling.<br></td> <td>The enema is more invasive than an antegrade continence enema (see below).</td> </tr> <tr> <td>Your child will not need any anaesthetic, surgery or X-rays before enemas can start.</td> <td>Your child will normally need someone to perform a retrograde enema for them. This results in a loss of privacy that is likely to be more difficult for your child as they get older.</td> </tr> <tr> <td> </td> <td>Your child may still leak stool.</td> </tr> </tbody> </table> <h3> Antegrade continence enema</h3> <p>An <a href="/Article?contentid=983&language=English">antegrade continence enema</a> (ACE) is given through a specially-created passage between your child's abdomen and intestine. This passage can be made by either:</p> <ul> <li>an appendicostomy</li> <li>a cecostomy<br></li> </ul> <p>Each option involves creating a stoma (opening) on your child's abdomen to allow a tube to be inserted for the enema.</p> <table class="akh-table"> <thead> <tr><th>Benefits of ACE through an appendicostomy</th><th>Problems with ACE through an appendicostomy</th></tr> </thead> <tbody> <tr> <td>Your child will have more control over fecal soiling.</td> <td>The stoma may narrow or possibly become blocked (known as stoma stenosis).</td> </tr> <tr> <td>Your child will have more control and independence in managing their bowel movements from an early age.</td> <td>The passage may become infected.</td> </tr> <tr> <td> </td> <td>The stoma may produce mucus.</td> </tr> <tr> <td> </td> <td>Your child might still leak stool.</td> </tr> <tr> <td> </td> <td>The surgery to create the passage for the enema might cause a kink in your child's bowel. This could cause feces to become blocked.</td> </tr> <tr> <td> </td> <td>As your child grows, they may need a larger tube for the enema. This tube may be too big for the passage, so your child might need more surgery to make the passage larger.</td> </tr> </tbody> </table> <table class="akh-table"> <thead> <tr><th>Benefits of ACE through a cecostomy</th><th>Problems with ACE through a cecostomy</th></tr> </thead> <tbody> <tr> <td>Your child will have more control over fecal soiling.</td> <td>Your child might still leak stool.</td> </tr> <tr> <td>Your child will have more control and independence in managing their bowel movements from an early age.</td> <td>Your child may develop granulation tissue (red, bumpy skin that can bleed and ooze) around the tube site and need treatment to ease it.</td> </tr> <tr> <td> </td> <td>The stoma may produce mucus.</td> </tr> <tr> <td> </td> <td>The tube may be pulled out.</td> </tr> <tr> <td> </td> <td>The tube must be changed every year.</td> </tr> </tbody> </table> <h2>How to choose the right bowel management option</h2> <p>Your child's surgeon will explain each bowel management option to you. Together, you and the surgeon will decide which treatment is best for your child based on their current medical condition and long-term needs.</p><h2>Sources<br></h2><p>American Pediatric Surgical Nurses Association. <a href="http://www.apsna.org/resource/resmgr/teaching_materials/bowel_management.doc"> <em>Bowel Management Program Teaching Sheet</em></a>.</p><p>Cincinnati Children's Hospital Medical Center. <em> <a href="http://www.cincinnatichildrens.org/service/c/colorectal/treatments/bowel-management/">Bowel Management Program</a></em>.</p>
Programme de gestion intestinale pour l’incontinence fécalePProgramme de gestion intestinale pour l’incontinence fécaleBowel management program for fecal incontinenceFrenchGastrointestinalPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)Large Intestine/Colon;RectumLarge intestine;RectumNon-drug treatmentCaregivers Adult (19+)NA2014-09-19T04:00:00Z8.0000000000000062.0000000000000Health (A-Z) - ProcedureHealth A-Z<p>Découvrez de quelle façon un programme de gestion intestinale peut aider votre enfant à rester propre s’il éprouve des difficultés à contrôler ses selles.</p><h2>Qu’est-ce qu’un programme de gestion intestinale?</h2><p>Un programme de gestion intestinale est un traitement destiné aux enfants qui éprouvent des difficultés à contrôler leurs selles. Il est conçu afin d’aider l’enfant à être « socialement propre » à l’aide de lavements, ce qui lui permet de porter des sous-vêtements et de ne pas souiller ses vêtements.</p><p>Différentes raisons peuvent expliquer qu’un enfant contrôle mal son intestin. Certains enfants sont nés avec un trouble tel qu’une <a href="/Article?contentid=959&language=French">malformation anorectale</a> ou un <a href="/Article?contentid=848&language=French">spina-bifida</a> qui rend difficile le contrôle intestinal. D’autres peuvent manifester des problèmes de contrôle intestinal un peu plus tard, par exemple s’ils ont subi un traumatisme.</p><h2>À retenir</h2><ul><li>Un programme de gestion intestinale utilise le lavement afin d’aider votre enfant à gérer ses selles lorsqu’il éprouve des difficultés à contrôler son intestin en raison d’un problème médical.</li><li>Le programme est conçu afin que l’intestin demeure propre de 24 à 48 heures et que l’enfant reste « socialement propre » et qu’il ne souille pas ses vêtements entre les lavements.</li><li>Il existe deux principaux types de lavements : l’irrigation colique rétrograde et l’irrigation colique antérograde.</li><li>Vous aurez avec le chirurgien de votre enfant de fréquentes discussions concernant l’option de gestion intestinale la plus appropriée pour lui.</li></ul><h2>But d'un programme de gestion intestinale</h2><p>Le but d'un programme de gestion intestinale est de garder l'intestin vide pendant 24 à 48 heures. Si l'intestin est vide, l'enfant ne devrait pas avoir de souillures fécales entre les lavements.</p><p>La longueur d'un programme de gestion intestinale dépend des besoins de chaque enfant. Pour la majorité des enfants, il faudra suivre ce programme pour le reste de leur vie pour rester « socialement propre ».</p><h2>Bienfaits d'un programme de gestion intestinale</h2><p>Un programme de gestion intestinale peut aider votre enfant à se sentir plus confiant et le permettra de participer aux mêmes activités que d'autres enfants de son âge, incluant la natation, l'enseignement et les sorties en famille. Les familles peuvent en profiter aussi : un meilleur contrôle intestinal réduit les inquiétudes de la famille concernant les souillures fécales à l'extérieur de la maison.</p><h2>Comment fonctionne un programme de gestion intestinale?</h2><p>On nettoie l’intestin par un lavement chaque jour ou un jour sur deux. Le lavement est composé d’une solution saline (un mélange de sel et d’eau) qui est purgée dans l’intestin afin d’évacuer les selles.</p><p>Il existe deux principaux types de lavements :</p><ul><li>l’irrigation colique rétrograde;</li><li>l’irrigation colique antérograde.</li></ul><h3>L’irrigation colique rétrograde</h3><p>On administre l’irrigation colique rétrograde (lavement) en passant un tube souple par l’anus de votre enfant afin que le liquide puisse être purgé dans son intestin.</p><table class="akh-table"><thead><tr><th>Bienfaits de l’irrigation colique rétrograde</th><th>Problèmes rencontrés avec l’irrigation colique rétrograde</th></tr></thead><tbody><tr><td>Votre enfant contrôlera mieux les souillures fécales.<br></td><td>L’irrigation colique rétrograde est plus invasive que l’irrigation colique antérograde (voir plus bas).</td></tr><tr><td>Il n’aura pas besoin d’anesthésie, d’intervention chirurgicale ou de radiographie avant de commencer les lavements.</td><td>Votre enfant ne peut habituellement pas pratiquer une irrigation colique rétrograde par lui-même. Il aura besoin de l’aide d’une autre personne. Il en découle une perte d’intimité qui deviendra possiblement plus difficile pour lui à mesure qu’il grandira.</td></tr><tr><td></td><td>Votre enfant pourrait tout de même subir des fuites fécales.</td></tr></tbody></table><h3>L’irrigation colique antérograde</h3><p>Une <a href="/Article?contentid=983&language=French">irrigation colique antérograde</a> est administrée par un passage spécialement créé entre l’abdomen et l’intestin de votre enfant. Ce passage peut être créé par :</p><ul><li>une appendicostomie;</li><li>une cæcostomie.</li></ul><p>Chaque option implique la formation d’une stomie (un orifice) sur l’abdomen de votre enfant afin de permettre l’insertion d’une sonde pour le lavement.</p><table class="akh-table"><thead><tr><th>Bienfaits de l’irrigation colique antérograde au moyen d’une appendicostomie</th><th>Problèmes rencontrés avec l’irrigation colique antérograde au moyen d’une appendicostomie</th></tr></thead><tbody><tr><td>Votre enfant contrôlera mieux les souillures fécales.</td><td>La stomie peut se rétrécir et possiblement s’obstruer (phénomène appelé sténose de la stomie).</td></tr><tr><td>Il contrôlera mieux la gestion de ses selles et sera plus indépendant dès son jeune âge.</td><td>Le passage peut s’infecter.</td></tr><tr><td></td><td>La stomie peut produire du mucus.</td></tr><tr><td></td><td>Votre enfant pourrait tout de même subir des fuites fécales.</td></tr><tr><td></td><td>L’intervention chirurgicale servant à créer le passage pour le lavement pourrait créer un nœud dans son intestin, ce qui pourrait causer un blocage des selles.</td></tr><tr><td></td><td>Lorsque votre enfant grandira, il pourrait avoir besoin d’une sonde plus grande afin de procéder au lavement. Cette nouvelle sonde pourrait être d’un diamètre plus grand que le passage, de telle sorte que votre enfant pourrait nécessiter d’autres interventions chirurgicales afin d’élargir ce passage.</td></tr></tbody></table> <table class="akh-table"><thead><tr><th>Bienfaits de l’irrigation colique antérograde au moyen d’une cæcostomie</th><th>Problèmes rencontrés avec une irrigation colique antérograde au moyen d’une cæcostomie</th></tr></thead><tbody><tr><td>Votre enfant contrôlera mieux les souillures fécales.</td><td>Votre enfant pourrait tout de même subir des fuites fécales.</td></tr><tr><td>Il contrôlera mieux la gestion de ses selles et sera plus indépendant dès son jeune âge.</td><td>Des tissus de granulation (une peau rouge et bosselée qui peut saigner et suinter) peuvent se former autour du site de la stomie et un traitement est nécessaire pour la soigner.</td></tr><tr><td></td><td>La stomie peut produire du mucus.</td></tr><tr><td></td><td>La sonde peut être arrachée.</td></tr><tr><td></td><td>Elle doit être changée chaque année.</td></tr></tbody></table><h2>Comment choisir l’option de gestion intestinale la plus appropriée?</h2><p>Le chirurgien de votre enfant vous expliquera chaque option de gestion intestinale. Ensemble, vous déciderez du traitement qui est le plus approprié pour votre enfant en fonction de son état de santé actuel et de ses besoins à long terme.</p><h2>Sources</h2><p>American Pediatric Surgical Nurses Association.<a href="http://www.apsna.org/resource/resmgr/teaching_materials/bowel_management.doc"> <em>Bowel Management Program Teaching Sheet</em></a>.</p><p>Centre médical de l'Hôpital pour enfants de Cincinnati. <em> <a href="http://www.cincinnatichildrens.org/service/c/colorectal/treatments/bowel-management/">Bowel Management Program</a></em>.</p>

 

 

 

 

Bowel management program for fecal incontinence1263.00000000000Bowel management program for fecal incontinenceBowel management program for fecal incontinenceBEnglishGastrointestinalPreschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)Large Intestine/Colon;RectumLarge intestine;RectumNon-drug treatmentCaregivers Adult (19+)NA2014-09-19T04:00:00Z8.4000000000000060.1000000000000821.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Find out how a bowel management program can help keep your child clean if they have problems controlling their bowel movements.</p><h2>What is a bowel management program?</h2><p>A bowel management program is a treatment for children who have problems controlling their bowel movements. It is designed to help a child keep "socially clean" using an enema so that they can wear underwear and not soil their clothes.</p><p>A child can have problems controlling their bowel for different reasons. Some children are born with conditions such as <a href="/Article?contentid=959&language=English">anorectal malformation</a> or <a href="/Article?contentid=848&language=English">spina bifida</a> that make bowel control difficult. Others might develop problems with bowel control later in life, for example if they are experiencing trauma.</p> <br><h2>Key points</h2> <ul> <li>A bowel management program uses an enema to help manage your child's bowel movements when a medical condition causes them to have poor bowel control.</li> <li>The program is designed to keep the bowel clean for 24 to 48 hours so the child can stay "socially clean" and not soil their clothes between enemas.</li> <li>There are two main types of enema: retrograde enema and antegrade continence enema.</li> <li>You will have regular discussions with your child's surgeon about the bowel management option that is best for your child.</li> </ul><h2>Goal of a bowel management program</h2> <p>The goal of a bowel management program is to keep the bowel empty for 24 to 48 hours. If the bowel is empty, a child should not have fecal soiling between enemas.</p> <p>The length of the bowel management program depends on each child's needs. For many children, this will be a program that they need to follow for the rest of their lives so that they can stay "socially clean".</p> <h2>Benefits of a bowel management program</h2> <p>A bowel management program can help your child feel more confident and allow them to take part in the same activities as other children their age, including swimming, schooling and family outings. Families can benefit too: improved continence reduces family stress about fecal soiling outside the home.</p><h2>How a bowel management program works</h2> <p>The bowel is cleaned with an enema every day or every other day. The enema contains a saline solution (mix of salt and water) that is poured into the bowel to flush out stool.</p> <p>There are two main types of enema:</p> <ul> <li>retrograde enema</li> <li>antegrade continence enema</li> </ul> <h3>Retrograde enema</h3> <p>A retrograde enema is given by passing a soft tube through your child's anus so that the liquid can be flushed into your child's bowel.</p> <table class="akh-table"> <thead> <tr><th>Benefits of retrograde enemas</th><th>Problems with retrograde enemas</th></tr> </thead> <tbody> <tr> <td>Your child will have more control over fecal soiling.<br></td> <td>The enema is more invasive than an antegrade continence enema (see below).</td> </tr> <tr> <td>Your child will not need any anaesthetic, surgery or X-rays before enemas can start.</td> <td>Your child will normally need someone to perform a retrograde enema for them. This results in a loss of privacy that is likely to be more difficult for your child as they get older.</td> </tr> <tr> <td> </td> <td>Your child may still leak stool.</td> </tr> </tbody> </table> <h3> Antegrade continence enema</h3> <p>An <a href="/Article?contentid=983&language=English">antegrade continence enema</a> (ACE) is given through a specially-created passage between your child's abdomen and intestine. This passage can be made by either:</p> <ul> <li>an appendicostomy</li> <li>a cecostomy<br></li> </ul> <p>Each option involves creating a stoma (opening) on your child's abdomen to allow a tube to be inserted for the enema.</p> <table class="akh-table"> <thead> <tr><th>Benefits of ACE through an appendicostomy</th><th>Problems with ACE through an appendicostomy</th></tr> </thead> <tbody> <tr> <td>Your child will have more control over fecal soiling.</td> <td>The stoma may narrow or possibly become blocked (known as stoma stenosis).</td> </tr> <tr> <td>Your child will have more control and independence in managing their bowel movements from an early age.</td> <td>The passage may become infected.</td> </tr> <tr> <td> </td> <td>The stoma may produce mucus.</td> </tr> <tr> <td> </td> <td>Your child might still leak stool.</td> </tr> <tr> <td> </td> <td>The surgery to create the passage for the enema might cause a kink in your child's bowel. This could cause feces to become blocked.</td> </tr> <tr> <td> </td> <td>As your child grows, they may need a larger tube for the enema. This tube may be too big for the passage, so your child might need more surgery to make the passage larger.</td> </tr> </tbody> </table> <table class="akh-table"> <thead> <tr><th>Benefits of ACE through a cecostomy</th><th>Problems with ACE through a cecostomy</th></tr> </thead> <tbody> <tr> <td>Your child will have more control over fecal soiling.</td> <td>Your child might still leak stool.</td> </tr> <tr> <td>Your child will have more control and independence in managing their bowel movements from an early age.</td> <td>Your child may develop granulation tissue (red, bumpy skin that can bleed and ooze) around the tube site and need treatment to ease it.</td> </tr> <tr> <td> </td> <td>The stoma may produce mucus.</td> </tr> <tr> <td> </td> <td>The tube may be pulled out.</td> </tr> <tr> <td> </td> <td>The tube must be changed every year.</td> </tr> </tbody> </table> <h2>How to choose the right bowel management option</h2> <p>Your child's surgeon will explain each bowel management option to you. Together, you and the surgeon will decide which treatment is best for your child based on their current medical condition and long-term needs.</p><h2>Sources<br></h2><p>American Pediatric Surgical Nurses Association. <a href="http://www.apsna.org/resource/resmgr/teaching_materials/bowel_management.doc"> <em>Bowel Management Program Teaching Sheet</em></a>.</p><p>Cincinnati Children's Hospital Medical Center. <em> <a href="http://www.cincinnatichildrens.org/service/c/colorectal/treatments/bowel-management/">Bowel Management Program</a></em>.</p>https://assets.aboutkidshealth.ca/AKHAssets/bowel_management_program.jpgBowel management program for fecal incontinenceFalse