کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4162153 1274271 2016 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Management of functional nonretentive fecal incontinence in children: Recommendations from the International Children's Continence Society
ترجمه فارسی عنوان
مدیریت بی اختیاری مدفوع غیرطبیعی در کودکان: توصیه های انجمن بین المللی کودکان قاچاق کودکان
کلمات کلیدی
بی اختیاری مدفوع، غیر قابل تحمل خاک رس انکوپریز
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

SummaryBackgroundFecal incontinence (FI) in children is frequently encountered in pediatric practice, and often occurs in combination with urinary incontinence. In most cases, FI is constipation-associated, but in 20% of children presenting with FI, no constipation or other underlying cause can be found – these children suffer from functional nonretentive fecal incontinence (FNRFI).ObjectiveTo summarize the evidence-based recommendations of the International Children's Continence Society for the evaluation and management of children with FNRFI.RecommendationsFunctional nonretentive fecal incontinence is a clinical diagnosis based on medical history and physical examination. Except for determining colonic transit time, additional investigations are seldom indicated in the workup of FNRFI. Treatment should consist of education, a nonaccusatory approach, and a toileting program encompassing a daily bowel diary and a reward system. Special attention should be paid to psychosocial or behavioral problems, since these frequently occur in affected children. Functional nonretentive fecal incontinence is often difficult to treat, requiring prolonged therapies with incremental improvement on treatment and frequent relapses.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 12, Issue 1, February 2016, Pages 56–64
نویسندگان
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