Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jul-Aug;99(4):322-334.
doi: 10.1016/j.jped.2023.02.001. Epub 2023 Feb 24.

Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review

Thayane de Souza Xavier  1 , Lenamaris Mendes Rocha Duarte  2 , Gisele Martins  3
Affiliations

Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review

Thayane de Souza Xavier et al. J Pediatr (Rio J). 2023 Jul-Aug.

Abstract

Objective: To map available scientific evidence about the pediatric population with spina bifida submitted to transanal irrigation to manage signs and symptoms of neurogenic bowel.

Source of data: This research was developed according to recommendations from the Joanna Briggs Institute Reviewers' Manual and the PRISMA Extension for Scoping Reviews. Searches were carried out in the databases: CINAHL, Medline/Pubmed, Scielo, Scopus, Web of Science, Embase, LILACS, Proquest, and the CAPES catalog of theses and dissertations. Quantitative and qualitative studies on the topic were included, as long as they dealt with this population. There was no predetermined time frame.

Summary of the findings: The authors found 1.020 studies, selected 130 for close reading, and included 23 in the review, all of which had been published from 1989 to 2021. The authors mapped the characteristics of the studies, including their definitions of concepts and use of scales, criteria for the indication of transanal irrigation, training to carry out the procedure, devices and solutions used, number and frequency of transanal irrigations, health care actions, time spent, associated complications, complementary exams, adherence rate, follow-up, and outcomes, focusing on the benefits for bowel management.

Conclusions: Despite the variability of evaluation parameters and term definitions, evidence suggests that transanal irrigation is a safe and effective method to manage fecal incontinence. Studies in the field are likely to grow, using standardized scales and longitudinal follow-ups. The authors suggest further research on transanal irrigation in the pediatric population with spina bifida in the Latin American context.

Keywords: Enema; Fecal incontinence; Neurogenic bowel; Spina bifida; Transanal irrigation.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Article selection flowchart. Source: Elaborated by the authors according with the PRISMA flowchart.
Figure 2
Figure 2
Map of care related with neurogenic bowel management using TAI. * 120 cm above the hip or 30 cm above the shoulder.
See this image and copyright information in PMC

References

    1. Rocque BG, Bishop ER, Scogin MA, Hopson BD, Arynchyna AA, Boddiford CJ, et al. Assessing health-related quality of life in children with spina bifida. J Neurosurg Pediatr. 2015;15:144–149. - PubMed
    1. Gaitanis J, Tarui T. Nervous system malformations. Continuum (Minneap Minn) 2018;24:72–95. - PMC - PubMed
    1. Bowman RM. Myelomeningocele (spina bifida): Anatomy, clinical manifestations, and complications. UptoDate. 2022. [Cited 14 Sept. 2022]. Available from:https://www.uptodate.com/contents/myelomeningocele-spina-bifida-anatomy-....
    1. Campos JR, Souto JV, Machado LC. Estudo epidemiológico de nascidos vivos com espinha bífida no Brasil. Brazilian J Health Rev. 2021;4:9693–9700.
    1. Brochard C, Peyronnet B, Dariel A, Ménard H, Manunta A, Ropert A, et al. Bowel dysfunction related to spina bifida: keep it simple. Dis Colon Rectum. 2017;60:1209–1214. - PubMed

Publication types

MeSH terms