In:
Pediatrics, American Academy of Pediatrics (AAP), Vol. 49, No. 6 ( 1972-06-01), p. 888-893
Kurzfassung:
Anorectal manometry was used to physiologically assess the anorectal sphincteric reflexes in 38 children with neurologic fecal incontinence. There was a normal relaxation of the smooth muscle internal sphincter, and absent or impaired contraction of the striated muscle external sphincter, supporting the concept that the external sphincter is responsible for continence. Daily evacuation regimens were instituted to utilize the resting tone of the internal sphincter and avoid overfilling of the rectum and inadvertant accidents. From a status of constant soiling and staining, socially acceptable continence has been attained. Half of the children are always clean, and the rest have minor staining; one-third have learned regular bowel habits, and no longer require assistance. Colostomy was not needed. The difference in age between those children no longer requiring assistance (3.3 years), and those who still need daily assisted evacuation (6.5 years) suggests that bowel training regimens should be started early in children with neurologic incontinence.
Materialart:
Online-Ressource
ISSN:
0031-4005
,
1098-4275
DOI:
10.1542/peds.49.6.888
Sprache:
Englisch
Verlag:
American Academy of Pediatrics (AAP)
Publikationsdatum:
1972
ZDB Id:
1477004-0
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