https://doi.org/10.4081/pmc.2021.250

Transanal irrigation (TAI) in the paediatric population: Literature review and consensus of an Italian multicentre working group

Vol. 43 No. 1 (2021)
Submitted: 5 January 2021
Accepted: 20 April 2021
Published: 7 May 2021
Transanal irrigation, constipation, incontinence, bowel management
Abstract Views: 2934
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Authors

Enrica Caponcelli
https://orcid.org/0000-0001-6970-9286
Pediatric Surgery, Policlinico of Modena, Italy.
Milena Meroni
Pediatric Surgery, Bambini Vittore Buzzi Hospital, Milan, Italy.
Giulia Brisighelli
https://orcid.org/0000-0002-5449-7820
Department Paediatric Surgery, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa.
Claudia Rendeli
Department of Women’s, children’s and public health Studies, Foundation Policlinico Universitario Agostino Gemelli, IRCCS, Italy.
Emanuele Ausili
Department of Women’s, children’s and public health Studies, Foundation Policlinico Universitario Agostino Gemelli, IRCCS, Italy.
Piergiorgio Gamba
Pediatric Surgery, University of Padua, Padua, Italy.
Antonio Marte
https://orcid.org/0000-0001-7630-8755
Pediatric Surgery, Luigi Vanvitelli, University o Campania Luigi Vanvitelli, Naples, Italy.
Barbara Daniela Iacobelli
https://orcid.org/0000-0002-6921-5830
Neuro-urology unit, spina bifida center and Neonatal Surgery Unit, Department of Medical and Surgical Neonatology, Bambino Gesù Children’s Hospital, IRCCS, Rome, Italy.
Laura Lombardi
Pediatric Surgery, Nuovo Ospedale del bambino “P. Barilla”, Maggiore Hospital, Parma, Italy.
Ernesto Leva
Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Paola Midrio
paola.midrio1@outlook.it
https://orcid.org/0000-0003-4543-9298
Pediatric Surgery, Ca' Foncello Hospital, Treviso, Italy.

Constipation and fecal incontinence in pediatric patients are conditions due to either functional or organic bowel dysfunction and may represent a challenging situation both for parents, pediatricians, and pediatric surgeons. Different treatments have been proposed throughout the past decades with partial and alternant results and, among all proposed techniques, in the adult population the Transanal Irrigation (TAI) has become popular. However, little is known about its efficacy in children. Therefore, a group of Italian pediatric surgeons from different centers, all experts in bowel management, performed a literature review and discussed the best-practice for the use of TAI in the pediatric population. This article suggests some tips, such as the careful patients’ selection, a structured training with expert in pediatric colorectal diseases, and a continuous follow-up, that are considered crucial for the full success of treatment.

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How to Cite

Caponcelli, E., Meroni, M., Brisighelli, G., Rendeli, C., Ausili, E., Gamba, P., … Midrio, P. (2021). Transanal irrigation (TAI) in the paediatric population: Literature review and consensus of an Italian multicentre working group. La Pediatria Medica E Chirurgica, 43(1). https://doi.org/10.4081/pmc.2021.250
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