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01-12-2023 | Spina Bifida | Original Article

Identifying predictive factors for bowel control in patients with spina bifida and spinal cord injuries

Authors: Alfredo Domínguez-Muñoz, Luis De La Torre, Karla Santos-Jasso, Lauren Schneider, Anne Merritt, Maura Wickham, Jill Ketzer, Victor Rodriguez, Alberto Peña, Andrea Bischoff

Published in: Pediatric Surgery International | Issue 1/2023

Abstract

Purpose

This study aimed to assess our bowel management program (BMP) and identify predictive factors for bowel control in patients with Spina Bifida (SB) and Spinal Cord Injuries (SCI). Additionally, in patients with SB, we examined the impact of fetal repair (FRG) on bowel control.

Methods

We included all patients with SB and SCI seen in the Multidisciplinary Spinal Defects Clinic at Children’s Hospital Colorado from 2020 to 2023.

Results

336 patients included. Fecal incontinence was present in 70% and bowel control in 30%. All patients with urinary control also had bowel control. Fecal incontinence prevalence was higher in patients with ventriculoperitoneal (VP) shunt (84%), urinary incontinence (82%), and wheelchair users (79%) compared to those who did not need a VP shunt (56%), had urinary continence (0%) and non-wheelchair users (52%), respectively (p = < 0.001 in all three scenarios). After completing BMP, 90% remained clean for stool. There was no statistical significance when comparing bowel control in FRG with non-fetal repair group.

Conclusions

Urinary continence predicts bowel control in patients with SB and SCI. Risk factors for fecal incontinence were the need for a VP shunt, urinary incontinence, and wheelchair usage. We did not find any positive impact of fetal repair on bowel and urinary control.

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Title: Identifying predictive factors for bowel control in patients with spina bifida and spinal cord injuries
Authors: Alfredo Domínguez-Muñoz
Luis De La Torre
Karla Santos-Jasso
Lauren Schneider
Anne Merritt
Maura Wickham
Jill Ketzer
Victor Rodriguez
Alberto Peña
Andrea Bischoff
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Spina Bifida
Spina Bifida
Fecal Incontinence
Urinary Incontinence
Urinary Incontinence
Published in: Pediatric Surgery International / Issue 1/2023
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05509-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Identifying predictive factors for bowel control in patients with spina bifida and spinal cord injuries

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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