Fecal Incontinence and Constipation in Children : Case Studies (Hardcover)

Section 1 Introduction 1 General Guidelines for Bowel management 2 Bowel management Program Basics Section 2 Anorectal malformations 3.Good surgical anatomy with good potential 4 Good surgical anatomy with fair potential 5 Good surgical anatomy with poor potential 6 Urologic collaboration Section 3 Hirschsprung disease 8 Good surgical anatomy with hypermotility 9 Good surgical anatomy with hypomotility 10 Poor anatomy with hypermotility 11Poor anatomy with hypomotility 12 total colonic Hirschsprung disease Section 4 Spinal anomalies (spina bifida) 14 Sacral nerve stimulator candidate 15 Patient with a poor sacrum 16 Patient with a poor spine 17 Urologic collaboration Section 5 Functional Constipation 19 Baseline constipation 20 Failure of medical management (5 groups) i. Failure to thrive, young patient, diffuse colonic dysmotility ii. Sphincter achalasia, severe withholding iii. Constipation with fecal impaction, no soiling iv. Constipation with fecal impaction, soiling v. Success with rectal enemas but unable to tolerate rectal administration vi. Failure with cecostomy/rectal enemas, failure following colonic resection/antegrade flushes Section 6 Myths Section 7 Medication Protocols