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

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...

Full description

Bibliographic Details
Main Authors: Thayane de Souza Xavier, Lenamaris Mendes Rocha Duarte, Gisele Martins
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Jornal de Pediatria
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0021755723000177
_version_ 1797776716323618816
author Thayane de Souza Xavier
Lenamaris Mendes Rocha Duarte
Gisele Martins
author_facet Thayane de Souza Xavier
Lenamaris Mendes Rocha Duarte
Gisele Martins
author_sort Thayane de Souza Xavier
collection DOAJ
description 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.
first_indexed 2024-03-12T22:53:51Z
format Article
id doaj.art-48a73485894844e19254d5c82335fd45
institution Directory Open Access Journal
issn 0021-7557
language English
last_indexed 2024-03-12T22:53:51Z
publishDate 2023-07-01
publisher Elsevier
record_format Article
series Jornal de Pediatria
spelling doaj.art-48a73485894844e19254d5c82335fd452023-07-20T04:37:27ZengElsevierJornal de Pediatria0021-75572023-07-01994322334Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping reviewThayane de Souza Xavier0Lenamaris Mendes Rocha Duarte1Gisele Martins2Universidade de Brasília (UnB), Faculdade de Ciências da Saúde, Departamento de Enfermagem, Brasília/DF, Brasil; Rede SARAH de Hospitais de Reabilitação, Programa de Reabilitação Infantil, Brasília/DF, Brasil; Corresponding author.Rede SARAH de Hospitais de Reabilitação, Departamento de Pediatria e Escola Superior de Ciências da Saúde (ESCS), Brasília/DF, BrasilUniversidade de Brasília (UnB), Faculdade de Ciências da Saúde, Departamento de Enfermagem, Brasília/DF, BrasilObjective: 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.http://www.sciencedirect.com/science/article/pii/S0021755723000177Spina bifidaFecal incontinenceNeurogenic bowelEnemaTransanal irrigation
spellingShingle Thayane de Souza Xavier
Lenamaris Mendes Rocha Duarte
Gisele Martins
Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review
Jornal de Pediatria
Spina bifida
Fecal incontinence
Neurogenic bowel
Enema
Transanal irrigation
title Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review
title_full Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review
title_fullStr Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review
title_full_unstemmed Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review
title_short Transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida: a scoping review
title_sort transanal irrigation to manage neurogenic bowel in the pediatric population with spina bifida a scoping review
topic Spina bifida
Fecal incontinence
Neurogenic bowel
Enema
Transanal irrigation
url http://www.sciencedirect.com/science/article/pii/S0021755723000177
work_keys_str_mv AT thayanedesouzaxavier transanalirrigationtomanageneurogenicbowelinthepediatricpopulationwithspinabifidaascopingreview
AT lenamarismendesrochaduarte transanalirrigationtomanageneurogenicbowelinthepediatricpopulationwithspinabifidaascopingreview
AT giselemartins transanalirrigationtomanageneurogenicbowelinthepediatricpopulationwithspinabifidaascopingreview