Transanal irrigation

Transanal irrigation (TAI, also termed retrograde irrigation)[nb 1] of the rectum and colon is designed to assist the evacuation of feces from the bowel by introducing water into these compartments via the anus.[1]

It is a treatment for persons with bowel dysfunction, including fecal incontinence and/or constipation (especially obstructed defecation). The impact of transanal irrigation varies considerably. Some individuals experience complete control of incontinence, and other report little or no benefit.[1] Evidence show this treatment may be considered for children as well.[2]

When diet and medication has proven ineffective, transanal irrigation is used.[1][3]

Advantages and disadvantages

Possible advantages:

Possible disadvantages:

Notes

  1. The term retrograde irrigation distinguishes this procedure from the Malone antegrade continence enema, where irrigation fluid is introduced into the colon proximal to the anus via a surgically created irrigation port

References

  1. 1 2 3 4 Emmanuel, A V; Krogh, K; Bazzocchi, G; Leroi, A-M; Bremers, A; Leder, D; van Kuppevelt, D; Mosiello, G; Vogel, M; Perrouin-Verbe, B; Coggrave, M; Christensen, P (20 August 2013). "Consensus review of best practice of transanal irrigation in adults" (PDF). Spinal Cord 51 (10): 732–738. doi:10.1038/sc.2013.86. PMID 23958927.
  2. Corbett, P V; Denny, A; Dick, K; Malone, PS; Griffin, S; Stanton, MP (April 2014). "Peristeen integrated transanal irrigation system treats feacel incontinence in children". Pediatric urology 10 (2): 219–22. doi:10.1016/j.jpurol.2013.08.006. PMID 24439630.
  3. (UK), National Collaborating Centre for Acute Care (2007). Faecal incontinence the management of faecal incontinence in adults. London: National Collaborating Centre for Acute Care (UK). ISBN 0-9549760-4-5.
  4. Colonic emptying after transanal irrigation Bazzocchi G, Poletti E, Pillastrini
  5. Christensen, P; Krogh, K; Buntzen, S; Payandeh, F; Laurberg, S (Feb 2009). "Long-term outcome and safety of transanal irrigation for constipation and fecal incontinence.". Diseases of the colon and rectum 52 (2): 286–92. doi:10.1007/DCR.0b013e3181979341. PMID 19279425.
  6. Christensen, P; Olsen, N; Krogh, K; Bacher, T; Laurberg, S (Jan 2003). "Scintigraphic assessment of retrograde colonic washout in fecal incontinence and constipation.". Diseases of the colon and rectum 46 (1): 68–76. doi:10.1097/01.DCR.0000038104.66269.99. PMID 12544524.
  7. Bruce G. Wolff et al., eds. (2007). The ASCRS textbook of colon and rectal surgery. New York: Springer. pp. 653–664. ISBN 0-387-24846-3.
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