Efficacy of Enema via Cecostomy for Fecal Disorders in Children: A Systematic Review and Meta-Analysis

  • سال انتشار: 1398
  • محل انتشار: مجله بین المللی کودکان، دوره: 7، شماره: 5
  • کد COI اختصاصی: JR_INJPM-7-5_010
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 516
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نویسندگان

Asrin Babahajian

Liver and Digestive Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Jebreil Shamseddin

Infectious and Tropical Diseases Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

Arash Sarveazad

Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran.

Mahmoud Yousefifard

Physiology Research Center, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.

چکیده

  Background   Some controversy exists about the role of cecostomy in the management of fecal disorders. The present meta-analysis aims provide a comprehensive evaluation on the role of cecostomy on management of fecal incontinence and constipation in children.   Materials and Methods   An extensive search was performed on the Medline, Embase, Scopus, and Web of Science until July 2017. Two independent researchers screened the title and abstracts of the studies and then relevant studies were included. Finally, pooled effect size was presented as standardized mean difference (SMD) or pooled prevalence with 95% confidence interval (95% CI).   Results   14 articles were entered (740 children). The success rate of cecostomy in management of fecal disorders was 90.6% (success rate=90.6%; 95% CI: 86.4 to 94.2). The most common side effects of this technique include granulation tissue formation (29.6%), cecostomy tube leakage (8.5%), tube dislodgement (7.0%), and tube site infection (2.3%).   Conclusion   The results of the present meta-analysis show that the cecostomy is safe and an effective technique in the management of fecal disorder in children. However, the findings presented on the eligible articles have have shown a low level of evidence and it is suggested that clinical trials should be conducted in this field.  

کلیدواژه ها

Antegrade Colonic Enema, Constipation, Fecal Incontinence, Pediatrics

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