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

Babahajian, Asrin and Shamseddin, Jebreil and Sarveazad, Arash and Yousefifard, Mahmoud (2019) Efficacy of Enema via Cecostomy for Fecal Disorders in Children: A Systematic Review and Meta-Analysis. International Journal of Pediatrics, 7 (5). pp. 9429-9441.

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 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. Â

Item Type: Article
Uncontrolled Keywords: Antegrade Colonic Enema,Constipation,Fecal Incontinence,Pediatrics
Subjects: WS Pediatrics
QY Clinical Pathology
Divisions: Journals > International J Pediatrics
Depositing User: IJP IJP
Date Deposited: 03 Oct 2019 11:13
Last Modified: 03 Oct 2019 11:13
URI: http://eprints.mums.ac.ir/id/eprint/12162

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