{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T11:10:11Z","timestamp":1752232211396,"version":"3.41.2"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"04","funder":[{"name":"Stichting Hartwig Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Aim of the Study\u2003To assess the incidence and types of complications and patient-reported outcomes in pediatric patients with therapy-resistant constipation or fecal incontinence (FI) without constipation who underwent Chait Trapdoor\u2122 cecostomy (CTC). The findings contribute to the discussion on selecting the optimal antegrade continence (ACE) procedure for this population.<\/jats:p><jats:p>\n               Materials and Methods\u2003A retrospective review was conducted on all pediatric patients with therapy-resistant constipation or FI without constipation who underwent a CTC procedure at our tertiary referral center between 2009 and 2023. Postoperative complications were classified using the Clavien-Madadi classification. At their most recent follow-up in 2023, patients reported satisfaction with their CTC.<\/jats:p><jats:p>\n               Results\u2003The study included 62 children (median age 12 years [IQR 8\u201314; range 1\u201317], 42% male), with a median follow-up of 4 years (IQR 2\u20138, range 0\u201314). Underlying diagnoses were functional constipation (n\u2009=\u200939, 63%), spina bifida (n\u2009=\u200911, 18%), and anorectal malformations (n\u2009=\u20095, 8%). A total of 49\/62 patients (79%) experienced 89 CTC-related complications. Minor complications (Clavien-Madadi I\u2013II) affected 29 patients (47%) and most commonly included granulation. Major complications (Clavien-Madadi III\u2013IV) requiring surgery occurred in 32% of patients. Despite these complications, 40\/62 (65%) patients reported satisfaction with their CTC, as determined by partial or complete symptom resolution.<\/jats:p><jats:p>\n               Conclusions\u2003Although complications were common, 65% of the patients reported satisfaction with their CTC. These findings emphasize the need for thorough patient selection, informed counseling on potential risks, and individualized management strategies to enhance outcomes.<\/jats:p>","DOI":"10.1055\/a-2511-9184","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T19:34:52Z","timestamp":1736451292000},"page":"286-294","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes and Complications of Chait Trapdoor Cecostomy in Pediatric Patients with Therapy-Resistant Constipation and Fecal Incontinence: A 14-Year Retrospective Study"],"prefix":"10.1055","volume":"35","author":[{"given":"Charlotte Anne Louise","family":"Jonker","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands"},{"name":"Department of Pediatric Gastroenterology and Nutrition, Amsterdam UMC Locatie AMC, Amsterdam, Noord-Holland, The Netherlands"},{"name":"Amsterdam UMC, Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands"},{"name":"Amsterdam UMC, University of Amsterdam, Amsterdam Reproduction and Development Research Institute, Meibergdreef 9, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilan","family":"Koppen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology and Nutrition, Amsterdam UMC Locatie AMC, Amsterdam, Noord-Holland, The Netherlands"},{"name":"Amsterdam UMC, Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc A.","family":"Benninga","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology and Nutrition, Amsterdam UMC Locatie AMC, Amsterdam, Noord-Holland, The Netherlands"},{"name":"Amsterdam UMC, Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin R. de","family":"Jong","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramon","family":"Gorter","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands"},{"name":"Amsterdam UMC, Gastroenterology and Hepatology, Amsterdam Gastroenterology Endocrinology Metabolism, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands"},{"name":"Amsterdam UMC, University of Amsterdam, Amsterdam Reproduction and Development Research Institute, Meibergdreef 9, Amsterdam, The 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