{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:40:18Z","timestamp":1787031618192,"version":"build-2736575974"},"reference-count":15,"publisher":"Universa BV","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AGEB"],"published-print":{"date-parts":[[2021,6]]},"abstract":"Background and study aims: Transanal irrigation (TAI) is used in children to treat constipation and incontinence. Belgium has 2 systems available: Colotip\u00ae (cheaper, however not designed for TAI) or Peristeen\u00ae.\n\nPatients and methods: This patient-control switch study is the first to compare 2 TAI systems. Children regularly using Colotip\u00ae for TAI were asked to participate, after consent, a visual analogue scale (VAS) rating the system and a 2-week diary (fecal continence, self-reliance, time spent on the toilet, pain, Bristol stool scale, irrigation volume and frequency of enema) were completed. Non-parametric statistics were used.\n\nResults: Out of 26 children using Colotip\u00ae, 18 (69%) children participated and 5 refused (fear n=1, satisfaction Colotip\u00ae system n=7). Of these 18 children (interquartile range: 3-18 years, median 12.5 years, 9 girls) 5 patients stopped Peristeen\u00ae (pain n=1, fear n=1 and balloon loss n=3) and 2 were lost from follow up. Dropouts and included patients showed no statistical difference. In the 11 remaining patients, pseudo-continence (p 0.015), independence (p 0.01) and VAS score (p 0.007) were significantly better with Peristeen\u00ae, no difference was found in time spent on the toilet (p 0.288) and presence of pain (p 0.785).\n\nConclusions: In children Peristeen\u00ae offered significantly higher pseudo-continence and independency. 30% refused participation because of satisfaction with the Colotip\u00ae and 30% spina bifida patients reported rectal balloon loss due to sphincter hypotony. To diminish Peristeen\u00ae failure, a test-catheter could be of value. Considering Colotip\u00ae satisfaction, both systems should be available. Patient selection for Peristeen\u00ae needs further research.<\/jats:p>","DOI":"10.51821\/84.2.295","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T20:01:29Z","timestamp":1627588889000},"page":"295-298","source":"Crossref","is-referenced-by-count":3,"title":["Prospective switch study comparing two irrigation systems for transanal irrigation in children"],"prefix":"10.51821","volume":"84","author":[{"given":"K","family":"Van Renterghem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Sladkov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Matthyssens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Van de Putte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Pattyn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Van Biervliet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia","family":"Vande Velde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2021,6]]},"reference":[{"key":"ref0","unstructured":"VANDE VELDE S., VAN RENTERGHEM K., VAN WINCKEL M., DE BRUYNE R., VAN BIERVLIET S. Constipation and fecal incontinence in children with cerebral palsy. Overview of literature and flowchart for a stepwise approach. Acta Gastroenterol. Belg., 2018, 81 : 415-418."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"SHANDLING B., GILMOUR R.F. The enema continence catheter in spina bifida : a successful bowel management. J. Ped. Surg., 1987, 22(3) : 271-273.","DOI":"10.1016\/s0022-3468(87)80345-7"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"VANDE VELDE S., VAN BIERVLIET S., VAN LAECKE E., DE BRUYNE R., VERHELST H., HOEBEKE P., et al. Colon enemas for fecal incontinence in patients with spina bifida. J. Urol., 2013, 189 : 300-304.","DOI":"10.1016\/j.juro.2012.09.007"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"CORBETT P., DENNY A., DICK K., MALONE P.S., GRIFFIN S., STANTON MP. Peristeen integrated transanal irrigation system successfully treats faecal incontinence in children. J. Pediatr. Urol., 2014, 10 : 219-22.","DOI":"10.1016\/j.jpurol.2013.08.006"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"CHOI E.K., SHIN S.H., IM Y.J., KIM M.J., HAN S.W. The effects of transanal irrigation as a stepwise bowel management program on the quality of life of children with spina bifida and their caregivers. Spinal Cord, 2013, 51(5) : 384-388. doi : 10.1038\/sc.2013.8. Epub 2013 Feb 26.","DOI":"10.1038\/sc.2013.8"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"NG J., FORD K., DALTON S., MC DOWELL S., CHARLESWORTH P., CLEEVE S. Transanal irrigation for intractable faecal incontinence and constipation: outcomes, quality of life and predicting non-adopters. Pediatr. Surg. Int., 2015, 31 : 729-734.","DOI":"10.1007\/s00383-015-3735-7"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"MIDRIO P., MOSIELLO G., AUSILI E., GAMBA P., MARTE A., LOMBARDI L., et al. Peristeen transanal irrigation in paediatric patients with anorectal malformations and spinal cord lesions: a multicenter Italian study. Colorectal Dis., 2016, 18(1) : 86-93. doi : 10.1111\/codi.13101.","DOI":"10.1111\/codi.13101"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"WIDE P., MATTSSON G.G., DROTT P., MATTSSON S. Independence does not come with the method\u2014treatment of neurogenic bowel dysfunction in children with myelomeningocele. Acta Paediatr., 2014, 103 : 1159-1164.","DOI":"10.1111\/apa.12756"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"PACILLI M., PALLOT D., ANDREWS A., DOWNER A., DALE L., WILLETTS I. Use of Peristeen transanal colonic irrigation for bowel mana-gement in children: a single-center experience. J. Pediatr. Surg., 2014, 49 : 269-72.","DOI":"10.1016\/j.jpedsurg.2013.11.036"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"MARHUESER S., KARSTEN K., ROTHE K. 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Long-term cost-effectiveness of transanal irrigation in patients with neurogenic bowel dysfunction. PLos One, 2016, 11 : e0159394.","DOI":"10.1371\/journal.pone.0159394"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"MALONE P.S., RANSLEY P.G., KIELY E. Preliminary report: the antegrade continence enema. Lancet, 1990, 336 : 1217-1218.","DOI":"10.1016\/0140-6736(90)92834-5"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"ALENEZI H., ALHAZMI H., TRBAY M., KHATTAB A., NEEL K.F. Peri-steen anal irrigation as a substitute for the MACE procedure in children who are in need of reconstructive bladder surgery. Can. Urol. Assoc. J., 2014, 8 : E12-15","DOI":"10.5489\/cuaj.1263"}],"container-title":["Acta Gastro Enterologica Belgica"],"original-title":[],"language":"en","deposited":{"date-parts":[[2021,7,30]],"date-time":"2021-07-30T08:45:23Z","timestamp":1627634723000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ageb.be\/ageb-journal\/ageb-volume\/ageb-article\/1903\/Prospective%20switch%20study%20comparing%20two%20irrigation%20systems%20for%20transanal%20irrigation%20in%20children\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":15,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,6]]},"published-print":{"date-parts":[[2021,6]]}},"URL":"https:\/\/doi.org\/10.51821\/84.2.295","relation":{},"ISSN":["1784-3227"],"issn-type":[{"value":"1784-3227","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}