TY - JOUR AU - Karla Santos Jasso AU - Mario De Giorgis Stuven AU - Alejandro Ruíz Montanez AU - Claudia Banuelos Castaneda AU - Luis de la Torre Mondragón PY - 2014/07/09 Y2 - 2024/03/28 TI - Effectiveness of the bowel management program in children with constipation secondary to anorectal malformation JF - Acta Pediátrica de México JA - APM VL - 35 IS - 2 SE - Artículo original DO - 10.18233/APM35No2pp100-105 UR - https://ojs.actapediatrica.org.mx/index.php/APM/article/view/1046 AB - Introduction: in Mexico, approximately 1 000 children each year are born with anorectal malformation (ARM). Despite surgical correction, those children present fecal function problems (60-70% have difficult to manage constipation). A Bowel Management Program (BMP) was implemented, which consists of initial rectal disimpaction, followed by administration of a stimulant laxative (sennosides), with favorable results. The objective of this study was to describe the effectiveness ofthe BMP in children with constipation secondary to ARM.Material and methods: A descriptive, retrospective, transverse study to answer the question: how effective is the BMP in children with constipation secondary to ARM? Efficacy was evaluated by means of a construct with three variables (daily fecal evacuations, absence of fecal staining, and simple abdominal x-ray without fecal residue in rectum and left colon after evacuation). All children with surgically corrected ARM and constipation from two national referral centers for childrenwith the condition were included.Results: of 151 children with ARM monitored in outpatient service, only 67.33% had constipation. Of this group, 88.1% showed good response to the BMP. The average dose of sennoside was 8.45 mg/kg, 95% CI: 5.94-11.12 mg/kg (199.5 mg total dose; 95% CI: 139.50-259.50 mg). Abdominal cramp was the primary adverse effect reported (5.8%).Discussion: use of sennosides had a positive impact on our patients’ quality of life by achieving colonic and rectal emptying and preventing daily fecal staining. ER -