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

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Babahajian Asrin; SHAMSEDDIN JEBREIL; SARVEAZAD ARASH; YOUSEFIFARD MAHMOUD

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Journal Paper

Paper Information

Journal: Journal of Pediatric Perspectives Year:2019 | Volume:7 | Issue:5 (65) Page(s): 9429-9441

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Information Journal Paper

Title

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

Author(s)

Babahajian Asrin | SHAMSEDDIN JEBREIL | SARVEAZAD ARASH | YOUSEFIFARD MAHMOUD | Issue Writer Certificate

Keywords

Antegrade Colonic Enema

Constipation

Fecal Incontinence

Pediatrics

Abstract

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.

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APA: Copy

Babahajian, Asrin, SHAMSEDDIN, JEBREIL, SARVEAZAD, ARASH, & 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 (65)), 9429-9441. SID. https://sid.ir/paper/337681/en

Vancouver: Copy

Babahajian Asrin, SHAMSEDDIN JEBREIL, SARVEAZAD ARASH, YOUSEFIFARD MAHMOUD. Efficacy of Enema via Cecostomy for Fecal Disorders in Children: A Systematic Review and Meta-Analysis. INTERNATIONAL JOURNAL OF PEDIATRICS[Internet]. 2019;7(5 (65)):9429-9441. Available from: https://sid.ir/paper/337681/en

IEEE: Copy

Asrin Babahajian, JEBREIL SHAMSEDDIN, ARASH SARVEAZAD, and MAHMOUD YOUSEFIFARD, “Efficacy of Enema via Cecostomy for Fecal Disorders in Children: A Systematic Review and Meta-Analysis,” INTERNATIONAL JOURNAL OF PEDIATRICS, vol. 7, no. 5 (65), pp. 9429–9441, 2019, [Online]. Available: https://sid.ir/paper/337681/en

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