Predictors of successful transitions in a bowel management program
Abstract
BACKGROUND: Bowel management programs (BMPs) have demonstrated effectiveness in treating severe constipation and encopresis. We aimed to evaluate the transition rate from more invasive to less invasive treatments (e.g. enema to laxative therapy) and identify clinical characteristics that increase likelihood of downgrading treatment over time. METHODS: Patients participating in our institution's BMP (2020-2024) were identified. Those without adequate follow-up after BMP induction were excluded. Follow-up was collected at 6-, 12-, 18-, and 24-month clinical visits. 'Downgrade' was defined as a transition from enemas to laxatives or from laxatives to no medications. Success was defined as
Fields of Study & Subjects
Gastrointestinal motility and disorders
Congenital gastrointestinal and neural anomalies
Pelvic floor disorders treatments
Publication details
- Journal / source
- Journal of Pediatric Surgery
- Volume
- 61
- Issue
- 5
- Pages
- 162952–162952
- Publication date
- 29 January 2026
- Language
- EN