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Prospective switch study comparing two irrigation systems for transanal irrigation in children

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Abstract
Background and study aims : Transanal irrigation (TAI) is used in children to treat constipation and incontinence. Belgium has 2 systems available: Colotip (R) (cheaper, however not designed for TAI) or Peristeen (R). Patients and methods : This patient-control switch study is the first to compare 2 TAI systems. Children regularly using Colotip (R) 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. Results : Out of 26 children using Colotip (R) (69%) children participated and 5 refused (fear n=1, satisfaction Colotip (R) system n=7). Of these 18 children (interquartile range: 3-18 years, median 12.5 years, 9 girls) 5 patients stopped Peristeen (R) (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 (R), no difference was found in time spent on the toilet (p 0.288) and presence of pain (p 0.785). Conclusions : In children Peristeen (R) offered significantly higher pseudo-continence and independency. 30% refused participation because of satisfaction with the Colotip (R) and 30% spina bifida patients reported rectal balloon loss due to sphincter hypotony. To diminish Peristeen (R) failure, a test-catheter could be of value. Considering Colotip (R) satisfaction, both systems should be available. Patient selection for Peristeen (R) needs further research.
Keywords
children, fecal continence, transanal irrigation, colotip, rectal balloon

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MLA
Van Renterghem, Katrien, et al. “Prospective Switch Study Comparing Two Irrigation Systems for Transanal Irrigation in Children.” ACTA GASTRO-ENTEROLOGICA BELGICA, vol. 84, no. 2, 2021, pp. 295–98, doi:10.51821/84.2.295.
APA
Van Renterghem, K., Sladkov, M., Matthyssens, L., Van de Putte, D., Pattyn, P., Van Biervliet, S., & Vande Velde, S. (2021). Prospective switch study comparing two irrigation systems for transanal irrigation in children. ACTA GASTRO-ENTEROLOGICA BELGICA, 84(2), 295–298. https://doi.org/10.51821/84.2.295
Chicago author-date
Van Renterghem, Katrien, Mihail Sladkov, Lucas Matthyssens, Dirk Van de Putte, Piet Pattyn, Stephanie Van Biervliet, and Saskia Vande Velde. 2021. “Prospective Switch Study Comparing Two Irrigation Systems for Transanal Irrigation in Children.” ACTA GASTRO-ENTEROLOGICA BELGICA 84 (2): 295–98. https://doi.org/10.51821/84.2.295.
Chicago author-date (all authors)
Van Renterghem, Katrien, Mihail Sladkov, Lucas Matthyssens, Dirk Van de Putte, Piet Pattyn, Stephanie Van Biervliet, and Saskia Vande Velde. 2021. “Prospective Switch Study Comparing Two Irrigation Systems for Transanal Irrigation in Children.” ACTA GASTRO-ENTEROLOGICA BELGICA 84 (2): 295–298. doi:10.51821/84.2.295.
Vancouver
1.
Van Renterghem K, Sladkov M, Matthyssens L, Van de Putte D, Pattyn P, Van Biervliet S, et al. Prospective switch study comparing two irrigation systems for transanal irrigation in children. ACTA GASTRO-ENTEROLOGICA BELGICA. 2021;84(2):295–8.
IEEE
[1]
K. Van Renterghem et al., “Prospective switch study comparing two irrigation systems for transanal irrigation in children,” ACTA GASTRO-ENTEROLOGICA BELGICA, vol. 84, no. 2, pp. 295–298, 2021.
@article{8675424,
  abstract     = {{Background and study aims : Transanal irrigation (TAI) is used in children to treat constipation and incontinence. Belgium has 2 systems available: Colotip (R) (cheaper, however not designed for TAI) or Peristeen (R).

Patients and methods : This patient-control switch study is the first to compare 2 TAI systems. Children regularly using Colotip (R) 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.

Results : Out of 26 children using Colotip (R) (69%) children participated and 5 refused (fear n=1, satisfaction Colotip (R) system n=7). Of these 18 children (interquartile range: 3-18 years, median 12.5 years, 9 girls) 5 patients stopped Peristeen (R) (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 (R), no difference was found in time spent on the toilet (p 0.288) and presence of pain (p 0.785).

Conclusions : In children Peristeen (R) offered significantly higher pseudo-continence and independency. 30% refused participation because of satisfaction with the Colotip (R) and 30% spina bifida patients reported rectal balloon loss due to sphincter hypotony. To diminish Peristeen (R) failure, a test-catheter could be of value. Considering Colotip (R) satisfaction, both systems should be available. Patient selection for Peristeen (R) needs further research.}},
  author       = {{Van Renterghem, Katrien and Sladkov, Mihail and Matthyssens, Lucas and Van de Putte, Dirk and Pattyn, Piet and Van Biervliet, Stephanie and Vande Velde, Saskia}},
  issn         = {{1784-3227}},
  journal      = {{ACTA GASTRO-ENTEROLOGICA BELGICA}},
  keywords     = {{children,fecal continence,transanal irrigation,colotip,rectal balloon}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{295--298}},
  title        = {{Prospective switch study comparing two irrigation systems for transanal irrigation in children}},
  url          = {{http://dx.doi.org/10.51821/84.2.295}},
  volume       = {{84}},
  year         = {{2021}},
}

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