Transanal irrigation in a patient after intestinal transit reconstruction surgery

Authors

DOI:

https://doi.org/10.11606/issn.1679-9836.v102i2e-200168

Keywords:

Fecal Incontinence, Therapeutic Irrigation, Quality of Life, Enterostomal Therapy, Nurse

Abstract

Objective: To report the experience of caring for a patient with fecal incontinence after intestinal transit reconstruction surgery and the use of transanal irrigation. Method: Descriptive study, to case report of carried out in January 2022, during the residency internship in Public Health. Results: In order to reconstitute the control over the intestinal elimination, the transanal irrigation technique is used, which corresponds to the administration of water at body temperature, through the anuses, allowing the patient to program his evacuations and keep the colon empty for periods longer. The training to carry out this procedure is carried out by a stomatherapist nurse or a trained professional who will guide the procedure to be carried out in the home environment. It is evident the importance of training in the use of the device for intestinal irrigation adapted for transanal intestinal irrigation, once patients manage to manipulate it with ease and independently, after or training. Final considerations: The transanal intestinal irrigation procedure is successful, given tolerance by the patient, or it can lead to a significant improvement in intestinal function and quality of life.

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Author Biographies

  • Rosaura Soares Paczek, Universidade Federal do Rio Grande do Sul – UFRGS

    Enfermeira. Mestranda em Saúde Coletiva- UFRGS. Especialista em Enfermagem em Estomaterapia.

  • Karla Tatiane Viana, Universidade Federal do Rio Grande do Sul – UFRGS

    Enfermeira sanitarista.

  • Ana Karina Silva da Rocha Tanaka, Universidade Federal do Rio Grande do Sul – UFRGS

    Doutora. Professora Adjunta Escola de Enfermagem UFRGS.

  • Mariana Iribarrem Ness, Universidade Federal do Rio Grande do Sul – UFRGS

    Acadêmica de Enfermagem UFRGS

  • Rafaela Linck Davi, Universidade Federal do Rio Grande do Sul – UFRGS

    Acadêmica de Enfermagem UFRGS

  • Letice Dalla Lana, Universidade Federal do Rio Grande do Sul – UFRGS

    Doutora. Professora Enfermagem UNIPAMPA

  • Adriana Maria Alexandre Henriques, Universidade Federal do Rio Grande do Sul – UFRGS

    Enfermeira.

References

Juul T, Christensen P. Prospective evaluation of transanal irrigation for fecal incontinence and constipation. Techn Coloproctol. 2017;21(5):363-71. https://doi.org/10.1007/s10151-017-1635-7

Pinheiro AK, Geron V.LMG, Terra Júnior AT, et al. constipação intestinal: tratamento com fitoterápicos. Rev Cient FAEMA. 2018;9 559-64. https://doi.org/10.31072/rcf.v9iedesp.598

Rosen HR, Boedecker C, Fürst A, et al. “Prophylactic” transanal irrigation (TAI) to prevent symptoms of low anterior resection syndrome (LARS) after rectal resection: results at 12-month follow-up of a controlled randomized multicenter trial. Techn Coloproctol. 2020;24(12):1247-53. https://doi.org/10.1007/s10151-020-02261-2

Santos MO. Estimativa 2018: incidência de câncer no Brasil. Rev Bras Cancerol. 2018;64(1):119-20. https://doi.org/10.32635/2176-9745.RBC.2018v64n1.115

Rodrigues BDS, Buzatti KCLR, Durço VN, et al. Abordagens terapêuticas nos pacientes portadores de incontinência anal, com enfoque na irrigação transanal. Braz J Health Rev. 2020;3(1):325-41. https://doi.org/10.34119/bjhrv3n1-024

Christensen P, Fearnhead NS, Martellucci J. Transanal irrigation: another hope for patients with LARS. Techn Coloproctol. 2020;24(12):1231-2. https://doi.org/10.1007/s10151-020-02348-w

Miranda LSG, Carvalho AAS, Paz EPA. Quality of life of ostomized person: relationship with the care provided in stomatherapy nursing consultation. Escola Anna Nery. 2018;22(4). https://doi.org/10.1590/2177-9465-EAN-2018-0075

Alhazmi H, Trbay M, Alqarni N, et al. Long-term results using a transanal irrigation system (Peristeen®) for treatment of stool incontinence in children with myelomeningocele. J Pediatr Urol. 2019;15(1):34.e1-34.e5. https://doi.org/10.1016/j.jpurol.2018.08.013

Zizzi PT, Trevisan KF, Leister N, et al. Women’s pelvic floor muscle strength and urinary and anal incontinence after childbirth: a cross-sectional study. Rev Esc Enferm USP. 2017;51:e03214. https://doi.org/10.1590/S1980-220X2016209903214

WHOQOL-The World Health Organization quality of life assessment: position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403-9. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/027795369500112K

Rodrigues BDS, Buzatti KCLR, Quintão NPD, et al. Standardization of the technique to perform the transanal therapeutic irrigation. J Coloproctol. 2018;38(4):351-55. 10.1016/j.jcol.2018.08.243

Ausili E, Marte A, Brisighelli G, et al. Short versus mid-long-term outcome of transanal irrigation in children with spina bifida and anorectal malformations. Childs Nerv Syst. 2018; 34(12):2471-79. https://doi.org/10.1007/s00381-018-3860-4

Mekhael M, Kristensen HO, Larsen HM, et al. Transanal irrigation for neurogenic bowel disease, low anterior resection syndrome, faecal incontinence and chronic constipation: a systematic review. J Clin Med. 2021;10(4):753. https://doi.org/10.3390/jcm10040753

Leme LNR, Souza NVDO, Chagas PF. Cuidados de enfermagem e suas repercussões na vida da pessoa com incontinência anal: revisão integrativa. Rev Enferm UERJ. 2019;27:e40285. https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/40285

Dagostin VS, Tessman M, Gulbis KC, et al. Processo de enfermagem aplicado na atenção à saúde da pessoa com incontinência urinária e fecal. Braz J Health Rev. 2020;3(5):11496-508. https://doi.or10.34119/bjhrv3n5-011

Herdman TH, Kamitsuru S. Diagnósticos de enfermagem da NANDA-I: definições e classificação 2018-2020. 11a ed. Porto Alegre: Artmed; 2018.

Bulechek G. Classificação das Intervenções de Enfermagem (NIC). 5a ed. London: Elsevier Health Sciences Brazil; 2011.

Moorhead S, Johnson M, Maas ML, et al. Classificação dos resultados de enfermagem: mensuração dos resultados em saúde - NOC. 5a ed. Rio de Janeiro. Elsevier; 2016

Carter P. Recognising the importance of stoma care nurse specialists. Brit J Nursing. 2020;29(6):S4-S4. https://doi.org/10.12968/bjon.2020.29.6.S4

Paczek RS, Engelmann AI, Perini GP, et al. Perfil de usuários e motivos da consulta de enfermagem em estomaterapia. Rev Enferm UFPE. 2020;14. https://doi.org/ 10.5205/1981-8963.2020.245710

Embleton R, Henderson M. Using transanal irrigation in the management of low anterior resection syndrome: a service audit. Brit J Nursing. 2021;30(21):1226-30. https://doi.org/10.12968/bjon.2021.30.21.1226

Kichloo A, Albosta M, Dettloff K, et al. Telemedicine, the current COVID-19 pandemic and the future: a narrative review and perspectives moving forward in the USA. Family Med Commun Health. 2020;8(3):e000530. http://dx.doi.org/10.1136/fmch-2020-000530

Caponcelli E, Meroni M, Brisighelli G, et al. Transanal irrigation (TAI) in the paediatric population: literature review and consensus of an Italian multicentre working group. Pediatria Med Chir. 2021;43(1). https://doi.org/10.4081/pmc.2021.250

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Published

2023-03-31

Issue

Vol. 102 No. 2 (2023)

Section

Relato de Caso/Case Report

License

Copyright (c) 2023 Rosaura Soares Paczek, Karla Tatiane Viana, Ana Karina Silva da Rocha Tanaka, Mariana Iribarrem Ness, Rafaela Linck Davi, Letice Dalla Lana, Adriana Maria Alexandre Henriques

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

How to Cite

Paczek, R. S., Viana, K. T. ., Tanaka, A. K. S. da R., Ness, M. I. ., Davi, R. L., Lana, L. D. ., & Henriques, A. M. A. . (2023). Transanal irrigation in a patient after intestinal transit reconstruction surgery. Revista De Medicina, 102(2), e-200168. https://doi.org/10.11606/issn.1679-9836.v102i2e-200168