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Bowel Management Program

Research Project

Project/Area Number 22700716
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field General human life sciences
Research InstitutionJuntendo University

Principal Investigator

MIYANO Go  順天堂大学, 医学部, 准教授 (60529840)

Project Period (FY) 2010 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2011: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2010: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywordsライフスタイル / 小児外科 / 便失禁 / Bowel Management Program / 鎖肛 / ヒルシュスプルング病 / 洗腸 / bowel management program
Research Abstract

The aim of this study was twofold. Firstly, to determine whether the Bowel Management Program(BMP), which is already widely used in the US and Europe, but not yet adopted in Asian countries, especially in Japan, is effective in the treatment of patients who are suffering from fecal incontinence, and secondly, whether it can be widely adopted into the Japanese medical system Bowel management achieved through a daily, once in a day, enema routine that keeps every condition related to it identical and constant, is the main theme of the BMP. For example, the time of the procedure, the volume of the enema, etc. are all kept identical and constant. The pathology and number of patients who have joined the BMP is Hirschsprung disease in 4(1), Anorectal malformation in 9(3), cloacal exstrophy in 2(2), and intrapelvic tumor in 1(0). The number in parenthesis shows the patients who have been followed-up for more than a year.
The average course/improvement score in each factor is shown below. Fecal incontinence improved from 0.5 at the time the program started to 3.0(0 to 5 for the highest score) at 1-year f/u. The complication improved from 1.5 to 2.0(0 to 3 for the highest score), quality of life(QOL) in patients from 2.2 to 2.7(0 to 3) and QOL in patients' family from 1.3 to 2.5(0 to 3). Currently, although, there are only 6 patients who have been followed more than a year, each patients'score has improved no statistical difference has been seen, so far.
The total sample size can be increased as the number of patients who are willing to join our program is steadily growing. This project is ongoing for all the children who are suffering with fecal incontinence.

Report

(3 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • Research Products

    (6 results)

All 2012 2011 Other

All Journal Article (3 results) (of which Peer Reviewed: 3 results) Presentation (3 results)

  • [Journal Article] A comparison of clinical protocols for assessing postoperative fecal continence in anorectal malformation2012

    • Author(s)
      Takanori Ochi, Go Miyano
    • Journal Title

      Pediatric Surgery International

      Pages: 1-4

    • Related Report
      2011 Annual Research Report 2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Intraoperative colonoscopy fascilitates safe dissection of the rectal pouch in a case of male imperforate anus. Abudebieke Halibieke

    • Author(s)
      Go Miyano
    • Journal Title

      Asian Journal of Endoscopic Surgery

      Volume: (in press)

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Choice of procedure for treating total colonic aganglionosis ;. Laparoscopy-assisted versus open

    • Author(s)
      Go Miyano
    • Journal Title

      Journal of Pediatric Surgery(submitted)

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Presentation] Choice of procedure for treating total colonic aganglionosis. Laparoscopy-assisted vs open2012

    • Author(s)
      Go Miyano
    • Organizer
      American Academy of Pediatrics
    • Place of Presentation
      New Orleans
    • Related Report
      2011 Final Research Report
  • [Presentation] A comparison of clinical protocols for assessing assessing postoperative fecal continence in anorectal malformation2011

    • Author(s)
      Takanori Ochi, Go Miyano
    • Organizer
      48^<th> Japanese Association of Pediatric Surgeons
    • Place of Presentation
      Yokohama
    • Year and Date
      2011-07-22
    • Related Report
      2011 Final Research Report
  • [Presentation] Intraoperative colonoscopy fascilitates safe dissection of the rectal pouch in a case of male imperforate anus2011

    • Author(s)
      Go Miyano
    • Organizer
      48^<th> Japanese Association of Pediatric Surgeons
    • Place of Presentation
      Yokohama
    • Year and Date
      2011-07-21
    • Related Report
      2011 Final Research Report

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Published: 2010-08-23   Modified: 2016-04-21  

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