Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2025-01-05T15:11:36.206Z Has data issue: false hasContentIssue false
  • English
  • Français

A Biofeedback Approach to Encopresis in Hirschsprung's Disease

Published online by Cambridge University Press:  16 June 2009

Veronica Scott
Veronica Scott
Affiliation:
University of Stirling
Get access Rights & Permissions [Opens in a new window]

Abstract

An eight year old boy who had prolonged faecal incontinence associated with surgery in infancy for Hirschsprung's disease was assessed and given biofeedback training for the purpose of achieving anal sphincter control. A computer-based apparatus was constructed to give feedback in the form of a graph and column of light. The child learned to produce tracings on the graph by contracting a small saline-filled balloon positioned at the anal sphincter. The child achieved voluntary defaecation, and eliminated soiling during follow-up periods of twelve and twenty four months.

Type
Clinical Section
Information
Behavioural and Cognitive Psychotherapy , Volume 24 , Issue 1 , January 1996 , pp. 83 - 90
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alva, J., Mendeloff, A.I. and Schuster, M.M. (19670. Reflex and electromyographic abnormalities associated with fecal incontinence. Gastroenterology 53, 101–106.CrossRefGoogle Scholar
Cerulli, M.A., Nikoomanesh, P. and Schuster, M.M. (1979). Progress in biofeedback conditioning for fecal incontinence. Gastroenterology 76, 742–746.Google Scholar
Clausen, E.G. and Davies, O.G. (1963). Early and late complications of the Swenson Pull-through operation for Hirschsprung's disease. American Journal of Surgery 106, 372–380.Google Scholar
Davidson, M. and Sleisenger, M.H. (1978). Megacolon. In Sleisenger, M.H. and Fordtran, J.S. (Eds). Gastrointestinal disease: pathophysiology, diagnosis, management (2nd Edn.) Philadelphia: W.B. Saunders.Google Scholar
Engel-Sittenfeld, P. (1977). Biofeedback in the treatment of neuromuscular disorders. In Beatty, J. and Legewie, H. (Eds). Biofeedback and behavior. New York: Plenum Press.Google Scholar
Foster, P., Cowan, G. and Wrenn, E.L. (1990). Twenty-five years experience with Hirschsprung's disease. Journal of Pediatric Surgery 25, 531–534.CrossRefGoogle ScholarPubMed
Gaston, E.A. (1948a). The physiology of fecal continence. Surgery, Gynecology and Obstetrics 87, 280–290.Google Scholar
Gaston, E.A. (1948b). Fecal continence following resection of various portions of the rectum with preservation of the anal sphincters. Surgery, Gynecology and Obstetrics 87, 669–678.Google Scholar
Goldenberg, D.A., Hodges, K., Hersh, T. and Jinich, H. (1980). Biofeedback therapy for fecal incontinence. The American Journal of Gastroenterology 74, 342–345.Google ScholarPubMed
Goligher, J.C. and Hughes, E.S.R. (1951). Sensibility of the rectum and colon: its role in the mechanism of anal continence. The Lancet 1, 543–548.CrossRefGoogle ScholarPubMed
Harrison, M.W., Deitz, D.M., Campbell, J.R. and Campbell, T.J. (1986). Diagnosis and management of Hirschsprung's disease. The American Journal of Surgery 152, 49–56.CrossRefGoogle ScholarPubMed
Kohlenberg, R.J. (1973). Operant conditioning of human anal sphincter pressure. Journal of Applied Behavior Analysis 6, 201–208.Google Scholar
Meunier, P., Mollard, P. and Jaubert de Beaujeu, M. (1976). Manometric studies of anorectal disorders in infancy and childhood: an investigation of the physiopathology of continence and defaecation. British Journal of Surgery 63, 402–407.Google Scholar
Olness, K., McParland, F.A. and Piper, J. (1980). Biofeedback: a new modality in the management of children with fecal soiling. The Journal of Pediatrics 96, 505–509.Google ScholarPubMed
Runck, B. (1980). Biofeedback: issues in treatment assessment (DHHS Publication No. ADM 80–1032). Washington, DC: US Government Printing Office.Google Scholar
Schuster, M.M. (1974). Operant conditioning in gastrointestinal dysfunctions. Hospital Practice 9, 135–143.Google Scholar
Wald, A. (1981). Use of biofeedback on treatment of fecal incontinence in patients with Meningomyelocele. Pediatrics 68, 45–49.CrossRefGoogle ScholarPubMed
Wald, A. and Handen, B.L. (1987). Behavioral aspects of disorders of defecation and fecal continence. Annals of Behavioral Medicine 9, 19–23.Google Scholar
Whitehead, W.E., Parker, L.H., Masek, B.J., Cataldo, M.F. and Freeman, J.M. (1981). Biofeedback treatment of fecal incontinence in patients with Myelomeningocele. Developmental Medicine and Child Neurology 23, 313–322.CrossRefGoogle ScholarPubMed
Wyllie, G.G. (1957). Treatment of Hirschsprung's disease by Swenson's operation. The Lancet 1, 850–855.Google Scholar
Submit a response

Comments

No Comments have been published for this article.