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Published: 2025-10-02
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DOI: https://doi.org/10.52163/yhc.v66iCD16.3343
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Tập 66 Số CĐ16-HNKH Bệnh viện Nhi Đồng 2
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Articles
How to Cite
Việt, T. Q., Tùng, T. H., Phát, V. H., Ngân , T. T. K., Thủy, N. T. T., Trọn, M. T., Linh, H. Đặng H., Trúc, V. T. T., Na, T. T. M., Linh, V. T. T., & Thạch, P. N. . (2025). 31. EFFECTIVENESS OF A BOWEL MANAGEMENT PROGRAM (BMP) IN CHILDREN WITH DEFECATION DISORDERS AFTER ANORECTAL MALFORMATION SURGERY. Vietnam Journal of Community Medicine, 66(CD16). https://doi.org/10.52163/yhc.v66iCD16.3343

31. EFFECTIVENESS OF A BOWEL MANAGEMENT PROGRAM (BMP) IN CHILDREN WITH DEFECATION DISORDERS AFTER ANORECTAL MALFORMATION SURGERY

Tran Quoc Viet, Trinh Huu Tung, Vu Hiep Phat, Tran Thi Kim Ngan, Ngo Thi Thanh Thuy, Mai Thi Tron, Hoang Dang Hoia, Vo Tran Thanh Truc, Tran Thi Mi Na, Van Thi Thuy Linh, Phạm Ngọc Thạch

Main Article Content

Abstract

Objective: To evaluate the effectiveness of a bowel management program (BMP) in children with defecation disorders (DD) following surgery for anorectal malformation (ARM), based on changes in clinical symptoms, anorectal manometry (ARM) parameters, and quality of life.


Subjects and Methods: A prospective interventional study was conducted on 44 pediatric patients with DD after ARM surgery, who received BMP intervention for 6 months. Key outcome measures included clinical symptoms, ARM findings, and quality of life scores assessed using the Bai Y scale.


Results: After BMP intervention, the proportion of patients achieving “good” or “very good” fecal continence increased to 59%, compared to 0% before the intervention (p < 0.001). Anorectal resting pressure and squeeze pressure both showed statistically significant improvements (p < 0.001), indicating enhanced sphincter function. Quality of life scores improved markedly, with the total score increasing from 7.2 to 9.5 (p < 0.001). Logistic regression analysis revealed that reduced rectal perception (increased Vmax) was significantly associated with non-response to BMP (OR = 18.0; p < 0.05).


Conclusion: The BMP is an effective intervention for improving bowel function and enhancing quality of life in children with DD after ARM surgery.

Article Details

Keywords

Dị dạng hậu môn trực tràng, rối loạn đại tiện, quản lý ruột, áp lực hậu môn, chất lượng cuộc sống.

References

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