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ARTICLE |

The Conservative Management of Fecal Incontinence in Children

Donita B. Sullivan, MD; David D. Dickinson, MD; James L. Wilson, MD
JAMA. 1963;185(8):664-666. doi:10.1001/jama.1963.03060080060021.
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FECAL INCONTINENCE in a child over 3 years of age becomes a matter of most serious psychological and social importance, increasing with age. We have developed a program for controlling this condition, which, with modification, has been successful in children whose difficulty results from various causes ranging from gross anatomical abnormalities and faulty innervation to "overtraining" and overt psychiatric disease.

Emotional problems are commonly associated with fecal incontinence, sometimes as a causative factor, or inevitably as a direct result of the social disgrace of fecal soiling. Although these emotional problems are important, we will confine our discussion to the nonpsychiatric, medical management.

Anatomic Causes  Included in the group of patients we have had the opportunity to treat, are children with myelodysplasia; children with paraplegia secondary to infectious transverse myelitis or vascular accidents of spinal arteries; children with traumatic transection of the spinal cord; and children who have no anal sphincters,

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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