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Search: authors:"Paul M. A. Broens"

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Severe bacterial meningitis due to an enterothecal fistula in a 6-year-old child with Currarino syndrome: evaluation of surgical strategy with review of the literature

Meningitis is a rare but serious complication in patients with Currarino syndrome. We present a 6-year-old girl with a fulminant meningitis due to an enterothecal fistula involving the anterior sacral meningocele. Initial treatment consisted of broad-spectrum intravenous antibiotic therapy and laparoscopic construction of a deviating double-loop ileostomy. This was followed by an...

The problem of defecation disorders in children is underestimated and easily goes unrecognized: a cross-sectional study

We aimed to study constipation and fecal incontinence in terms of prevalence, recognizing the disorders, help-seeking behavior, and associated symptoms. In this cross-sectional study, 240 children (8 to 18 years) from the general Dutch population completed a questionnaire about defecation disorders. After exclusions for anorectal/pelvic surgery or comorbidities, we analyzed 212...

Normal Rectal Filling Sensations in Patients with an Enlarged Rectum

BackgroundIncreased rectal volume is believed to be associated with diminished rectal sensation, i.e., rectal hyposensitivity.AimsTo demonstrate that patients with increased rectal volumes do not automatically have diminished rectal filling sensations.MethodsWe, retrospectively, observed 100 adult patients with defecation problems, and 44 healthy controls who had undergone...

The puborectal continence reflex: a new regulatory mechanism controlling fecal continence

M. A. Broens and Jara E. Jonker contributed equally to this work. of fecal continence are not completely understood, it remains an unsolved problem for many patients [ 4 ]. The classic theory of ... an enormous problem that significantly impairs their quality of life [ 1ā€“3 ]. To date, proper diagnosis and treatment of fecal incontinence is still a challenge. Since the regulatory mechanisms Paul

Subtypes and symptoms of fecal incontinence in the Dutch population: a cross-sectional study

PurposeTo study the distribution of subtypes and symptoms of fecal incontinence in the general Dutch population.MethodsWe performed a cross-sectional study in a representative sample of the general Dutch population. All respondents (Nā€‰=ā€‰1259) completed the Groningen Defecation and Fecal Continence questionnaire. We assigned the respondents to a so-called healthy subgroup (n...

The influence of underweight and obesity on the diagnosis and treatment of appendicitis in children

Purpose The impact of lower body mass index (BMI) on appendicitis has never been addressed. We investigated whether different BMIs affect the diagnosis and treatment of appendicitis in children. Methods The correlation between BMI and diagnosis accuracy and treatment quality was evaluated by retrospective analysis of 457 children diagnosed with appendicitis. Based on BMI...