Results: All patients had successful disimpaction over 3 days (mean 6 cups of stool in total) and then continued with low dose of medication and TES therapy. All started with <3 bowel actions/week. After 8–12 weeks of TES, 32/33 (97%) increased to >3

BA/wk with 29 /33 PF-01367338 datasheet (88%) having 7 BA/wk. Median stool consistency improved from BSS score of 2 (range: 1–7) to 4 (4–5) (p < 0.0001). Median stool output improved from 1 (0–2) to 7 (2–10) cups/wk (p < 0.0001). Soiling episodes decreased from 5 (0–7) to 0 (0–4) episodes/wk (p < 0.0001). Patients were weaned off laxatives during TES, and off TES after 3 months and continued with daily defecation. Conclusions: We have previously shown that TES added onto existing treatment increases defecation to >3BA/wk in half of the patients with STC over 2–3 months (Yik 2012). The addition of disimpaction with oral laxatives and education on diet and toileting prior to TES therapy resulted in >3 BA/wk in 97% of patients with 88% having daily bowel motions. Improvement occurred in more patients, was bigger improvement and was more rapid than with TES alone. TES is a non invasive treatment 1. Yee Ian Yik, Khairul A Ismail, John M Hutson, Bridget R

Southwell. 2012. Home transcutaneous electrical stimulation to treat children with slow-transit constipation. J Pediatr Surg 47(6): 1285–1290. 2. Jordan-Ely J, Hutson JM, Southwell BR. PD0325901 Lifestyle Approach: Holistic Management. In: Constipation: Current & Emerging Treatments. Future Medicine 2013 (In press). J JORDAN-ELY,1,2 K DOBSON,1 JM HUTSON,1,2,3 BR SOUTHWELL1,3 1Murdoch childrens Research Institute, Parkville, Australia, 2Dept. Urology, Royal Childrens hospital, Parkville,

Australia, 3Dept. Paediatrics University of Melbourne, Parkville, Australia Introduction: polyethylene glycol (PEG) is an oral stool softener that produces disimpaction in 97% patients. However because of the large MCE公司 volume (2 litres) that needs to be taken, many patients have difficulty completing treatment. We have developed a program of patient education and engagement (called MOTIVATE) to enable compliance and obtain the highest efficacy. The aim of the study was to review outcomes of oral bowel disimpaction with PEG administered in a nurse-led clinic using the MOTIVATE method. Materials and methods: A retrospective clinical audit of 33 patients (2–17 years, 17 male) with chronic constipation referred to a surgeon at a tertiary Childrens hospital. Patients and carers were provided information on Diet, Education, Laxative and Disimpaction (DELD) method during two × 30 min sessions. An advanced practice nurse demonstrated how to take the PEG+E (Movicol) combined with Sodium Picosulphate (Dulcolax SP). The solution was mixed with 125 ml of water/sachet. The mixture was taken spread out across the morning at a rate of 125 ml/hour. To make drinking easier and fun, 125 ml was divided into 6 shot glasses and an equal volume of juice added.