Anal acoustic reflectometry predicts the outcome of percutaneous nerve evaluation for faecal incontinence

Hornung, B. R.; Carlson, Gordon L; Mitchell, Peter; Klarskov, Niels; Lose, Gunnar; Telford, Karen; Kiff, E. S.

doi:10.1002/bjs.9586

Cited by 8 publications

(13 citation statements)

References 25 publications

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“…61,83,122,125,141,142, 146,170,183,199,200,227,251,253,258,261,264,285,296,298,302,353 Endoanal ultrasonography was performed in 104 studies (34.0%). 53,65,72,73,76–78,80,83,86,90,92,104,105,109,110,113, 115,122,125,127,133,141,142,146,151–153,155,157,162,163,165,167,172–176,178,179,183,191,193,…”

Section: Resultsmentioning

confidence: 99%

“…After careful evaluation of full‐text papers 27 studies were excluded: 15 studies 23–37 did not evaluate FI assessment, six manuscripts 38–43 were just protocols, five were paediatric studies, 44–48 and one trial 49 had an inappropriate study design. Finally, 328 studies were included in our review: 306 studies…”

Section: Resultsmentioning

confidence: 99%

“…Overall, 102,460 patients were enrolled in non‐IBD studies (66.7% women) and 8289 in IBD studies (63.9% women), with the number of patients per study ranging from six to 47,714. Among non‐IBD trials there were 137 prospective cohort studies, 48 , 50–53 , 58 , 59 , 61 , 62 , 64 , 68–72 , 74–76 , 79–81 , 93 , 103 , 104 , 107 , 110–113 , 119 , 120 , 124–126 , 128 , 131 , 135 , 137 , 142–145 , 149 , 151 , 153 , 157–163 , 166 , 168 , 169 , 171–174 , 176–182 , 187 , 190 , 192 , 197 , 198 , 202 , 204 , 207 , 211–214 , 216 , 218 , 219 , 221 , 222 , 224 , 225 , 231 , 234 , 235 ,…”

Section: Resultsmentioning

confidence: 99%

“…In IBD trials, instead, there were 11 retrospective cohort studies, 8 , 359 , 360 , 362 , 365–368 , 371 , 372 , 374 10 prospective cohort studies 356–358 , 361 , 363 , 364 , 370 , 373 , 375 , 376 and one cross‐sectional study 369 . Overall, studies on FI involved 16 different research areas: the most frequent were surgery, gynaecology and gastroenterology (179, 51 , 52 , 54 , 59–64 , 66–73 , 75 , 80 , 81 , 83 , 84 , 88 , 89 , 97–99 , 105 , 106 , 109 , 110 , 114 , 115 , 120 , 124–127 , 129–132 , 135–139 , 141 , 148 , 154–156 , 160–163 , 165–167 , 170 , 174–181 , 183 , 184 <...>…”

Section: Resultsmentioning

confidence: 99%

“…In 13 studies (4.2%) 53 , 58 , 65 , 108 , 111 , 142 , 143 , 145 , 159 , 316 , 337 , 343 , 351 non‐validated questionnaires were used. Anal manometry was used in 126 studies (41.2%) 50 , 53 , 55 , 57 , 61 , 65 , 72 , 73 , 77 , 78 , 80 , 82 , 83 , 85 , 86 , 91 , 92 , 95 , 96 , 98 , 103–107 , 109 , 111 , 115 , 122 , 123 , 125 , 127 , 134 , 141 , 142 , 146 , 151–153 , 155 , 162–165 , 167 , 168 , 170 , 174–176 , 178 , 179 , 183 , 191 , 193 , 199–201 , 204 , 206 , 213 , 217 ,…”

Section: Resultsmentioning

confidence: 99%

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Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

et al. 2020

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Background Fecal incontinence is a disabling condition affecting up to 20% of women. Objective We investigated fecal incontinence assessment in both inflammatory bowel disease and non-inflammatory bowel disease patients to propose a diagnostic approach for inflammatory bowel disease trials. Methods We searched on Pubmed, Embase and Cochrane Library for all studies on adult inflammatory bowel disease and non-inflammatory bowel disease patients reporting data on fecal incontinence assessment from January 2009 to December 2019. Results In total, 328 studies were included; 306 studies enrolled non-inflammatory bowel disease patients and 22 studies enrolled inflammatory bowel disease patients. In non-inflammatory bowel disease trials the most used tools were the Wexner score, fecal incontinence quality of life questionnaire, Vaizey score and fecal incontinence severity index (in 187, 91, 62 and 33 studies). Anal manometry was adopted in 41.2% and endoanal ultrasonography in 34.0% of the studies. In 142 studies (46.4%) fecal incontinence evaluation was performed with a single instrument, while in 64 (20.9%) and 100 (32.7%) studies two or more instruments were used. In inflammatory bowel disease studies the Wexner score, Vaizey score and inflammatory bowel disease quality of life questionnaire were the most commonly adopted tools (in five (22.7%), five (22.7%) and four (18.2%) studies). Anal manometry and endoanal ultrasonography were performed in 45.4% and 18.2% of the studies. Conclusion Based on prior validation and experience, we propose to use the Wexner score as the first step for fecal incontinence assessment in inflammatory bowel disease trials. Anal manometry and/or endoanal ultrasonography should be taken into account in the case of positive questionnaires.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

et al. 2020

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The promise of urethral pressure reflectometry: an update

Khayyami

Klarskov

2016

Int Urogynecol J

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Moderne Therapiestrategien bei Stuhlinkontinenz

2019

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Zusammenfassung Hintergrund Das Krankheitsbild der Stuhlinkontinenz ist häufig mit einem signifikanten Leidensdruck für die Betroffenen und einer Verschlechterung von deren Lebensqualität vergesellschaftet, weist eine unterschätzte Prävalenz auf und wird aufgrund des demografischen Wandels in Deutschland in Zukunft noch an Bedeutung gewinnen. Hinsichtlich der Therapie einer Stuhlinkontinenz haben sich in den letzten Jahren neue Techniken entwickelt, und die Evidenz zu bestehenden Methoden hat zugenommen. Ziel dieser Arbeit ist es, aktuelle Entwicklungen und neuere Behandlungskonzepte bei Stuhlinkontinenz zu beleuchten. Methoden und Ergebnisse Eine aktuelle Literaturanalyse bez. der Therapie von Stuhlinkontinenz wurde durchgeführt. Im Rahmen der konservativen Inkontinenztherapie haben sich Kombinationstherapien als besonders wirksam erwiesen. Unter den chirurgischen Maßnahmen haben Studien zum Langzeitverlauf in den letzten Jahren die Evidenz der sakralen Nervenstimulation und deren Stand als Erstlinientherapie bekräftigt. Die Sphinkteroplastik bleibt eine bewährte Therapieoption bei Inkontinenz infolge von Lücken des Analsphinkters. Die therapeutische Langzeiteffektivität ist gering. „Bulking agents“ stellen eine Alternative vor allem bei passiver Stuhlinkontinenz dar, obgleich die Evidenz aufgrund unterschiedlicher verwendeter Substanzen und Techniken und fehlender Langzeitergebnisse eingeschränkt ist. Zur Behandlung einer Stuhlinkontinenz im Rahmen einer maskierten Stuhlentleerungsstörung hat sich die ventrale Netzrektopexie etabliert. Schlussfolgerungen Das Spektrum der Therapieoptionen zur Behandlung der Stuhlinkontinenz entwickelt sich kontinuierlich. Es besteht Konsens hinsichtlich des Einsatzes konservativer Maßnahmen als Initialtherapie. Es sind aktuell nur relativ wenig bewährte chirurgische Methoden verfügbar. Die Entwicklung und Evaluation neuer Behandlungsansätze wie auch die weitere Verbesserung der Evidenz der Effektivität bestehender Therapieoptionen ist anzustreben.

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Anal acoustic reflectometry predicts the outcome of percutaneous nerve evaluation for faecal incontinence

Abstract: AAR is a sensitive test of sphincter function and can identify differences between patients who respond to PNE and those who do not. Opening pressure is an independent predictor of success in PNE, and may be of value in the selection of patients for this expensive treatment option.

Cited by 8 publications

References 25 publications

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

Tools for fecal incontinence assessment: lessons for inflammatory bowel disease trials based on a systematic review

The promise of urethral pressure reflectometry: an update

Moderne Therapiestrategien bei Stuhlinkontinenz

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