Faecal incontinence in adults

Madoff, Robert D.; Parker, Susan C.; Varma, Madhulika G.; Lowry, Ann C.

doi:10.1016/s0140-6736(04)16856-6

Cited by 269 publications

(290 citation statements)

References 126 publications

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“…By contrast, smoking or alcohol intake and diabetes mellitus were significantly negative associated with low MRP in women (Tables 4 and 5). the anal canal [1]. Clinically there are 3 subtypes: 1) passive incontinence-the involuntary discharge of rectal contents without awareness; 2) urge incontinence-the discharge of stool in spite of active attempts to retain bowel contents; and 3) combined incontinence-both passive and urge incontinence [2].…”

Section: Resultsmentioning

confidence: 99%

“…The majority of FI patients have passive incontinence [11]. Passive incontinence is generally associated with dysfunction of the smooth muscle of the IAS, whereas urge incontinence is related to dysfunction of the striated muscle of the EAS [1,2]. At rest, the IAS is in a tonically contracted state, and is innervated by the autonomic nervous system.…”

Section: Resultsmentioning

confidence: 99%

“…First, prevalence estimates were limited to non-institutionalized individuals, and because the prevalence of FI in the nursing home population is higher than in the community [1,2], the overall prevalence of IASD is likely underestimated, especially among older participants. Second, as in previous large epidemiological studies, comorbid conditions were determined according to self-reports instead of through clinician-derived methods.…”

Section: Open Accessmentioning

confidence: 99%

“…The prevalence of FI in the general population increases with age in both women and men [1]. Although the cause of FI is often multifactorial, FI is frequently caused by anal sphincter insufficiency [2].…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for internal anal sphincter dysfunction in Japanese adults

Abé¹,

Kono²,

Hachiro³

et al. 2013

OJGas

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Purpose: The internal anal sphincter provides most of the resting anal tone and is the main muscle responseble for continence. This study was designed to estimate the prevalence of, and identify risk factors associated with, internal anal sphincter dysfunction in Japanese adults. Methods: Anorectal manometry was performed in 1193 women and 1124 men aged 20 years or older. The maximal resting pressure, measured by a rapid pull-through technique, was defined as the highest resting pressure recorded. Internal anal sphincter dysfunction was defined as a maximal resting pressure less than 30 mmHg. Potential risk factors were assessed through self-reports, interviews, physical examinations, and medical record reviews. Multivariate logistic regression analysis was used to identify independent risk factors for internal anal sphincter dysfunction. Results: Significant differences in maximal resting pressure were seen between women (58.1 ± 24.9 mmHg) and men (68.8 ± 23.5 mmHg, P < 0.001). Maximal resting pressure decreased significantly with increasing age in both sexes. The prevalence of internal anal sphincter dysfunction was 10.4% (15.5% in women, 5.1% in men). In a multivariate logistic regression model, age, mental disease, pelvic organ prolapse repair, and fecal incontinence were independently associated with a greater risk of internal anal sphincter dysfunction in women and men. Conclusions: Internal anal sphincter dysfunction is a common problem for women and men. Several of the identified risk factors are preventable or modifiable, and may direct future research in fecal incontinence therapy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Open Accessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk factors for internal anal sphincter dysfunction in Japanese adults

Abé¹,

Kono²,

Hachiro³

et al. 2013

OJGas

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“…Nos Estados Unidos varia de 2,3 a 24% em indivíduos acima de 40 anos, com tendência de crescimento acompanhando aumento dos índices de expectativa de vida. Estes dados provavelmente são subestimados, pois muitos portadores desta afecção não relatam sua condição a seus médicos por vergonha ou constrangimento [4][5][6][7][8][9] . No Brasil, os dados sobre incontinência são desconhecidos, porém estima-se que a incidência acompanhe a dos países com mesmo nível de desenvolvimento e expectativa de vida como os EUA.…”

Section: Prevalência E Impactounclassified

Transplante anorretal como proposta terapêutica para o tratamento de incontinência fecal e colostomia definitiva

Hirano

Seid

Galvão

et al. 2013

Rev. Med. (São Paulo)

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RESUMO:A incontinência fecal é um problema de enorme impacto social e econômico. Com semelhante semblante encontrase a colostomia definitiva, outra situação de igual gravidade e impacto sobre a vida dos pacientes. Neste trabalho, reuniram-se artigos retirados das bases de dados Cochrane Library, Medline e Embase para tratar das atuais situações desses problemas. A abordagem é realizada através dos tópicos Prevalência e impacto, Etiologia e Tratamento, sendo nesse último descrito e comentado o procedimento do transplante anorretal. A análise realizada revela a atual situação ruim para o tratamento da incontinência fecal e colostomia definitiva, mas coloca o transplante anorretal como proposta futura capaz de alterar essa realidade. DESCRITORES:Transplante heterotópico; Transplante autólogo; Transplante isogênico; Incontinência fecal; Colostomia.ABSTRACT: Fecal incontinence is a problem of great social and economic impact. With similar aspects, there is the definitive colostomy, another situation of equal gravity and impact over the patient's lives. In this work, articles from Cochrane Library, Medline and Embase were revised using these problems as parameters. The approach is systematically accomplished through the topics Prevalence and impact, Etiology and Treatment, with the description of anorectal transplantation in this last topic. The analysis reveals the bad situation of treatment for fecal incontinence and definitive colostomy nowadays, but settles the anorectal transplantation as a future proposal capable of changing this reality. KEYWORDS:

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