Fecal Impaction: A Review

Creason, Nancy S.; Sparks, Donna

doi:10.1111/j.1744-618x.2000.tb00381.x

Cited by 21 publications

(17 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Definition was review by Creason and Sparks [18] and among those definitions provided by the literature, we chose the more restrictive which, was considered appropriate by gastroenterologists and nursing homes’ doctors, according to the first part of the design of the questionnaire. Thus, faecal impaction was defined as an accumulation of hard faeces in the rectum that the subject was unable to evacuate themself, occurring at least once in the last year.…”

Section: Methodsmentioning

confidence: 99%

“…Faecal impaction occurs more frequently in the elderly [16,17], represents a relevant problem for caregivers, and it is potentially associated with complications [18], specially in patients with more than 80 years of age, or patients with heart or neurological disease [19]. Our knowledge of its epidemiology is limited, partly due to the inherent difficulties associated with conducting surveys in the elderly.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Validation of a questionnaire for assessing fecal impaction in the elderly: impact of cognitive impairment, and using a proxy

Barceló

Jimenez-Cebrian²,

Dı́az-Rubio

et al. 2013

BMC Geriatr

View full text Add to dashboard Cite

BackgroundStudies on the epidemiology of fecal impaction are limited by the absence of a valid and reliable instrument to identify the condition in the elderly. Our aim is to validate a questionnaire for identifying fecal impaction in the elderly and to assess the impact of cognitive impairment and the aid of a proxy on its reliability.MethodsWe developed a 5 questions’ questionnaire. The questionnaire was presented to twenty doctors to test its face validity. Feasibility was pre-tested with ten non institutionalized subjects who completed the questionnaire twice, once alone or with the help of a proxy, and another along with the researcher.For the validation of the questionnaire all residents in a single nursing-home were invited to participate, allowing the self-decision of using a proxy. Medical records of all subjects were abstracted without knowledge of subjects’ answers and agreement between fecal impaction according to self-reported and medical records analyzed. Physical impairment was measured with the Barthel’s test and cognitive impairment with the mini-mental test.ResultsIn the face validity only minor changes in wording were suggested. In the feasibility pre-test all subjects were able to understand and complete the questionnaire and all questions were considered appropriate and easily understandable.One-hundred and ninety-nine of the 244 residents participated in the study (mean age 86,1 ± 6,6). One hundred and forty two subjects understood all questions; not understanding them was inversely associated with cognitive impairment score (aOR: 0.86; 95% CI: 0.82-0.91). One hundred and sixty decided to use a proxy; the use of a proxy was inversely associated with educative level (0.13 (0.02-0.72), minimental’s score (0.85; 0.76-0.95) and Barthel’s score (0.96; 0.94-0.99). Agreement between medical records and self-completed questionnaire was 85.9% (kappa 0.72 (0,62- 0,82). Disagreement was unrelated to education and cognitive impairment.ConclusionsOur simple questionnaire is reliable for identifying fecal impaction in the elderly by self-report. Limitation imposed by cognitive impairment is minimized with the aid of a proxy.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Validation of a questionnaire for assessing fecal impaction in the elderly: impact of cognitive impairment, and using a proxy

Barceló

Jimenez-Cebrian²,

Dı́az-Rubio

et al. 2013

BMC Geriatr

View full text Add to dashboard Cite

show abstract

“…A study of geriatric wards in the United Kingdom showed that up to 42% of the old patients had fecal impaction 2. In some cases, it causes a serious situation; impaction of hard fecal mass on the colonic wall may cause stercoral ulcer, lower gastrointestinal bleeding,3 intussusception,4 or even perforation 5. For patients with fecal impactions, the aims of management are to relieve symptoms, clear out colon, and restore normal bowel habit.…”

Section: Discussionmentioning

confidence: 99%

Report of an Unusual Case With Severe Fecal Impaction Responding to Medication Therapy

Zhao¹,

Ke²

2010

J Neurogastroenterol Motil

View full text Add to dashboard Cite

Fecal impaction is a disorder characterized by a large mass of compacted feces in the rectum and/or colon, which cannot be evacuated. For mild and moderate fecal impaction, recommended treatments include stool softeners, oral mineral and olive oil, and edema; for severe fecal impaction, manual removal is needed and sometimes laparotomy may be indicated if medical therapies are not effective. Here we report a case with severe fecal impaction who did not defecate for 75 days. We treated this patient with vegetable oil, Chinese traditional medicine and enema in sequence. After 12 days of therapy, she evacuated hard fecal masses, and the symptoms were relieved.

show abstract

“…1 Causes of fecal impaction include gender (women), socioeconomic status, low intake of dietary fiber, dehydration, immobility, alcohol ingestion, use of constipating drugs, hypothroidism. 2 She was under treatment of psychosis with Risperdal ® (risperidone) and Largactil ® (Chlorpromazine hydrochloride) for 15 years. The patient had tremors which is a known side effect of risperdal (Parkinson like effect).…”

confidence: 99%

“…1 Causes of fecal impaction include gender (women), socioeconomic status, low intake of dietary fiber, dehydration, immobility, alcohol ingestion, anti-psychosis drugs, hypothroidism. 2,3 In this report, we present a case with anti-psychosis treatment who had complications secondary to fecalith impaction and needed emergent laparotomy.…”

Section: Introductionmentioning

confidence: 99%