Fecal Incontinence in Older Patients. A Narrative Review

Cabrera, Ana María García; Rodríguez, R. M. Jiménez; Díaz, María Luisa Reyes; Monchul, J. M. Vázquez; Fernández, María Ramos; Pavón, J. M. Díaz; González, C. Palacios; Ruiz, Francisco Javier Padillo; Juan, Fernando de la Portilla de

doi:10.1016/j.cireng.2017.12.005

Cited by 4 publications

(6 citation statements)

References 44 publications

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“…6,15,19,20,27 No Brasil, em trabalhos anteriores, a prevalência de IF variou de 3,00 a 43,00%. [17][18][19]28 Todavia, dos quatro trabalhos, um foi realizado em idosos institucionalizados, 28 dois em amostras que incluíram indivíduos abaixo dos 60 anos 19,20 e somente um com amostra semelhante ao do presente estudo. 13 Além disso, outro fator que pode colaborar para as diferenças e a extrema amplitude de variação entre as prevalências observadas nesses estudos é a ausência de uma padronização da definição operacional da IF.…”

Section: Discussionunclassified

“…16,17 Entre pacientes hospitalizados portadores de síndrome demencial, esse número é ainda maior, podendo chegar à 80,00%. 18 No Brasil, em indivíduos que vivem na comunidade, os poucos estudos sobre o tema mostraram prevalências que variam de 3,60 a 11,70%. Entretanto, existe uma dificuldade em comparar essas estimativas devido a diferentes metodologias utilizadas e especificidades das populações estudadas, assim como poucos entre esses estudos contemplaram apenas a população idosa em suas avaliações.…”

Section: Introductionunclassified

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Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study

Costa,

Moreira,

Neri

et al. 2023

Geriatr Gerontol Aging

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Objective: To assess the prevalence of fecal incontinence and its association with clinical, functional, and cognitive-behavioral variables, medication use, frailty, falls, and quality of life in community-dwelling older adults (aged 65 years or older). Methods: Cross-sectional, multicenter study carried out across 16 Brazilian cities. The question “In the last 12 months, did you experience fecal incontinence or involuntary passage of stool?” was defined as the indicator variable for fecal incontinence. Bivariate analyses were carried out to assess the prevalence of fecal incontinence and sociodemographic characteristics, comorbidities, cognition, functional capacity, depression, frailty, quality of life, and falls. Logistic regression analysis was also performed, with fecal incontinence as the dependent variable. Results: Overall, 6855 subjects were evaluated; 66.56% were female, 52.93% white, and the mean age was 73.51 years. The prevalence of fecal incontinence was 5.93%. It was associated with worse self-care (OR 1.78 [1.08–2.96]), dependence for basic activities of daily living (OR 1.29 [1.01–1.95]), and urinary incontinence (OR 4.22 [3.28–5.41]). Furthermore, the absence of polypharmacy was identified as a protective factor (OR 0.61 [0.44–0.85]). Conclusion: The overall prevalence of fecal incontinence was 5.93%. On logistic regression, one quality of life variable, dependence for basic activities of daily living, and polypharmacy were significantly associated with fecal incontinence.

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Section: Discussionunclassified

Section: Introductionunclassified

Are quality of life, functional capacity, and urinary incontinence associated with fecal incontinence? The Fibra-BR Study

Costa,

Moreira,

Neri

et al. 2023

Geriatr Gerontol Aging

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“…The medical treatment options are digital evacuation of the impacted fecal mass, the rectal administration of stool softening agents, usually enemas or suppositories, and orally administered laxatives, such as polyethylene glycol (PEG) 3350 with electrolytes. [1,9,10] In many cases, manual disimpaction is required. The procedure is done using lubrication and gently removing the impacted stool with the index finger, and can be aided with the use of an anoscope and suction.…”

Section: Discussionmentioning

confidence: 99%

“…Gladman et al [25] evaluated the outcomes of all surgical options for idiopathic megarectum or megacolon in their systematic review. They made following recommendations: (1) In patients with megacolon with a nondilated functional rectum, subtotal colectomy and ileorectal anastomosis is the procedure of choice as segmental resection results in higher incidence of postoperative constipation. However, patients must be counseled that this procedure is associated with a definite mortality and a 20% morbidity that frequently requires further surgical intervention and which is most commonly secondary to bowel obstruction.…”

Section: Discussionmentioning

confidence: 99%

“…Fecal impaction is a cause for increased morbidity and a significant cause of a decrease in quality of life among the elderly. [1,2] We herein report a case of a massive fecal impaction with megarectum in a 62-year-old woman who presented with symptoms of mechanical bowel obstruction. The objective of this article is to give a concise review of this condition and discuss the treatment strategies for these cases.…”

Section: Introductionmentioning

confidence: 97%

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Massive fecal impaction with megarectum formation: A case report

Erdoğan¹

2019

South Clin Ist Euras

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Fecal impaction occurs because of hardened fecal matter retained in the colorectum which cannot be evacuated by peristaltic activity. Fecal impaction commonly occurs among nursing home residents, patients with neurological deficit, psychiatric disease or renal failure. Fecal impaction is usually treated by manual disimpaction, enemas and laxatives. Laparotomy is required only in the presence of complications. We herein report a case of a massive fecal impaction with megarectum in a 62-year-old woman who presented with large bowel obstruction. The aim of this report is to give a brief review of this entity and discuss the treatment options for these cases.

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