Obesity and bariatric surgery: a systematic review of associations with defecatory dysfunction

Poylin, Vitaliy; Serrot, Federico J.; Madoff, Robert D.; Ikrumuddin, S.; Mellgren, Anders; Lowry, Ann C.; Melton, Genevieve B.

doi:10.1111/j.1463-1318.2011.02584.x

Cited by 54 publications

(35 citation statements)

References 31 publications

(153 reference statements)

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“…(24) Obesity has also been associated with fecal incontinence, which affects 16–68% of obese individuals. (25) The prevalence of fecal incontinence has also been shown to decrease after weight loss after bariatric surgery (19), further emphasizing the importance of obesity as a modifiable risk factor. The association of obesity with pelvic floor disorders highlights the importance of addressing weight loss in obese women and of screening for these disorders in overweight and obese women.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Trends of Symptomatic Pelvic Floor Disorders in U.S. Women

Vaughan

Goode

et al. 2014

Obstetrics &Amp; Gynecology

682

438

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Objective To estimate the prevalence and trends of these pelvic floor disorders in U.S. women from 2005–2010. Methods We utilized the National Health and Nutritional Examination Survey (NHANES) from 2005–2006, 2007–2008, and 2009–2010. A total of 7,924 non-pregnant women (aged 20 years or older) were categorized as having: urinary incontinence – moderate to severe (3 or higher on a validated urinary incontinence (UI) severity index, range 0–12); fecal incontinence – at least monthly (solid, liquid, or mucus stool); and pelvic organ prolapse – seeing or feeling a bulge. Potential risk factors included age, race and ethnicity, parity, education, poverty income ratio, body mass index (BMI) (<25, 25–29, ≥30 kg/m2), co-morbidity count, and reproductive factors. Using appropriate sampling weights, weighted chi square analysis and multivariable logistic regression models with odds ratios (OR) and 95% confidence intervals (95% CI) were reported. Results The weighted prevalence rate of one or more pelvic floor disorder was 25.0% (95% CI 23.6, 26.3), including 17.1% (95% CI 15.8, 18.4) of women with moderate-to-severe urinary incontinence, 9.4% (95% CI 8.6, 10.2) with fecal incontinence, and 2.9% (95% CI 2.5, 3.4) with prolapse. From 2005 to 2010, no significant differences were found in the prevalence rates of any individual disorder or for all disorders combined (p>0.05). After adjusting for potential confounders, higher BMI, greater parity, and hysterectomy were associated with higher odds of one or more pelvic floor disorder. Conclusion Although rates of pelvic floor disorders did not change from 2005–2010, these condition remain common with one quarter of adult U.S. women reporting at least one disorder.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Trends of Symptomatic Pelvic Floor Disorders in U.S. Women

Vaughan

Goode

et al. 2014

Obstetrics &Amp; Gynecology

682

438

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“…[16][17][18] There is also higher prevalence (16-68%) of fecal incontinence in obese women. 19 With the measures to decrease weight following bariatric surgery, the prevalence of fecal incontinence decreased significantly. 16 This association between obesity and urinary and fecal incontinence shows that weight loss in obese and overweight women is important aspect in preventing and treating them.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of urinary incontinence in reproductive women and its impact on quality of life

Poomalar

Priyadharshini

2015

Int J Reprod Contracept Obstet Gynecol

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“…Studies have reported a range of results from no association to up to 69% of obese subjects having fecal incontinence. 37,108 Obesity is emerging as a potentially modifiable risk factor in fecal incontinence, 109 and obesity (BMI ≥ 30 kg/m 2 ) was a significant risk factor for increased functional difficulty/dependence as a result of fecal incontinence. 110 …”

Section: Anal Canal and Pelvic Floormentioning

confidence: 99%

Gastrointestinal Complications of Obesity

2017

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Obesity usually is associated with morbidity related to diabetes mellitus and cardiovascular diseases. However, there are many gastrointestinal and hepatic diseases for which obesity is the direct cause (eg, nonalcoholic fatty liver disease) or is a significant risk factor, such as reflux esophagitis and gallstones. When obesity is a risk factor, it may interact with other mechanisms and result in earlier presentation or complicated diseases. There are increased odds ratios or relative risks of several gastrointestinal complications of obesity: gastroesophageal reflux disease, erosive esophagitis, Barrett’s esophagus, esophageal adenocarcinoma, erosive gastritis, gastric cancer, diarrhea, colonic diverticular disease, polyps, cancer, liver disease including nonalcoholic fatty liver disease, cirrhosis, hepatocellular carcinoma, gallstones, acute pancreatitis, and pancreatic cancer. Gastroenterologists are uniquely poised to participate in the multidisciplinary management of obesity as physicians caring for people with obesity-related diseases, in addition to their expertise in nutrition and endoscopic interventions.

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Obesity and bariatric surgery: a systematic review of associations with defecatory dysfunction

Cited by 54 publications

References 31 publications

Prevalence and Trends of Symptomatic Pelvic Floor Disorders in U.S. Women

Prevalence and Trends of Symptomatic Pelvic Floor Disorders in U.S. Women

Prevalence of urinary incontinence in reproductive women and its impact on quality of life

Gastrointestinal Complications of Obesity

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