Significant Rectal Bleeding as a Complication of a Fecal Collecting Device: Report of a Case

Page, B.; Boyce, Stephen; Deans, Christopher; Camilleri-Brennan, John

doi:10.1007/s10350-008-9227-2

Cited by 45 publications

(31 citation statements)

References 8 publications

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“…(11)(12)(13) Fortunately, in the present study, we did not encounter such problems with the use of the Flexi-Seal ® FMS. However, it may be premature, based on the findings of the present study, to conclude that the use of the Flexi-Seal ® FMS is without any danger.…”

Section: Discussionmentioning

confidence: 58%

Nonsurgical faecal diversion in the management of severe perianal sepsis: a retrospective evaluation of the flexible faecal management system

Goh¹,

Chew²,

Au-Yong³

et al. 2014

smedj

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Section: Discussionmentioning

confidence: 58%

Nonsurgical faecal diversion in the management of severe perianal sepsis: a retrospective evaluation of the flexible faecal management system

Goh¹,

Chew²,

Au-Yong³

et al. 2014

smedj

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“…Relative contraindications for the use of this device may be rectal perforations or rectal ulcers. Tenesmus and rectal bleeding have been described as occasional complications [15].…”

Section: Discussionmentioning

confidence: 99%

Rectal diversion without colostomy in Fournier’s gangrene

Estrada¹,

Martínez²,

Bas³

et al. 2009

Tech Coloproctol

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Fournier's gangrene is a potentially fatal necrotizing fasciitis affecting the perineum and genital area. The usual treatment includes prompt surgical debridement and, in many cases, a diverting colostomy. We present two cases of Fournier's gangrene that were treated with extensive local debridement and rectal diversion with a new device for faecal matter management, avoiding the need for a colostomy.

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“…Most of the studies (n=7)11 15–20 were prospective cohort studies, with one case study12 and one case series21 study identified. One study did not describe their research methodology 13…”

Section: Methodsmentioning

confidence: 99%

“…FI is one of the associated problems with prolonged immobilisation, especially among the elderly and critically ill. Nursing care of bedridden patients with FI is more labour intensive and increases the risk of perianal wound infection 12. Indeed, FI related problems have the potential to influence length of stay in hospital, gaining hospital infections and increasing the amount of nursing interventions required 13…”

Section: Introductionmentioning

confidence: 99%

Effective management of acute faecal incontinence in hospital: review of continence management systems

Ousey

Gillibrand

Lui

2010

Frontline Gastroenterol

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REVIEWThis paper reviews the scientifi c literature regarding current systems available for the management of acute faecal incontinence (FI) in hospital patients. The review searched Medline from 1950 to October 2009 using the adapted search strategy, as devised by the Cochrane Incontinence Group, in order to identify studies relevant to this review, yielding 197 records. Ten studies fi tted the inclusion criteria with none of the studies being randomised control trials. Characteristics identifi ed from the studies included: duration of the management devices, cost implications, length of patient stay, contraindications and patient assessment. The management of acute FI in acute settings is a relatively ignored problem, with little available evidence to support a standardised approach to its management. The review highlights the need for early identifi cation of contraindications when FI management systems are being used, particularly in patients administered antithrombotic drugs such as aspirin. IntroductionThe management of acute faecal incontinence (FI) in acute settings is a relatively ignored problem, with little available evidence to support a standardised approach to its management. 1 2 FI is defined as the inability to control gas or stools, ranging from mild difficulty with gas control to complete loss of control over liquid and formed stools.3 This could be debilitating and intensely embarrassing to those affected and in many cases it has a profound impact on the patient's quality of life, 4 outcomes and their dignity. FI could be caused by differing aetiology or artificially induced through paralysis. Although medically derived interventions are used to deal with FI, including drug therapy, it is often nursing practice which provides direct patient care and management. 5-8FI has been explored from the perspective of chronic conditions with associated aetiology of a variety of disorders.4 Prevalence data are difficult to determine from the chronic perspective, as it relies on patient self-reporting, and as patients with FI suffer embarrassment, shame and depression, it is often under-reported. 9 Other epidemiological studies have reported varying prevalence due to different populations sampled, differences in data collection and no standard definition. 4 Reported prevalence ranges from 4.4% 10 in the community population to 18.4% in outpatient settings. 9 In the UK, the Department of Health estimated that in institutional care, the prevalence of regular FI is as high as 25%. 6FI in hospital patients is often the result of multiple factors, or the result of another treatment that cannot be discontinued.11 FI is one of the associated problems with prolonged immobilisation, especially among the elderly and critically ill. Nursing care of bedridden patients with FI is more labour intensive and increases the risk of perianal wound infection.12 Indeed, FI related problems have the potential to influence length of stay in hospital, gaining hospital infections and increasing the amount of nursing interventions...

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Significant Rectal Bleeding as a Complication of a Fecal Collecting Device: Report of a Case

Cited by 45 publications

References 8 publications

Nonsurgical faecal diversion in the management of severe perianal sepsis: a retrospective evaluation of the flexible faecal management system

Nonsurgical faecal diversion in the management of severe perianal sepsis: a retrospective evaluation of the flexible faecal management system

Rectal diversion without colostomy in Fournier’s gangrene

Effective management of acute faecal incontinence in hospital: review of continence management systems

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