Urinary and Fecal Incontinence After Bariatric Surgery

Roberson, Erica N.; Gould, Jon C.; Wald, Arnold

doi:10.1007/s10620-010-1190-9

Cited by 48 publications

(41 citation statements)

References 24 publications

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“…My results are similar to those of most studies which show a positive association between IBS and general obesity [15,16,17]; and between IBS and central obesity [14]. Some studies show that central obesity using WC is more associated with IBS than general obesity [18,19].…”

Section: Association Between Central Obesity and Ibssupporting

confidence: 88%

The Association between Central Obesity and the Risk of Irritable Bowel Syndrome: A Case-control Study

Nuaman¹

2017

AJMSM

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Background: Central obesity and Irritable Bowel Syndrome (IBS) are common medical conditions with similar etiologic mechanisms. There are limited studies to evaluate the association between obesity, especially central obesity; with IBS. Establishing such association is important in the management of IBS. Objective: To evaluate the association between central obesity and IBS in Iraqi patients using Waist-to-Height ratio (WtHR) as an index of central obesity. Patients and Methods: Central obesity defined by Waist-to-Height ratio > 0.5. Inclusion and exclusion criteria for diagnosing IBS were used. A case-control study was performed at AL-Nuaman Teaching Hospital in the period from January 2015 to December 2015, Comparing Waist-to-Height ratio (WtHR) between 75 patients (with IBS) and 130 controls (without IBS) to assess the association between central obesity and IBS. Chi-square test with 95% confidence was used to evaluate association between central obesity and IBS, and Odds ratio (OR) for central obesity was determined. Results: There is significant association between central obesity and IBS, 2 (1) = 36.2, P < 0.001). The strength of association using phi coefficient is medium positive (φ=42, p<0.001). Conclusion: Central obesity is significantly associated with IBS and may be regarded as a risk factor for IBS. OR value

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Section: Association Between Central Obesity and Ibssupporting

confidence: 88%

The Association between Central Obesity and the Risk of Irritable Bowel Syndrome: A Case-control Study

Nuaman¹

2017

AJMSM

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“…Diarrhoea can also occur following bariatric surgery with an incidence of up to 40% 95. Rarely, this can deteriorate to the point of faecal incontinence 95.…”

Section: Reviewmentioning

confidence: 99%

Bariatric surgery: a best practice article

Neff

Roux

2012

J Clin Pathol

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Bariatric surgery can effectively reduce body weight and treat obesity associated metabolic diseases such as diabetes mellitus. There are also benefits for an individual's functional status and psychological health. A multi-disciplinary evaluation should be offered to the individual as the first essential step in considering bariatric surgery as a treatment. This evaluation should include a thorough medical assessment, as well as psychological and dietetic assessments. In this best practice article, we outline the current recommendations for referral for bariatric surgery. We also present the data for pre-operative assessment before bariatric surgery, with particular reference to cardiovascular disease and obstructive sleep apnoea. We describe the literature on outcomes after bariatric surgery, including the results for mortality, weight loss, remission of diabetes and associated endocrine disorders such as hypogonadism. Within this review, we will illustrate the impact of bariatric surgery on self-image, psychological health and perceived health and functional status. Finally, we briefly detail the potential complications of bariatric surgery, and offer advice on post-operative care and surveillance.

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“…Likewise, a recent study found that women submitted to bariatric surgery followed by weight loss experienced improvements in urinary loss and in the frequency and severity of FI [19].…”

Section: Discussionmentioning

confidence: 92%

“…In a study by Roberson et al 2010, 48% of women and 42% of men after bariatric surgery reported incontinence for liquid stool, and 21% of women and 30% of men reported incontinence to solid stool. Risk factors for FI in obese after bariatric surgery include diarrhea and worsening diarrhea (disabsortive surgeries), and also, this surgery can reveal weaknesses in previous continence mechanism [22].…”

Section: Discussionmentioning

confidence: 98%

Functional Evaluation of Obese Patients with Symptoms of Fecal Incontinence Using Anorectal Electromanometry

Da¹,

Dmr²,

Kurachi³

et al. 2017

J Obes Weight Loss Ther

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Obesity is a modifiable risk factor to fecal incontinence (FI) and weight loss result in improvement in the frequency and severity of FI.Introduction: Fecal incontinence (FI) has a multifactorial etiology and is most common in women. The prevalence is variable, though generally underestimated due to embarrassment. Since the incidence of pelvic floor disorders is higher among obese individuals, obesity may be considered a modifiable risk factor for FI. Weight loss seems to result in improvement in the frequency and severity of FI episodes. However, little has been published on FI in obese subjects and on its impact on quality of life in this patient population.

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Urinary and Fecal Incontinence After Bariatric Surgery

Abstract: Both fecal and urinary incontinence were common after bariatric surgery. Risk factors for fecal incontinence in women after bariatric surgery include diarrhea and worsening of diarrhea; we suggest that such surgery may uncover prior weaknesses in the continence mechanism.

Cited by 48 publications

References 24 publications

The Association between Central Obesity and the Risk of Irritable Bowel Syndrome: A Case-control Study

The Association between Central Obesity and the Risk of Irritable Bowel Syndrome: A Case-control Study

Bariatric surgery: a best practice article

Functional Evaluation of Obese Patients with Symptoms of Fecal Incontinence Using Anorectal Electromanometry

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