| Autor: |
Murphy, Jamie, Lawes, Daniel, Vasudevan, Subash, Scott, Mark, Lunniss, Peter |
| Zdroj: |
Gastrointestinal Nursing; Feb2008, Vol. 6 Issue 1, p32-38, 6p, 1 Diagram, 3 Charts |
| Abstrakt: |
Acquired faecal incontinence (FI) is common, underappreciated and socially devastating. Obstetric trauma and anal surgery are major risk factors for FI. The true incidence is unknown, but FI is seen in 2% of the adult population increasing to 14% in those over the age of 65 (Nelson, 2004). This can affect very young patients with anorectal injury, a group which is easily identified. However, occult injuries also occur. In those who have delayed presentation after the injury, symptoms generally occur in the sixth decade. This is presumably due to 'multiple hits', where aging, the menopause and pelvic denervation exacerbate occult obstetric or iatrogenic sphincter dysfunction. Treatment is a major challenge for both medical staff and clinical nurse specialists alike, but simple measures can greatly improve quality of life. For patients who fail maximum conservative treatment, significant advances in surgical procedures have occurred in the past decade. This review focuses on advances in the understanding and treatment of faecal incontinence. While this is not a systematic review, we have evaluated the treatments which are currently available in tertiary gastroenterology centres, supplemented by a Medline search using the keywords 'faecal incontinence'. In conclusion, we suggest a simple algorithm to aid management of this difficult condition. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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