Fecal impaction: a systematic review of its medical complications
| Autor: | Angel Alvarez Sanchez, Enrique Rey, Blanca Serrano Falcón, Marta Barceló López, Beatriz Mateos Muñoz |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Complications medicine.medical_treatment MEDLINE Fecal Impaction Disease Risk Assessment Fecaloma 03 medical and health sciences 0302 clinical medicine Elderly Early Medical Intervention medicine Humans Survival analysis Aged Chronic constipation Rehabilitation business.industry Fecal impaction medicine.disease Classification Prognosis Survival Analysis Surgery Early Diagnosis 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female Geriatrics and Gerontology business Risk assessment Complication Research Article |
| Zdroj: | Repositorio Institucional de la Consejería de Sanidad de la Comunidad de Madrid Consejería de Sanidad de la Comunidad de Madrid BMC Geriatrics |
| Popis: | Background Fecal impaction (FI) is a common problem in the elderly and other at-risk groups, such as patients with a neuro-psychiatric disease. It has been associated with medical problems and high morbi-mortality. A systematic review of this topic might be useful to improve the knowledge in this area and helpful to make an appropriate and early diagnosis. Methods A PubMed systematic search was performed using relevant keywords. Case reports published in English, Spanish or French till June 2014 were included if they had a diagnosis of FI and a medical complication secondary to it. Each case was classified based on its principal complication. The main objective is to create a classification of FI complications based on published clinical cases. Results 188 articles met inclusion criteria, comprising 280 clinical cases. Out of the total, 43,5 % were over 65 years old, 49 % suffered from chronic constipation, 29 % had an underlying neuropsychiatric disease and 15 % were hospitalised or institutionalised. A total of 346 medical complications secondary to FI were collected. They were divided according to gastrointestinal tract involvement and then classified based on their anatomical and pathophysiological mechanism into three groups: Complications secondary to fecaloma effect on the intestinal wall (73.4 %), on the intestinal lumen (14 %) and on adjacent structures (12.6 %). Conclusions FI causes complications that might be fatal. The elderly, underlying neuropsychiatric disease and hospitalised or institutionalised patients integrate the high-risk group in which FI must be suspected. The first FI complications classification is presented to improve the knowledge about this entity. |
| Databáze: | OpenAIRE |
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