| Autor: |
Kaweesak Chittawatanarat, Dean C. Koh, Aileen A. Seah, Wai-Kit Cheong, Charles B. Tsang |
| Jazyk: |
angličtina |
| Rok vydání: |
2010 |
| Předmět: |
|
| Zdroj: |
Asian Journal of Surgery, Vol 33, Iss 3, Pp 134-142 (2010) |
| Druh dokumentu: |
article |
| ISSN: |
1015-9584 |
| DOI: |
10.1016/S1015-9584(10)60023-1 |
| Popis: |
To evaluate the outcomes with the American Medical Systems artificial bowel sphincter (ABS) implantation for the treatment of intractable faecal incontinence in an Asian population. Methods: Six Asian patients who underwent ABS implantation between March 2004 and December 2007 for the treatment of faecal incontinence were reviewed. Results: The ABS was successfully implanted in six patients [mean age 50 (20–73) years; 4 males]. The most common causes of incontinence were congenital anomaly of the anus (imperforate anus status post a pull-through procedure) and status-post ultralow anterior resection. Two patients required device explantation due to postoperative infection. One eventually required a colostomy. After a mean follow-up of 22 (4–36) months, four patients continued to have a functional artificial bowel sphincter. Faecal incontinence severity scores improved from a mean of 13 (12–14) to 6 (0–9) postactivation. Anal manometry showed an increase in mean resting pressures (19.2 +/− 7.5 mmHg vs. postimplantation with cuff inflated 45.0 +/− 12.0 mmHg). The comparative preoperative and postactivation faecal incontinence quality of life scores showed improvement in all aspects. Conclusions: Patients with successful ABS implantation benefited from improved outcomes in function and quality of life. Infection was the most common cause of failure in our patients. |
| Databáze: |
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| Externí odkaz: |
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