Bowel Habits and Fecal Incontinence in Patients With Obesity Undergoing Evaluation for Weight Loss

Abstract

Fecal incontinence is common in patients with obesity. Stool consistency was significantly different in these patients. This study supports the possibility of improving incontinence during weight loss by modifying stool consistency.

Prevalence of Fecal Incontinence in Women During Pregnancy

“…23 in this cohort of patients, although the pregnancy increased the Bmi between the first and third trimesters, this did not have a straight effect on changes in stool consistency between the 2 stages of the pregnancy. our group did some previous studies focusing on hormonal changes and fi, mainly in menopause.…”

Pathophysiology of fecal incontinence in obese patients: A prospective case‐matched study of 201 patients

“…Obesity is an emerging and potentially modifiable risk factor for FI. The prevalence of FI in obese women undergoing evaluation for weight loss surgery is high, estimated between 16% and 63% . Although the association between obesity and urinary incontinence (UI) in women has been clearly documented, the relationship and the associated factors between obesity and FI are less well defined.…”

“…Because the prevalence of pelvic floor disorders is high in obese patients, we may expect that pudendal nerve injury explains, in part, FI in obese patients. Current data do not suggest an imposition, but studies of FI in obese patients have focused particularly on morbid and obese women without cross‐checking with non‐obese FI patients. Data available in obese men with FI are very limited …”

Prospective cohort study of phenotypic variation based on an anal sphincter function in adults with fecal incontinence

“…Incontinence associated with fecal urgency involved external anal dysfunction and rectal hypersensitivity . The relationship between high weight and FI has been described, but the pathogenesis is unknown. Pudendal nerve injury or pelvic musculature damage caused by chronically increased abdominal pressure due to excess weight, diabetic neuropathy, or intervertebral disk herniation have been proposed to explain fecal and/or urinary incontinence .…”