Defecation Disorders: A French Population Survey

Abstract

PURPOSE: Despite frequent occurrence, functional defecation disorders and related conditions have been infrequently reported in population studies. This study was designed to assess symptoms, lifestyle-behavioral changes, and medical care seeking related to functional defecation disorders in a large household community survey. METHODS: A large household community survey was conducted in 10,000 individuals aged 15 years or older. A mailed questionnaire was used to assess ten common anorectal complaints; frequency, association, impact on quality of life, and medical care seeking were quantified. RESULTS: Evaluation was obtained in 7,196 patients (3,455 males). During the previous 12-month period, 2,097 patients (29.1 percent) experienced functional defecation disorders: outlet constipation and fecal incontinence were reported in 22.4 and 16.8 percent respectively. Compared with patients with no anorectal complaint, patients with functional defecation disorders had a different gender status (females, 63.3 vs. 47.6 percent; P < 0.01). Based on symptom severity, functional defecation disorders were perceived as the main anorectal complaint in 1,192 patients. In this group, emptying difficulties, unsatisfied defecation, gas, and fecal incontinence occurred at least once per month in 71.6, 56.1, 77.9, and 49 percent respectively: 66.6 percent with outlet constipation and 85.6 percent with incontinence revealed impairment in quality of life. Incontinent patients more frequently avoided medical care than those complaining of outlet constipation (67.4 vs. 46.4 percent; P < 0.01). CONCLUSIONS: Functional defecation disorders concerns at least one of four French individuals. Outlet constipation and fecal incontinence frequently occur in association. Despite a low rate of patients seeking care, symptoms often are severe and related to quality of life impairment. [

Épidémiologie et facteurs de risque de l’incontinence anale

“…Selon certaines études [7,12], le sexe n'est pas associé à une augmentation du risque d'incontinence anale, mais une majorité de travaux vont dans le sens d'un sur-risque chez les femmes [2,3,12].…”

Effects of the Actindia chinensis on Loperamide-induced Constipation in Rat

“…변비환자중 90% 이상이 원인 질환없이 특발성으로 발생하는 만성 특발성 변비이며 기질적인 장관내 병소, 대 사성 질환, 특정 약물의 복용 등 변비를 유발하는 원인으 로 인해 이차적으로 발생하는 변비로 나눌 수 있다 (Locke, 1996). 만성변비는 삶의 질을 저해하고 (Siproudhis et al, 2006) 결장 및 직장암을 유발하는 위험성과 관련이 있는 것으로 보고되고 있다 (Watanabe et al, 2002). 이러한 변비의 치료에 있어서 중요한 것은 식이요법으로, 충분한 식이섬유 섭취는 변비의 예방 및 치료에 가장 적합하고 일 차적으로 사용할 수 있는 것으로 장내 효소에 의해 소화되 지 않는 식물 성분이며, 대장 내에서 물을 흡수하여 변을 연하게 하고 부피를 크게 한다 (John H.C. 1984;Chen et al, 1998;.…”

A review of algorithms for medical image segmentation and their applications to the female pelvic cavity

“…It is estimated that 30 ~ 50% of woman in Europe and the USA are affected by urinary incontinence (Buchsbaum, et al, 2005). Over 20% of French suffer from obstructed defecation (Siproudhis, et al, 2006). About 15% of population of New Zealand and 2.2 ~ 6.9% of population in the USA suffer from fecal incontinence (Drossman, et al, 1993;Nelson, et al, 1995;Macmillan, et al, 2004).…”