The American Society of Colon and Rectal Surgeons’ Clinical Practice Guidelines for the Management of Fecal Incontinence

Bordeianou, Liliana; Thorsen, Amy J.; Keller, Deborah S.; Hawkins, Alexander T.; Messick, Craig A.; Oliveira, Lúcia Câmara Castro; Feingold, Daniel L.; Lightner, Amy L.; Paquette, Ian M.

doi:10.1097/dcr.0000000000002776

Cited by 14 publications

(11 citation statements)

References 184 publications

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“…The American Society and of Colon and Rectal Surgeons Pelvic Floor Disorders Consortium recommended the routine use of “IMPACT” (Initial Measurement of Patient Reported Pelvic Floor Complaints Tool), which is a combination of the Wexner and Vaizey scores, whilst limiting the number of questions asked to patients ( 31 ).…”

Section: Work Up and Diagnosismentioning

confidence: 99%

“…Patients are recommended to maintain incontinence journals to identify possible triggers. It is advised to avoid the consumption of caffeine, particularly coffee, due to its recognised laxative properties, as well as lactose, excessive vitamin C, magnesium phosphorus, artificial sweeteners, alcohol and chilli ( 31 , 58 ).…”

Section: Treatmentmentioning

confidence: 99%

“…The benefits in primary prevention were also described. Medication review is essential to rule out side effects from their regular prescription medications which may be contributing to urgency or diarrhoea such as Donepezil and Rivastigmine, calcium channel agonists and metformin ( 31 , 58 ) Whilst awaiting referral and review by a specialist, short term management such as foam plugs, and RADAR Keys can be offered ( 58 ).…”

Section: Treatmentmentioning

confidence: 99%

“…In a randomised controlled trial involving 39 patients, the group receiving fibre supplementation experienced a decrease in the percentage of incontinent stools to less than half compared to the placebo group, demonstrating an improvement in stool consistency ( 61 ). Anti-diarrhoeal medications are suggested for FI with pre-existing diarrhoea ( 31 ). The initial treatment is loperamide hydrochloride.…”

Section: Treatmentmentioning

confidence: 99%

“…Good to excellent results have been observed in around 85% of patients in the short term. However, long term positive outcomes are rarely maintained and only 10%–14% of patients with sphincteroplasty exhibited sustained improvement in function at 5 years ( 31 ). Given this, the patient must be properly counselled prior to such procedure ( 31 ).…”

Section: Treatmentmentioning

confidence: 99%

See 4 more Smart Citations

Faecal incontinence—a comprehensive review

Dexter,

Walshaw,

Wynn

et al. 2024

Front. Surg.

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IntroductionFaecal incontinence (FI) is a distressing and often stigmatizing condition characterised as the recurrent involuntary passage of liquid or solid faeces. The reported prevalence of FI exhibits considerable variation, ranging from 7 to 15% in the general population, with higher rates reported among older adults and women. This review explores the pathophysiology mechanisms, the diagnostic modalities and the efficiency of treatment options up to date.MethodsA review of the literature was conducted to identify the pathophysiological pathways, investigation and treatment modalities.Result and discussionThis review provides an in-depth exploration of the intricate physiological processes that maintain continence in humans. It then guides the reader through a detailed examination of diagnostic procedures and a thorough analysis of the available treatment choices, including their associated success rates. This review is an ideal resource for individuals with a general medical background and colorectal surgeons who lack specialized knowledge in pelvic floor disorders, as it offers a comprehensive understanding of the mechanisms, diagnosis, and treatment of faecal incontinence (FI).

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Section: Work Up and Diagnosismentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

See 3 more Smart Citations

Faecal incontinence—a comprehensive review

Dexter,

Walshaw,

Wynn

et al. 2024

Front. Surg.

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Treatment pathway for sacral neuromodulation in faecal incontinence

Kahlke,

Fürst,

Schwandner

et al. 2023

coloproctology

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Exploring the association between type 2 diabetes and fecal incontinence in american adults: insights from a large cross-sectional study

Li,

Liang,

et al. 2024

Int J Colorectal Dis

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Background The relationship between fecal incontinence (FI) and type 2 diabetes (T2D) has been well recognized, but a comprehensive understanding of this relationship is lacking, taking into account demographic factors and lifestyle variables. Methods Using a cross-sectional approach, 13,510 adults aged 20 years and older were identified from the 2005–2010 National Health and Nutrition Examination Survey. Multivariate logistic regression models were used to calculate the adjusted odds ratios (ORs), and further subgroup analyses and propensity score analysis were performed to ensure stable results. Results Among 13,510 adults, 11.2% had T2D, and 8.8% had FI. We found a strong T2D-FI link (OR: 1.30; 95% CI: 1.09–1.54, P < 0.001), even after adjusting for covariates. Age > 45 was a critical factor, with a stronger T2D-FI association. Sedentary behavior (OR: 1.41; 95% CI: 1.15–1.73) in T2D patients were associated with FI. Conclusions Our study highlights the significant T2D-FI link in US adults, especially in older T2D patients. Lifestyle changes may reduce FI risk. More research is needed for causality and mechanisms.

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The American Society of Colon and Rectal Surgeons’ Clinical Practice Guidelines for the Management of Fecal Incontinence

Cited by 14 publications

References 184 publications

Faecal incontinence—a comprehensive review

Faecal incontinence—a comprehensive review

Treatment pathway for sacral neuromodulation in faecal incontinence

Exploring the association between type 2 diabetes and fecal incontinence in american adults: insights from a large cross-sectional study

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