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Diseases of the Colon & Rectum
Erschienen in: Diseases of the Colon & Rectum 11/2007

01.11.2007 | Current Status

Evolving Therapy for Fecal Incontinence

verfasst von: Jane J. Y. Tan, M.B.B.S., M.R.C.S., Miranda Chan, M.B.B.S., F.R.A.C.S, Joe J. Tjandra, M.D., F.R.A.C.S.

Erschienen in: Diseases of the Colon & Rectum | Ausgabe 11/2007

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Abstract

Background

Fecal incontinence is common and can be socially debilitating. Nonoperative management of fecal incontinence includes dietary modification, antidiarrheal medication, and biofeedback. The traditional surgical approach is sphincteroplasty if there is a defect of the external sphincter. Innovative treatment modalities have included sacral nerve stimulation, injectable implants, dynamic graciloplasty, and artificial bowel sphincter.

Discussion

This review was designed to assess the various surgical options available for fecal incontinence and critically evaluate the evidence behind these procedures. The algorithm in the surgical treatment of fecal incontinence is shifting. Injectable therapy and sacral nerve stimulation are likely to be the mainstay in future treatment of moderate and severe fecal incontinence, respectively. Sphincteroplasty is limited to a small group of patients with isolated defect of the external sphincter. A stoma, although effective, can be avoided in most cases.
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Metadaten
Titel
Evolving Therapy for Fecal Incontinence
verfasst von
Jane J. Y. Tan, M.B.B.S., M.R.C.S.
Miranda Chan, M.B.B.S., F.R.A.C.S
Joe J. Tjandra, M.D., F.R.A.C.S.
Publikationsdatum
01.11.2007
Verlag
Springer-Verlag
Erschienen in
Diseases of the Colon & Rectum / Ausgabe 11/2007
Print ISSN: 0012-3706
Elektronische ISSN: 1530-0358
DOI
https://doi.org/10.1007/s10350-007-9009-2

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