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01.08.2014 | Review

Current status: new technologies for the treatment of patients with fecal incontinence

verfasst von: Andreas M. Kaiser, Guy R. Orangio, Massarat Zutshi, Suraj Alva, Tracy L. Hull, Peter W. Marcello, David A. Margolin, Janice F. Rafferty, W. Donald Buie, Steven D. Wexner

Erschienen in: Surgical Endoscopy | Ausgabe 8/2014

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Abstract

Fecal incontinence is a frequent and debilitating condition that may result from a multitude of different causes. Treatment is often challenging and needs to be individualized. During the last several years, new technologies have been developed, and others are emerging from clinical trials to commercialization. Although their specific roles in the management of fecal incontinence have not yet been completely defined, surgeons have access to them and patients may request them. The purpose of this project is to put into perspective, for both the patient and the practitioner, the relative positions of new and emerging technologies in order to propose a treatment algorithm.

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Wald A (2007) Clinical practice: fecal incontinence in adults. N Engl J Med 356:1648–1655PubMed

Rao SSC, American College of Gastroenterology Practice Parameters Committee (2004) Diagnosis and management of fecal incontinence. American College of Gastroenterology Practice Parameters Committee. Am J Gastroenterol 99:1585–1604PubMed

Madoff RD (2004) Surgical treatment options for fecal incontinence. Gastroenterology 126:S48–S54PubMed

Tjandra JJ, Dykes SL, Kumar RR et al (2007) Practice parameters for the treatment of fecal incontinence. Dis Colon Rectum 50:1497–1507PubMed

Danielson J, Karlbom U, Sonesson A-C, Wester T, Graf W (2009) Submucosal injection of stabilized nonanimal hyaluronic acid with dextranomer: a new treatment option for fecal incontinence. Dis Colon Rectum 52:1101–1106PubMed

Dodi G, Jongen J, de la Portilla F, Raval M, Altomare DF, Lehur PA (2010) An open-label, noncomparative, multicenter study to evaluate efficacy and safety of NASHA/Dx gel as a bulking agent for the treatment of fecal incontinence. Gastroenterol Res Pract 2010:467136PubMedCentralPubMed

Graf W, Mellgren A, Matzel KE et al (2011) Efficacy of dextranomer in stabilised hyaluronic acid for treatment of faecal incontinence: a randomised, sham-controlled trial. Lancet 377:997–1003PubMed

Schwandner O, Brunner M, Dietl O (2011) Quality of life and functional results of submucosal injection therapy using dextranomer hyaluronic acid for fecal incontinence. Surg Innov 18:130–135PubMed

Kumar D, Benson MJ, Bland JE (1998) Glutaraldehyde cross-linked collagen in the treatment of faecal incontinence. Br J Surg 85:978–979PubMed

10.

Davis K, Kumar D, Poloniecki J (2003) Preliminary evaluation of an injectable anal sphincter bulking agent (Durasphere) in the management of faecal incontinence. Aliment PharmacolTher 18:237–243

11.

Tjandra JJ, Lim JF, Hiscock R, Rajendra P (2004) Injectable silicone biomaterial for fecal incontinence caused by internal anal sphincter dysfunction is effective. Dis Colon Rectum 47:2138–2146PubMed

12.

Stojkovic SG, Lim M, Burke D, Finan PJ, Sagar PM (2006) Intra-anal collagen injection for the treatment of faecal incontinence. Br J Surg 93:1514–1518PubMed

13.

Chan MKY, Tjandra JJ (2006) Injectable silicone biomaterial (PTQ) to treat fecal incontinence after hemorrhoidectomy. Dis Colon Rectum 49:433–439PubMed

14.

Altomare DF, La Torre F, Rinaldi M, Binda GA, Pescatori M (2008) Carbon-coated microbeads anal injection in outpatient treatment of minor fecal incontinence. Dis Colon Rectum 51:432–435PubMed

15.

Ganio E, Marino F, Giani I et al (2008) Injectable synthetic calcium hydroxylapatite ceramic microspheres (Coaptite) for passive fecal incontinence. Tech Coloproctol 12:99–102PubMed

16.

Maeda Y, Vaizey CJ, Kamm MA (2008) Pilot study of two new injectable bulking agents for the treatment of faecal incontinence. Colorectal Dis 10:268–272PubMed

17.

de la Portilla F, Fernandez A, Leon E et al (2008) Evaluation of the use of PTQ implants for the treatment of incontinent patients due to internal anal sphincter dysfunction. Colorectal Dis 10:89–94PubMed

18.

Soerensen MM, Lundby L, Buntzen S, Laurberg S (2009) Intersphincteric injected silicone biomaterial implants: a treatment for faecal incontinence. Colorectal Dis 11:73–76PubMed

19.

Aigner F, Conrad F, Margreiter R, Oberwalder M, Coloproctology Working Group (2009) Anal submucosal carbon bead injection for treatment of idiopathic fecal incontinence: a preliminary report. Dis Colon Rectum 52:293–298PubMed

20.

Bartlett L, Ho YH (2009) PTQ anal implants for the treatment of faecal incontinence. Br J Surg 96:1468–1475PubMed

21.

Tjandra JJ, Chan MKY, Yeh HCH (2009) Injectable silicone biomaterial (PTQ) is more effective than carbon-coated beads (Durasphere) in treating passive faecal incontinence: a randomized trial. Colorectal Dis 11:382–389PubMed

22.

Beggs AD, Irukulla S, Sultan AH, Ness W, Abulafi AM (2010) A pilot study of ultrasound guided Durasphere injection in the treatment of faecal incontinence. Colorectal Dis 12:935–940PubMed

23.

Maslekar S, Smith K, Harji D, Griffiths B, Sagar PM (2013) Injectable collagen for the treatment of fecal incontinence: long-term results. Dis Colon Rectum 56:354–359PubMed

24.

Takahashi T, Garcia-Osogobio S, Valdovinos MA et al (2002) Radio-frequency energy delivery to the anal canal for the treatment of fecal incontinence. Dis Colon Rectum 45:915–922PubMed

25.

Takahashi T, Garcia-Osogobio S, Valdovinos MA, Belmonte C, Barreto C, Velasco L (2003) Extended two-year results of radio-frequency energy delivery for the treatment of fecal incontinence (the Secca procedure). Dis Colon Rectum 46:711–715PubMed

26.

Takahashi-Monroy T, Morales M, Garcia-Osogobio S et al (2008) SECCA procedure for the treatment of fecal incontinence: results of five-year follow-up. Dis Colon Rectum 51:355–359PubMed

27.

Efron JE, Corman ML, Fleshman J et al (2003) Safety and effectiveness of temperature-controlled radio-frequency energy delivery to the anal canal (Secca procedure) for the treatment of fecal incontinence. Dis Colon Rectum 46:1606–1616 discussion 16-8PubMed

28.

Felt-Bersma RJ, Szojda MM, Mulder CJ (2007) Temperature-controlled radiofrequency energy (SECCA) to the anal canal for the treatment of faecal incontinence offers moderate improvement. Eur J Gastroenterol Hepatol 19:575–580PubMed

29.

Lefebure B, Tuech JJ, Bridoux V et al (2008) Temperature-controlled radio frequency energy delivery (Secca procedure) for the treatment of fecal incontinence: results of a prospective study. Int J Colorectal Dis 23:993–997PubMed

30.

Kim D-W, Yoon H-M, Park J-S, Kim YH, Kang S-B (2009) Radiofrequency energy delivery to the anal canal: is it a promising new approach to the treatment of fecal incontinence? Am J Surg 197:14–18PubMed

31.

Ruiz D, Pinto RA, Hull TL, Efron JE, Wexner SD (2010) Does the radiofrequency procedure for fecal incontinence improve quality of life and incontinence at 1-year follow-up? Dis Colon Rectum 53:1041–1046PubMed

32.

Abbas MA, Tam MS, Chun LJ (2012) Radiofrequency treatment for fecal incontinence: is it effective long-term? Dis Colon Rectum 55:605–610PubMed

33.

Michelsen HB, Thompson-Fawcett M, Lundby L, Krogh K, Laurberg S, Buntzen S (2010) Six years of experience with sacral nerve stimulation for fecal incontinence. Dis Colon Rectum 53:414–421PubMed

34.

Lundby L, Moller A, Buntzen S et al (2011) Relief of fecal incontinence by sacral nerve stimulation linked to focal brain activation. Dis Colon Rectum 54:318–323PubMed

35.

Matzel KE, Stadelmaier U, Hohenfellner M, Gall FP (1995) Electrical stimulation of sacral spinal nerves for treatment of faecal incontinence. Lancet 346:1124–1127PubMed

36.

Ripetti V, Caputo D, Ausania F, Esposito E, Bruni R, Arullani A (2002) Sacral nerve neuromodulation improves physical, psychological and social quality of life in patients with fecal incontinence. Tech Coloproctol 6:147–152PubMed

37.

Rasmussen OO, Buntzen S, Sorensen M, Laurberg S, Christiansen J (2004) Sacral nerve stimulation in fecal incontinence. Dis Colon Rectum 47:1158–1162 discussion 62-3PubMed

38.

Jarrett ME, Mowatt G, Glazener CM et al (2004) Systematic review of sacral nerve stimulation for faecal incontinence and constipation. Br J Surg 91:1559–1569PubMed

39.

Conaghan P, Farouk R (2005) Sacral nerve stimulation can be successful in patients with ultrasound evidence of external anal sphincter disruption. Dis Colon Rectum 48:1610–1614PubMed

40.

Gourcerol G, Gallas S, Michot F, Denis P, Leroi AM (2007) Sacral nerve stimulation in fecal incontinence: are there factors associated with success? Dis Colon Rectum 50:3–12PubMed

41.

Melenhorst J, Koch SM, Uludag O, van Gemert WG, Baeten CG (2007) Sacral neuromodulation in patients with faecal incontinence: results of the first 100 permanent implantations. Colorectal Dis 9:725–730PubMed

42.

Hetzer FH, Hahnloser D, Clavien PA, Demartines N (2007) Quality of life and morbidity after permanent sacral nerve stimulation for fecal incontinence. Arch Surg 142:8–13PubMed

43.

Dudding TC, Meng Lee E, Faiz O et al (2008) Economic evaluation of sacral nerve stimulation for faecal incontinence. Br J Surg 95:1155–1163PubMed

44.

Munoz-Duyos A, Navarro-Luna A, Brosa M, Pando JA, Sitges-Serra A, Marco-Molina C (2008) Clinical and cost effectiveness of sacral nerve stimulation for faecal incontinence. Br J Surg 95:1037–1043PubMed

45.

Chan MK, Tjandra JJ (2008) Sacral nerve stimulation for fecal incontinence: external anal sphincter defect vs. intact anal sphincter. Dis Colon Rectum 51:1015–1024 discussion 24-5PubMed

46.

Vitton V, Gigout J, Grimaud JC, Bouvier M, Desjeux A, Orsoni P (2008) Sacral nerve stimulation can improve continence in patients with Crohn’s disease with internal and external anal sphincter disruption. Dis Colon Rectum 51:924–927PubMed

47.

Roman S, Tatagiba T, Damon H, Barth X, Mion F (2008) Sacral nerve stimulation and rectal function: results of a prospective study in faecal incontinence. Neurogastroenterol Motil 20:1127–1131PubMed

48.

Boyle DJ, Knowles CH, Lunniss PJ, Scott SM, Williams NS, Gill KA (2009) Efficacy of sacral nerve stimulation for fecal incontinence in patients with anal sphincter defects. Dis Colon Rectum 52:1234–1239PubMed

49.

Altomare DF, Ratto C, Ganio E, Lolli P, Masin A, Villani RD (2009) Long-term outcome of sacral nerve stimulation for fecal incontinence. Dis Colon Rectum 52:11–17PubMed

50.

Vallet C, Parc Y, Lupinacci R, Shields C, Parc R, Tiret E (2010) Sacral nerve stimulation for faecal incontinence: response rate, satisfaction and the value of preoperative investigation in patient selection. Colorectal Dis 12:247–253PubMed

51.

Dudding TC, Pares D, Vaizey CJ, Kamm MA (2010) Sacral nerve stimulation for the treatment of faecal incontinence related to dysfunction of the internal anal sphincter. Int J Colorectal Dis 25:625–630PubMed

52.

Boyle DJ, Murphy J, Gooneratne ML et al (2011) Efficacy of sacral nerve stimulation for the treatment of fecal incontinence. Dis Colon Rectum 54:1271–1278PubMed

53.

Lim JT, Hastie IA, Hiscock RJ, Shedda SM (2011) Sacral nerve stimulation for fecal incontinence: long-term outcomes. Dis Colon Rectum 54:969–974PubMed

54.

Wexner SD, Coller JA, Devroede G et al (2010) Sacral nerve stimulation for fecal incontinence: results of a 120-patient prospective multicenter study. Ann Surg 251:441–449PubMed

55.

Mellgren A, Wexner SD, Coller JA et al (2011) Long-term efficacy and safety of sacral nerve stimulation for fecal incontinence. Dis Colon Rectum 54:1065–1075PubMed

56.

Devroede G, Giese C, Wexner SD et al (2012) Quality of life is markedly improved in patients with fecal incontinence after sacral nerve stimulation. Female Pelvic Med Reconstr Surg 18:103–112PubMed

57.

George AT, Kalmar K, Panarese A, Dudding TC, Nicholls RJ, Vaizey CJ (2012) Long-term outcomes of sacral nerve stimulation for fecal incontinence. Dis Colon Rectum 55:302–306PubMed

58.

Ratto C, Litta F, Parello A, Donisi L, De Simone V, Zaccone G (2012) Sacral nerve stimulation in faecal incontinence associated with an anal sphincter lesion: a systematic review. Colorectal Dis 14:e297–e304PubMed

59.

Brouwer R, Duthie G (2010) Sacral nerve neuromodulation is effective treatment for fecal incontinence in the presence of a sphincter defect, pudendal neuropathy, or previous sphincter repair. Dis Colon Rectum 53:273–278PubMed

60.

Hull T, Giese C, Wexner SD et al (2013) Long-term durability of sacral nerve stimulation therapy for chronic fecal incontinence. Dis Colon Rectum 56:234–245PubMed

61.

de Miguel M, Oteiza F, Ciga MA, Armendariz P, Marzo J, Ortiz H (2011) Sacral nerve stimulation for the treatment of faecal incontinence following low anterior resection for rectal cancer. Colorectal Dis 13:72–77PubMed

62.

Ratto C, Grillo E, Parello A, Petrolino M, Costamagna G, Doglietto GB (2005) Sacral neuromodulation in treatment of fecal incontinence following anterior resection and chemoradiation for rectal cancer. Dis Colon Rectum 48:1027–1036PubMed

63.

Meurette G, Wong M, Paye F, Parc Y, Tiret E, Lehur PA (2011) Sacral nerve stimulation for the treatment of faecal incontinence after ileal pouch anal anastomosis. Colorectal Dis 13:e182–e183PubMed

64.

Robert-Yap J, Zufferey G, Rosen H, Lechner M, Wunderlich M, Roche B (2010) Sacral nerve modulation in the treatment of fecal incontinence following repair of rectal prolapse. Dis Colon Rectum 53:428–431PubMed

65.

Jarrett ME, Matzel KE, Stosser M, Baeten CG, Kamm MA (2005) Sacral nerve stimulation for fecal incontinence following surgery for rectal prolapse repair: a multicenter study. Dis Colon Rectum 48:1243–1248PubMed

66.

Finazzi-Agro E, Rocchi C, Pachatz C et al (2009) Percutaneous tibial nerve stimulation produces effects on brain activity: study on the modifications of the long latency somatosensory evoked potentials. Neurourol Urodyn 28:320–324PubMed

67.

Shafik A, Ahmed I, El-Sibai O, Mostafa RM (2003) Percutaneous peripheral neuromodulation in the treatment of fecal incontinence. Eur Surg Res 35:103–107PubMed

68.

Queralto M, Portier G, Cabarrot PH et al (2006) Preliminary results of peripheral transcutaneous neuromodulation in the treatment of idiopathic fecal incontinence. Int J Colorectal Dis 21:670–672PubMed

69.

Mentes BB, Yuksel O, Aydin A, Tezcaner T, Leventoglu A, Aytac B (2007) Posterior tibial nerve stimulation for faecal incontinence after partial spinal injury: preliminary report. Tech Coloproctol 11:115–119PubMed

70.

de la Portilla F, Rada R, Vega J, Gonzalez CA, Cisneros N, Maldonado VH (2009) Evaluation of the use of posterior tibial nerve stimulation for the treatment of fecal incontinence: preliminary results of a prospective study. Dis Colon Rectum 52:1427–1433PubMed

71.

Vitton V, Damon H, Roman S, Nancey S, Flourie B, Mion F (2009) Transcutaneous posterior tibial nerve stimulation for fecal incontinence in inflammatory bowel disease patients: a therapeutic option? Inflamm Bowel Dis 15:402–405PubMed

72.

Eleouet M, Siproudhis L, Guillou N, Le Couedic J, Bouguen G, Bretagne JF (2010) Chronic posterior tibial nerve transcutaneous electrical nerve stimulation (TENS) to treat fecal incontinence (FI). Int J Colorectal Dis 25:1127–1132PubMed

73.

Vitton V, Damon H, Roman S, Mion F (2010) Transcutaneous electrical posterior tibial nerve stimulation for faecal incontinence: effects on symptoms and quality of life. Int J Colorectal Dis 25:1017–1020PubMed

74.

Govaert B, Pares D, Delgado-Aros S, La Torre F, Van Gemert WG, Baeten CG (2010) A prospective multicentre study to investigate percutaneous tibial nerve stimulation for the treatment of faecal incontinence. Colorectal Dis 12:1236–1241PubMed

75.

Findlay J, Maxwell-Armstrong C (2010) Posterior tibial nerve stimulation for faecal incontinence. Br J Nurs 19:750–754PubMed

76.

Boyle DJ, Prosser K, Allison ME, Williams NS, Chan CL (2010) Percutaneous tibial nerve stimulation for the treatment of urge fecal incontinence. Dis Colon Rectum 53:432–437PubMed

77.

Hotouras A, Thaha MA, Allison ME, Currie A, Scott SM, Chan CL (2012) Percutaneous tibial nerve stimulation (PTNS) in females with faecal incontinence: the impact of sphincter morphology and rectal sensation on the clinical outcome. Int J Colorectal Dis 27:927–930PubMed

78.

Peters KM, Feber KM, Bennett RC (2005) Sacral versus pudendal nerve stimulation for voiding dysfunction: a prospective, single-blinded, randomized, crossover trial. Neurourol Urodyn 24:643–647PubMed

79.

George AT, Dudding TC, Nicholls RJ, Vaizey CJ (2012) A new minimally invasive technique for pudendal nerve stimulation. Colorectal Dis 14:98–103PubMed

80.

Spinelli M, Malaguti S, Giardiello G, Lazzeri M, Tarantola J, Van Den Hombergh U (2005) A new minimally invasive procedure for pudendal nerve stimulation to treat neurogenic bladder: description of the method and preliminary data. Neurourol Urodyn 24:305–309PubMed

81.

Bock S, Folie P, Wolff K, Marti L, Engeler DS, Hetzer FH (2010) First experiences with pudendal nerve stimulation in fecal incontinence: a technical report. Tech Coloproctol 14:41–44PubMed

82.

Beco J, Climov D, Bex M (2004) Pudendal nerve decompression in perineology: a case series. BMC surgery 4:15PubMedCentralPubMed

83.

Barbe MF, Brown JM, Pontari MA, Dean GE, Braverman AS, Ruggieri MR (2011) Feasibility of a femoral nerve motor branch for transfer to the pudendal nerve for restoring continence: a cadaveric study. J Neurosurg Spine 15:526–531PubMedCentralPubMed

84.

Ruggieri MR Sr, Braverman AS, Bernal RM, Lamarre NS, Brown JM, Barbe MF (2011) Reinnervation of urethral and anal sphincters with femoral motor nerve to pudendal nerve transfer. Neurourol Urodyn 30:1695–1704PubMedCentralPubMed

85.

Wong WD, Jensen LL, Bartolo DC, Rothenberger DA (1996) Artificial anal sphincter. Dis Colon Rectum 39:1345–1351PubMed

86.

Vaizey CJ, Kamm MA, Gold DM, Bartram CI, Halligan S, Nicholls RJ (1998) Clinical, physiological, and radiological study of a new purpose-designed artificial bowel sphincter. Lancet 352:105–109PubMed

87.

Lehur PA, Glemain P, Bruley des Varannes S, Buzelin JM, Leborgne J (1998) Outcome of patients with an implanted artificial anal sphincter for severe faecal incontinence. A single institution report. Int J Colorectal Dis 13:88–92PubMed

88.

Christiansen J, Rasmussen OO, Lindorff-Larsen K (1999) Long-term results of artificial anal sphincter implantation for severe anal incontinence. Ann Surg 230:45–48PubMedCentralPubMed

89.

O’Brien PE, Skinner S (2000) Restoring control: the Acticon Neosphincter artificial bowel sphincter in the treatment of anal incontinence. Dis Colon Rectum 43:1213–1216PubMed

90.

Dodi G, Melega E, Masin A, Infantino A, Cavallari F, Lise M (2000) Artificial bowel sphincter (ABS) for severe faecal incontinence: a clinical and manometric study. Colorectal Dis 2:207–211PubMed

91.

Lehur PA, Roig JV, Duinslaeger M (2000) Artificial anal sphincter: prospective clinical and manometric evaluation. Dis Colon Rectum 43:1100–1106PubMed

92.

Altomare DF, Dodi G, La Torre F, Romano G, Melega E, Rinaldi M (2001) Multicentre retrospective analysis of the outcome of artificial anal sphincter implantation for severe faecal incontinence. Br J Surg 88:1481–1486PubMed

93.

Ortiz H, Armendariz P, DeMiguel M, Ruiz MD, Alos R, Roig JV (2002) Complications and functional outcome following artificial anal sphincter implantation. Br J Surg 89:877–881PubMed

94.

Wong WD, Congliosi SM, Spencer MP et al (2002) The safety and efficacy of the artificial bowel sphincter for fecal incontinence: results from a multicenter cohort study. Dis Colon Rectum 45:1139–1153PubMed

95.

Lehur P-A, Zerbib F, Neunlist M, Glemain P, Bruley des Varannes S (2002) Comparison of quality of life and anorectal function after artificial sphincter implantation. Dis Colon Rectum 45:508–513PubMed

96.

Devesa JM, Rey A, Hervas PL et al (2002) Artificial anal sphincter: complications and functional results of a large personal series. Dis Colon Rectum 45:1154–1163PubMed

97.

Altomare DF, Binda GA, Dodi G et al (2004) Disappointing long-term results of the artificial anal sphincter for faecal incontinence. Br J Surg 91:1352–1353PubMed

98.

da Silva GM, Jorge JMN, Belin B et al (2004) New surgical options for fecal incontinence in patients with imperforate anus. Dis Colon Rectum 47:204–209PubMed

99.

Mundy L, Merlin TL, Maddern GJ, Hiller JE (2004) Systematic review of safety and effectiveness of an artificial bowel sphincter for faecal incontinence. Br J Surg 91:665–672PubMed

100.

Melenhorst J, Koch SM, van Gemert WG, Baeten CG (2008) The artificial bowel sphincter for faecal incontinence: a single centre study. Int J Colorectal Dis 23:107–111PubMedCentralPubMed

101.

Ruiz Carmona MD, Alos Company R, Roig Vila JV, Solana Bueno A, Pla Marti V (2009) Long-term results of artificial bowel sphincter for the treatment of severe faecal incontinence. Are they what we hoped for? Colorectal Dis 11:831–837PubMed

102.

Wexner SD, Jin HY, Weiss EG, Nogueras JJ, Li VKM (2009) Factors associated with failure of the artificial bowel sphincter: a study of over 50 cases from Cleveland Clinic Florida. Dis Colon Rectum 52:1550–1557PubMed

103.

Michot F, Lefebure B, Bridoux V et al (2010) Artificial anal sphincter for severe fecal incontinence implanted by a transvaginal approach: experience with 32 patients treated at one institution. Dis Colon Rectum 53:1155–1160PubMed

104.

Wong MTC, Meurette G, Wyart V, Glemain P, Lehur P-A (2011) The artificial bowel sphincter: a single institution experience over a decade. Ann Surg 254:951–956PubMed

105.

Romano G, La Torre F, Cutini G, Bianco F, Esposito P, Montori A (2003) Total anorectal reconstruction with the artificial bowel sphincter: report of eight cases. A quality-of-life assessment. Dis Colon Rectum 46:730–734PubMed

106.

Parker SC, Spencer MP, Madoff RD, Jensen LL, Wong WD, Rothenberger DA (2003) Artificial bowel sphincter: long-term experience at a single institution. Dis Colon Rectum 46:722–729PubMed

107.

Michot F, Costaglioli B, Leroi A-M, Denis P (2003) Artificial anal sphincter in severe fecal incontinence: outcome of prospective experience with 37 patients in one institution. Ann Surg 237:52–56PubMedCentralPubMed

108.

Ortiz H, Armendariz P, DeMiguel M, Solana A, Alos R, Roig JV (2003) Prospective study of artificial anal sphincter and dynamic graciloplasty for severe anal incontinence. Int J Colorectal Dis 18:349–354PubMed

109.

O’Brien PE, Dixon JB, Skinner S, Laurie C, Khera A, Fonda D (2004) A prospective, randomized, controlled clinical trial of placement of the artificial bowel sphincter (Acticon Neosphincter) for the control of fecal incontinence. Dis Colon Rectum 47:1852–1860PubMed

110.

Casal E, San Ildefonso A, Carracedo R, Facal C, Sanchez JA (2004) Artificial bowel sphincter in severe anal incontinence. Colorectal Dis 6:180–184PubMed

111.

Lehur P-A, McNevin S, Buntzen S, Mellgren AF, Laurberg S, Madoff RD (2010) Magnetic anal sphincter augmentation for the treatment of fecal incontinence: a preliminary report from a feasibility study. Dis Colon Rectum 53:1604–1610PubMed

112.

Wong MTC, Meurette G, Stangherlin P, Lehur P-A (2011) The magnetic anal sphincter versus the artificial bowel sphincter: a comparison of 2 treatments for fecal incontinence. Dis Colon Rectum 54:773–779PubMed

113.

Wong MTC, Meurette G, Wyart V, Lehur PA (2012) Does the magnetic anal sphincter device compare favourably with sacral nerve stimulation in the management of faecal incontinence? Colorectal Dis 14:e323–e329PubMed

114.

Lipham JC, DeMeester TR, Ganz RA et al (2012) The LINX^® reflux management system: confirmed safety and efficacy now at 4 years. Surg Endosc 26:2944–2949PubMed

115.

Parks AG, Porter NH, Hardcastle J (1966) The syndrome of the descending perineum. Proc R Soc Med 59:477–482PubMedCentralPubMed

116.

Greene FL (1983) Repair of rectal prolapse using a puborectal sling procedure. Arch Surg 118:398–401PubMed

117.

O’Rourke DA, Egerton WM (1985) A puborectal sling in the management of anal incontinence and rectal prolapse. Aust N Z J Surg 55:493–495PubMed

118.

Yamana T, Takahashi T, Iwadare J (2004) Perineal puborectalis sling operation for fecal incontinence: preliminary report. Dis Colon Rectum 47:1982–1989PubMed

119.

Shobeiri SA, Chimpiri AR, Allen A, Nihira MA, Quiroz LH (2009) Surgical reconstitution of a unilaterally avulsed symptomatic puborectalis muscle using autologous fascia lata. Obstet Gynecol 114:480–482PubMed

120.

Becmeur F, Demarche M, Lacreuse I et al (2008) Cecostomy button for antegrade enemas: survey of 29 patients. J Pediatr Surg 43:1853–1857PubMed

121.

Holbrook C, Tsang T (2012) Laparoscopic insertion of antegrade continence enema catheter: a technique enabling early postoperative usage. Surg Laparosc Endosc Percutan Tech 22:e58–e60PubMed

122.

Yamout SZ, Glick PL, Lee YH et al (2009) Initial experience with laparoscopic Chait Trapdoor cecostomy catheter placement for the management of fecal incontinence in children: outcomes and lessons learned. Pediatr Surg Int 25:1081–1085PubMed

123.

Chereau N, Lefevre JH, Shields C et al (2011) Antegrade colonic enema for faecal incontinence in adults: long-term results of 75 patients. Colorectal Dis 13:e238–e242PubMed

124.

Siddiqui AA, Fishman SJ, Bauer SB, Nurko S (2011) Long-term follow-up of patients after antegrade continence enema procedure. J Pediatr Gastroenterol Nutr 52:574–580PubMed

125.

Guyatt G, Gutermen D, Baumann MH et al (2006) Grading strength of recommendations and quality of evidence in clinical guidelines: report from an American College of Chest Physicians Task Force. Chest 129:174–181PubMed

126.

Thomas GP, Dudding TC, Nicholls RJ, Vaizey CJ (2013) Bilateral transcutaneous posterior tibial nerve stimulation for the treatment of fecal incontinence. Dis Colon Rectum 56:1075–1079

127.

Jorge JM, Wexner SD (1993) Etiology and management of fecal incontinence. Dis Colon Rectum 36:77–97

Titel: Current status: new technologies for the treatment of patients with fecal incontinence
verfasst von: Andreas M. Kaiser
Guy R. Orangio
Massarat Zutshi
Suraj Alva
Tracy L. Hull
Peter W. Marcello
David A. Margolin
Janice F. Rafferty
W. Donald Buie
Steven D. Wexner
Publikationsdatum: 01.08.2014
Verlag: Springer US
Erschienen in: Surgical Endoscopy / Ausgabe 8/2014
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-014-3464-3

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23.04.2024 Ablationstherapie Nachrichten

Nach der Katheterablation von Vorhofflimmern kommt es bei etwa einem Drittel der Patienten zu Rezidiven, meist binnen eines Jahres. Wie sich spätere Rückfälle auf die Erfolgschancen einer erneuten Ablation auswirken, haben Schweizer Kardiologen erforscht.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Ureterstriktur: Innovative OP-Technik bewährt sich

19.04.2024 EAU 2024 Kongressbericht

Die Ureterstriktur ist eine relativ seltene Komplikation, trotzdem bedarf sie einer differenzierten Versorgung. In komplexen Fällen wird dies durch die roboterassistierte OP-Technik gewährleistet. Erste Resultate ermutigen.

Update Chirurgie

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Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Springer Medizin

Abstract

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Update Chirurgie