Investigating and treating fecal incontinence: When and how

Canadian Journal of Gastroenterology

Volumn 23, Issue 4, 2009, Pages 301-308

  Lazarescu, Adriana ^a   Turnbull, Geoffrey K ^b   Vanner, Stephen ^a  

^a QUEEN S UNIVERSITY   (Canada)

^b DALHOUSIE UNIVERSITY   (Canada)

Author keywords

Anal ultrasound; Anorectal manometry; Fecal incontinence

Indexed keywords

ANTIBIOTIC AGENT; ANTIDEPRESSANT AGENT; ANTIDIARRHEAL AGENT; ASCORBIC ACID; ATROPINE; BULKING AGENT; CAFFEINE; CALCIUM; CHOLINERGIC RECEPTOR BLOCKING AGENT; COLESTYRAMINE; DIPHENOXYLATE; HERBACEOUS AGENT; ISPAGULA; LAXATIVE; LOPERAMIDE; MUSCLE RELAXANT AGENT; PROTON PUMP INHIBITOR; VITAMIN;

ANAMNESIS; ANORECTAL PRESSURE; ANUS SPHINCTER DISORDER; CLINICAL TRIAL; DEFECATION URGENCY; DIAGNOSTIC TEST; DIARRHEA; DIGITAL RECTAL EXAMINATION; DISEASE ACTIVITY; DISEASE COURSE; DRUG TREATMENT FAILURE; ECHOGRAPHY; FECES INCONTINENCE; HUMAN; INTESTINE INNERVATION; NEUROLOGIC EXAMINATION; PATHOPHYSIOLOGY; PHYSICAL EXAMINATION; PRACTICE GUIDELINE; PRESSURE MEASUREMENT; PRIORITY JOURNAL; REVIEW; SENSITIVITY AND SPECIFICITY; SENSORY DYSFUNCTION; TREATMENT INDICATION; WELLBEING;

EID: 65649128584     PISSN: 08357900     EISSN: None     Source Type: Journal    
DOI: 10.1155/2009/905359     Document Type: Review

References (58)

1. Drossman DA, Li Z, Andruzzi E, et al. US householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci 1993;38:1569-80.
2. Thomas TM, Egan M, Walgrove A. The prevalence of fecal and double incontinence. Community Med 1984;6:216-20.
3. Macmillan AK, Merrie AE, Marshall RJ, Parry BR. The prevalence of fecal incontinence in community-dwelling adults: A systematic review of the literature. Dis Colon Rectum 2004;47:1341-9
4. Roberts RO, Jacobsen SJ, Reilly WT, Pemberton JH, Lieber MM, Talley NJ. Prevalence of combined fecal and urinary incontinence: A community-based study. J Am Geriatr Soc 1999;47:837-41.
5. Barrett JD. Colorectal disorders in elderly people. Br Med J 1992;305:764-6.
6. Chassagne P, Landrin I, Neveu C, et al. Fecal incontinence in the institutionalized elderly: Incidence, risk factors, and prognosis. Am J Med 1999;106:185-90.
7. Drossman DA, Funch-Jensen P, Janssens J. Identification of sub-groups of functional gastrointestinal disorders. Gastroenterol Int 1990;3:159.
8. Thompson WG, Longstreth GF, Drossman DA, Heaton KW, Irvine EJ, Muller-Lissner SA. Functional bowel disease and functional abdominal pain. Gut 1999;45(Suppl 2):II43-7.
9. Frenckner B, Von Euler C. Influence of pudendal nerve block on the function of the anal sphincter. Gut 1975;15:482-9.
10. Kumar D, Waldron D, Williams NS, Browning C, Hutton MR, Wingate DL. Prolonged anorectal manometry and external anal sphincter electromyography in ambulant human subjects. Dig Dis Sci 1990;35:641-8.
11. Sun WM, Read NW, Miner PB. Relation between rectal sensation and anal function in normal subjects and patients with faecal incontinence. Gut 1990;31:1056-61.
12. Fernandez-Fraga X, Azpiroz F, Malagelada JR. Significance of pelvic floor muscles in anal incontinence. Gastroenterology 2002;123:1441-50.
13. Rao SSC, Azpiroz F, Diamant N, Enck P, Tougas G, Wald A. Minimum standards of anorectal manometry. Neurogastroenterol Mot 2002;14:553-9.
14. Loening-Baucke V, Anuras S. Effects of age and sex on anorectal manometry. Am J Gastroenterol 1985;80:50-3.
15. McHugh SM, Diamant NE. Effect of age, gender, and parity on anal canal pressures. Contribution of impaired anal sphincter function to fecal incontinence. Dig Dis Sci 1987;32:726-36.
16. Pedersen IK, Christiansen J. A study of the physiological variation in anal manometry. Br J Surg 1989;76:69-71.
17. McHugh SM, Diamant NE. Anal canal pressure profile: A reappraisal as determined by rapid pull-through technique. Gut 1987;28:1234-4l.
18. Felt-Bersma RJ, Klinkenberg-Knol EG, Meuwissen SG. Anorectal function investigations in incontinent and continent patients. Differences and discriminatory value. Dis Colon Rectum 1990;33:479-85
19. Sun WM, Donnelly TC, Read NW. Utility of a combined test of anorectal manometry, electromyograpby and sensation in determining the mechanism of "idiopathic" faecal incontinence. Gut 1992;33:807-13.
20. Loening-Bauke V, Anuras S. Anorecral manometry in healthy elderly subjects. Am Geriatr Soc 1984 32:636-9.
21. Read NW, Harford WV, Schmulen AC, Read MG, Santa Ana C, Fordtran JS. A clinical study of patients with fecal incontinence and diarrhea. Gastroenterology 1979 76:747-56.
22. Caruana BJ, Wald A, Hinds JP. Eidelman BH. Anorectal sensory and motor function in neurogenic fecal incontinence. Comparison between multiple sclerosis and diabetes mellitus. Gastroenterology 1991;100:465-70.
23. Frudinger A, Bartram CI, Halligan S, Kamm M. Examination techniques for endosonography of the anal canal. Abdom Imaging 1995;23:301-3.
24. Gold DM, Halligan S, Kmiot WW, Bartram CI. Intraobserver and interobserver agreement in anal endosonography. Br J Surg 199;3:371-5.
25. Enck P, Heyer T, Gantke b, et al. How reproducible are measures of the anal sphincter muscle diameter by endoanal ultrasound! Am J Gastroenterol 1997;92:293-6.
26. Saclarides TJ. Endorectal ultrasound. Surg Clin North Am 1998;78:237-49.
27. Falk PM, Blatchford GJ, Cali RL,,Christensen W, Thorson AG. Transanal ultrasound and manometry in the evaluation of fecal incontinence. Dis Colon Rectum 1994;37:468-72.
28. Ternent Ca, Shashidharan M, Blatchford GJ, Christensen MA, Thorson AG, Sentovich SM. Transanal ultrasound and anorectal physiology findings affecting continence ater sphincteroplasty Dis Colon Rectum 1997;40:462-7.
29. Rao SSC, Ozturk R, Stessman M. Investigation of the pathophysiology of fecal seepage. Am J Gastroenterol 2004;99:2204-9.
30. Brown SR, Cann PA, Read NW. Effect of coffee on distal colon function. Gut 1990;31:450-3.
31. Rao SS, Welcher K, Zimmerman B, Stumbo P. Is coffee a colonic stimulant! Eur J Gastroenterol Hepatol 1998;10:113-8.
32. Sloot C, Felt-Bersma R, West R, Kuipers F. Stimulation of Defecation. Effects of coffee use and nicotine on rectal tone and visceral sensitivity. Scand J Gastroenterol 2005;40:808-13.
33. de Leeuw JW, Struijk PC, Vierhout ME, Wallenburg HCS. Risk factors for third degree rupture during delivery. Br J Obstet Gynecol 2001;108:383-7.
34. Coller JA. Clinical application of anorectal manometry. Gastroenterol Clin. North Am 1987;16:17-33.
35. Hallan RJ, Marzouk DE, Waldron DJ, Womack NR, Williams NS. Comparison of digital and manometric assessment of anal sphincter function. Br J Surg 1989;76:973-5.
36. Dobben AC, Terra MP, Deurekorm M, et al. Anal inspection and digital rectal examination compared to anorectal physiology tests and endoanal ultrasonography in evaluating fecal incontinence. Int J Colorectal Dis 2007;22:783-90.
37. Bliss DZ, Hans-Joachim J, Savik D, et al. Supplementaiton with dietary fiber improves fecal incontinence. Nurs Res 2001;50:203-13.
38. Read M, Read NW, Barber DC, Duthie HL. Effects of loperamide on anal sphincter function in patients complainig of chronic diarrhea and fecal incontinence and urgency. Dig Dis Sci 1982;27:807-14.
39. Harford WV, Kreys GJ, Santa Ana CA, Fordtran JS. Acute effect of diphenoxylate and atropine (Lomotil) in patients with chronic diarrhea and fecal incontience. Gastroenterology 1980;18:440.
40. Sentovich SM, Blatchford GJ, Rivela LJ, Lin K, Thorson AG, Christensen MA, Diagnosing anal sphincter injury with transanal ultrasound and manometry. Dis Colon Rectum 1997;40:1430-4.
41. Sultan AH, Kamm MA, Talbot IC, Nicholls RJ, Bartram CI. Anal endosonography for identifying external sphincter defects confirmed histologically. Br J Surg 1994;81:463.
42. Felt-Bersma RJ, Cuesta MA, Koorevaar M. Anal sphincter repair improves anorectal function and endosonographic image. A prospective clinical study. Dis Colon Rectum 1996;39:878-85.
43. Ternent CA, Shashidharan M, Blatchford GJ, et al. Transanal ultrasound and anorectal physiology findings affecting continence after sphincteroplasty. Dis Colon Rectum 1997;40:462-7.
44. Engel AF, Kamm MA, Sultan AH, Bartram CI, Nicholls RJ. Anterior anal sphincter repair in patients with obstetric trauma. Br J Surg 1994;81:1231-4.
45. Keating JP, Stewart PJ, Evers AA, Warner D, Bokey EL. Are special investigations of value in the management of patients with fecal incontinence? Dis Colon Rectum 1997;40:896-901.
46. Rao SS, Patel RS. How useful are manometric tests of anorectal function in the management of defecation disorders? Am J Gastroenterol 1997;92:469-75.
47. Cheetham MJ, Kamm MA, Phillips RK. Topical phenylephrine increases anal canal resting pressure in patients with faecal incontinence. Gut 2001;48:356-9.
48. Norton C, Kamm MA. Outcome of biofeedback for faecal incontinence. Br J Surg 1999;86:2259-63.
49. Van Tets WF, Kuijpers JH, Bleijenberg G. Biofeedback treatment is ineffective in neurogenic fecal incontinence. Dis Colon Rectum 1996;39:992-4.
50. Wald A, Tunuguntla AK. Anorectal sensorimotor dysfunction in fecal incontinence and diabetes mellitus: Modification with biofeedback therapy. N Engl J Med 1984;310:1282-7.
51. Heymen S, Jones KR, Ringel Y, Scarlett Y, Whitehead WE. Biofeedback treatment of fecal incontinence: A critical review. Dis Colon Rectum 2001 44:728-36.
52. Whitehead WE, Burgio KL, Engel BT. Biofeedback treatment of fecal incontinence in geriatric patients. J Am Geriatr Soc 1985;33:320-4.
53. McHugh S, Walma K, Diamant NE. Fecal incontinence: A controlled trial of biofeedback. Gastroenterology 1986;90:154-5.
54. Norton C, Chelvanayagam S, Wison-Barnett J, Redfern S, Kamm MA. Randomized controlled trial of biofeedback for fecal incontinence. Gastroenterology 2003;125:1320-9.
55. Solomon MJ, Pager CK, Rex J, Roberts R, Manning J. Randomized, controlled trial of biofeedback with anal manometry, transanal ultrasound, or pelvic floor retraining with digital guidance alone in the treatment of mild to moderate fecal incontinence. Dis Colon Rectum 2003;46:703-10.
56. Norton C, Cody JD, Hosker G. Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults. Cochrane Database Syst Rev 2006;3:CD002111.
57. Bharucha AE. Outcome measures for fecal incontinence: Anorectal structure and function. Gastroenterology 2004;126:S90-8.
58. Santoro GA, Eitan BZ, Pryde A, Bartolo DC. Open study of low-dose amitriptyline in the treatment of patients with idiopathic fecal incontinence. Dis Colon Rectum 2000;43:1676-81.