Bowel habits and fecal incontinence in patients with obesity undergoing evaluation for weight loss: The importance of stool consistency

Diseases of the Colon and Rectum

Volumn 55, Issue 5, 2012, Pages 599-604

  Parés, David ^a   Vallverdú, Helena ^a   Monroy, Gabriela ^b   Amigo, Pilar ^b   Romagosa, Cristina ^b   Toral, Miquel ^b   Hermoso, Judit ^a   Saenz De Navarrete, Gerardo ^b  

^a UNIVERSITY OF BARCELONA   (Spain)

^b PARC SANITARI SANT JOAN DE DÉU   (Spain)

Author keywords

Bristol Stool Form Scale; Fecal incontinence; Obesity; Stool consistency

Indexed keywords

ADULT; AGE DISTRIBUTION; ARTICLE; BODY MASS; BRISTOL STOOL FORM SCALE; COMORBIDITY; CROSS-SECTIONAL STUDY; DEFECATION HABIT; DISEASE ASSOCIATION; FECES COMPOSITION; FECES INCONTINENCE; FEMALE; FLATULENCE; HUMAN; MAJOR CLINICAL STUDY; MALE; OBESITY; OBSERVATIONAL STUDY; QUALITY OF LIFE; SEX DIFFERENCE; WEIGHT REDUCTION; COMPARATIVE STUDY; DEFECATION; FOLLOW UP; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY; PREVALENCE; QUESTIONNAIRE; RETROSPECTIVE STUDY; RISK FACTOR; SPAIN;

ADULT; BODY MASS INDEX; CROSS-SECTIONAL STUDIES; DEFECATION; FECAL INCONTINENCE; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; OBESITY; PREVALENCE; QUALITY OF LIFE; QUESTIONNAIRES; RETROSPECTIVE STUDIES; RISK FACTORS; SPAIN; WEIGHT LOSS;

EID: 84863569016     PISSN: 00123706     EISSN: 15300358     Source Type: Journal    
DOI: 10.1097/DCR.0b013e3182446ffc     Document Type: Article

References (31)

1. Perry S, Shaw C, McGrother C, et al. Prevalence of faecal incontinence in adults aged 40 years or more living in the community. Gut. 2002;50:480-484. (Pubitemid 34638865)
2. Poylin V, Serrot FJ, Madoff RD, et al. Obesity and bariatric surgery: a systematic review of associations with defecatory dysfunction. Colorectal Dis. 2011;13:e92-e103
3. Mokdad AH, Bowman BA, Ford ES, Vinicor F, Marks JS, Koplan JP. The continuing epidemics of obesity and diabetes in the United States. JAMA. 2001;286:1195-2000.
4. Mokdad AH, Ford ES, Bowman BA, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289:76-79. (Pubitemid 36026281)
5. Richter HE, Burgio KL, Clements RH, Goode PS, Redden DT, Varner RE. Urinary and anal incontinence in morbidly obese women considering weight loss surgery. Obstet Gynecol. 2005;106:1272-1277. (Pubitemid 41668946)
6. Sugerman H, Windsor A, Bessos M, Wolfe L. Intra-abdominal pressure, sagittal abdominal diameter and obesity comorbidity. J Intern Med. 1997;241:71-79. (Pubitemid 27051206)
7. Cummings JM, Rodning CB. Urinary stress incontinence among obese women: review of pathophysiology therapy. Int Urogynecol J Pelvic Floor Dysfunct. 2000;11:41-44. (Pubitemid 30107612)
8. Heaton KW, Radvan J, Cripps H, Mountford RA, Braddon FE, Hughes AO. Defecation frequency and timing, and stool form in the general population: a prospective study. Gut. 1992;33:818-824.
9. Bharucha AE, Zinsmeister AR, Schleck CD, Melton LJ, 3rd. Bowel disturbances are the most important risk factors for late onset fecal incontinence: a population-based case-control study in women. Gastroenterology. 2010;139:1559-1566.
10. Maestre Y, Parés D, Vial M, Bohle B, Sala M, Grande L. Prevalence of fecal incontinence and its relationship with bowel habit in patients attended in primary care [in Spanish]. Med Clin. (Barc). 2010;135:59-62.
11. Markland AD, Richter HE, Burgio KL, Myers DL, Hernandez AL, Subak LL. Weight loss improves fecal incontinence severity in overweight and obese women with urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2011;22:1151-1157.
12. Li M, Cheung BM. Pharmacotherapy for obesity. Br J Clin Pharmacol. 2009;68:804-810.
13. Drossman DA. The functional gastrointestinal disorders and the Rome III process. Gastroenterology. 2006;130:1377-1390.
14. Parés D, Comas M, Dorcaratto D, et al. Adaptation and validation of the Bristol scale stool form translated into the Spanish language among health professionals and patients. Rev Esp Enferm Dig. 2009;101:312-316.
15. Vaizey CJ, Carapeti E, Cahill JA, Kamm MA. Prospective comparison of fecal incontinence grading systems. Gut. 1999;44:77-80. (Pubitemid 29143283)
16. Alonso J, Prieto L, Anto JM. The Spanish version of SF-36 Health Survey (the SF-36 health questionnaire): an instrument for measuring clinical results [in Spanish]. Med Clin (Barc). 1995;104:771-776.
17. Adibi P, Behzad E, Przadeh S, Mohseni M. Bowel habit reference values and abnormalities in young Iranian healthy adults. Dig Dis Sci. 2007;52:1810-1813. (Pubitemid 47024663)
18. Varma MG, Brown JS, Creasman JM, et al. Fecal incontinence in females older than aged 40 years: who is at risk? Dis Colon Rectum. 2006;49:841-851. (Pubitemid 43846620)
19. Altman D, Falconer C, Rossner S, Melin I. The risk of anal incontinence in obese women. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:1283-1289. (Pubitemid 47521471)
20. Wasserberg N, Haney M, Petrone P, et al. Fecal incontinence among morbid obese women seeking for weight loss surgery: an underappreciated association with adverse impact on quality of life. Int J Colorectal Dis. 2008;23:493-497.
21. Bharucha AE. Incontinence: an underappreciated problem in obesity and bariatric surgery. Dig Dis Sci. 2010;55:2428-2430.
22. Riegler G, Esposito I. Bristol Scale Stool Form. A still valid help in medical practice and clinical research. Tech Coloproctol. 2001;5:163-164. (Pubitemid 34151627)
23. Macmillan AK, Merrie AE, Marshall RJ, Parry BR. Design and validation of a comprehensive fecal incontinence questionnaire. Dis Colon Rectum. 2008;51:1502-1522.
24. Heaton KW, Ghosh S, Braddon FE. How bad are the symptoms and bowel dysfunction of patients with the irritable bowel syndrome? A prospective, controlled study with emphasis on stool form. Gut. 1991;32:73-79.
25. Remes-Troche JM, Ozturk R, Philips C, Stessman M, Rao SS. Cholestyramine: a useful adjunct for the treatment of patients with fecal incontinence. Int J Colorectal Dis. 2008;23:189-194. (Pubitemid 350302516)
26. Giralt J, Regadera JP, Verges R, et al. Effects of probiotic Lactobacillus casei DN-114 001 in prevention of radiation-induced diarrhea: results from multicenter, randomized, placebo-controlled nutritional trial. Int J Radiat Oncol Biol Phys. 2008;71:1213-1219.
27. Parés D. Evaluation of stool consistency by a reliable method in patients with fecal incontinence. Dis Colon Rectum. 2011;54:254-255.
28. Cheetham M, Brazzelli M, Norton C, Glazener CM. Drug treatment for faecal incontinence in adults. Cochrane Database Syst Rev. 2003:CD002116.
29. Markland AD, Greer WJ, Vogt A, et al. Factors impacting quality of life in women with fecal incontinence. Dis Colon Rectum. 2010;53:1148-1154.
30. Delgado-Aros S, Locke GRIII , Camilleri M, et al. Obesity is associated with increased risk of gastrointestinal symptoms: a population-based study. Am J Gastroenterol. 2004;99:1801-1806. (Pubitemid 39237512)
31. Fox M, Stutz B, Menne D, Fried M, Schwizer W, Thumshirn M. The effects of loperamide on continence problems and anorectal function in obese subjects taking orlistat. Dig Dis Sci. 2005;50:1576-1583. (Pubitemid 41203647)