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Etiology and management of fecal incontinence

Etiology and management of fecal incontinence CURRENT STATUS Lee E. Smith, M.D., Editor Etiology and Management of Fecal Incontinence J. Marcio N. Jorge, M.D., Steven D. Wexner, M.D. From the Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale, Florida Fecal incontinence is a challenging condition of diverse tinence is a complex and challenging dilemma of etiology and devastating psychosocial impact. Multiple multifactorial etiology) It is a physically and psy- mechanisms may be involved in its pathophysiology, such chologically disabling symptom that results in pro- as altered stool consistency and delivery of contents to the rectum, abnormal rectal capacity or compliance, de- gressive isolation and loss of individual potential. creased anorectal sensation, and pelvic floor or anal Consequently there is a devastating social impact. sphincter dysfunction. A detailed clinical history and Fecal incontinence is the second most common physical examination are essential. Anorectal manometry, pudendal nerve latency studies, and electromyography cause of institutionalization in the elderly, and it arc part of the standard primary evaluation. The evalua- accounts for expenses over $400,000,000 per year tion of idiopathic fecal incontinence may require tests for adult diapers. 2'3 A similar impact has been such as cinedefecography, spinal latencies, and anal mu- noted in children as a consequence http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Diseases of the Colon & Rectum Wolters Kluwer Health

Etiology and management of fecal incontinence

Wexner, Steven D.
Diseases of the Colon & Rectum , Volume 36 (1) – Jan 1, 1993
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References (221)

Copyright
© 1993 American Society of Colon and Rectal Surgeons
ISSN
0012-3706
eISSN
1530-0358
DOI
10.1007/BF02050307
Publisher site
See Article on Publisher Site

Abstract

CURRENT STATUS Lee E. Smith, M.D., Editor Etiology and Management of Fecal Incontinence J. Marcio N. Jorge, M.D., Steven D. Wexner, M.D. From the Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale, Florida Fecal incontinence is a challenging condition of diverse tinence is a complex and challenging dilemma of etiology and devastating psychosocial impact. Multiple multifactorial etiology) It is a physically and psy- mechanisms may be involved in its pathophysiology, such chologically disabling symptom that results in pro- as altered stool consistency and delivery of contents to the rectum, abnormal rectal capacity or compliance, de- gressive isolation and loss of individual potential. creased anorectal sensation, and pelvic floor or anal Consequently there is a devastating social impact. sphincter dysfunction. A detailed clinical history and Fecal incontinence is the second most common physical examination are essential. Anorectal manometry, pudendal nerve latency studies, and electromyography cause of institutionalization in the elderly, and it arc part of the standard primary evaluation. The evalua- accounts for expenses over $400,000,000 per year tion of idiopathic fecal incontinence may require tests for adult diapers. 2'3 A similar impact has been such as cinedefecography, spinal latencies, and anal mu- noted in children as a consequence

Journal

Diseases of the Colon & Rectum – Wolters Kluwer Health

Published: Jan 1, 1993

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