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Fecal incontinence: a review
Nicolas Bellicini1, Peter J Molloy, Phillip Caushaj
1Division of Gastroenterology, The Western Pennsylvania Hospital, Pittsburgh, PA 15224, USA.
Digestive Diseases and Sciences
|May 24, 2007
Summary
Fecal incontinence (FI) is a common issue, especially in the elderly and nursing home residents, affecting nearly half of those in care facilities. This guide offers a roadmap for evaluating, diagnosing, and treating fecal incontinence effectively.
Area of Science:
- Gastroenterology
- Geriatrics
- Colorectal Surgery
Background:
- Fecal incontinence (FI) is the involuntary loss of fecal matter.
- It disproportionately affects the elderly and institutionalized populations.
- Prevalence in nursing homes is estimated as high as 47%.
Purpose of the Study:
- To provide a comprehensive guide for the clinical evaluation of fecal incontinence.
- To outline appropriate diagnostic testing strategies for FI.
- To present evidence-based treatment options for fecal incontinence.
Main Methods:
- Review of current literature on fecal incontinence diagnosis and management.
- Clinical guidelines for patient assessment.
- Discussion of diagnostic modalities including physical examination, anorectal manometry, and imaging.
Main Results:
- Differentiating true fecal incontinence from pseudo-incontinence is crucial.
- A systematic approach to evaluation is necessary for accurate diagnosis.
- Various treatment options exist, ranging from conservative measures to surgical interventions.
Conclusions:
- Fecal incontinence requires a structured diagnostic and therapeutic approach.
- Management strategies should be tailored to the individual patient.
- Effective treatment can significantly improve quality of life for affected individuals.
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