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Fecal incontinence in the elderly: FAQ.
Brijen J Shah1, Sita Chokhavatia, Suzanne Rose
1Henry D. Janowitz Division of Gastroenterology, Mount Sinai School of Medicine, New York, New York 10029, USA. brijen.shah@mssm.edu
The American Journal of Gastroenterology
|September 12, 2012
Summary
Fecal incontinence (FI) is a common issue in older adults. This review covers its causes, evaluation, and management in the geriatric population, focusing on aging effects and patient-centered care.
Area of Science:
- Geriatric Medicine
- Gastroenterology
- Epidemiology
Background:
- Fecal incontinence (FI) is a prevalent gastrointestinal (GI) issue in individuals aged 65 and older.
- Aging significantly impacts the pathophysiology, evaluation, and management of FI.
- Geriatric principles, including functional status and patient-centered goals, are crucial for effective FI management.
Purpose of the Study:
- To provide an evidence-based review of fecal incontinence in the geriatric population.
- To discuss the epidemiology, pathophysiology, evaluation, and management of FI in older adults.
- To highlight the influence of aging on FI and its treatment.
Main Methods:
- Literature review of evidence-based studies on fecal incontinence in older adults.
- Synthesis of information on aging-related changes affecting FI.
- Integration of geriatric principles into the discussion of FI management.
Main Results:
- FI is common in the geriatric population, with specific age-related pathophysiological changes.
- Evaluation and management strategies must consider functional status and patient preferences.
- Aging-related factors complicate both the assessment and treatment of FI.
Conclusions:
- Effective management of FI in older adults requires a comprehensive approach considering aging-specific factors.
- Geriatric principles, focusing on function and patient goals, are essential for successful FI treatment.
- Further research may be needed to optimize FI care in the elderly.
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