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[The continent stoma].

H P Bruch1

  • 1Chirurgische Universitätsklinik Würzburg.

Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1989
PubMed
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Achieving fecal continence involves managing defecation arbitrarily, reducing reliance on stoma bags. Specialized diets, irrigation, and surgical techniques aid in restoring anorectal function.

Area of Science:

  • Gastroenterology
  • Surgical Innovation

Context:

  • Stomatic continence differs significantly from the complex anorectal system.
  • Current management often involves reliance on external devices like stoma bags.

Purpose:

  • To redefine continence beyond simple defecation control.
  • To explore methods for achieving voluntary bowel movements without constant appliance use.

Summary:

  • Continence is defined as the ability to voluntarily control defecation with some limitations, eliminating the need for a stoma bag between bowel movements.
  • Methods to achieve continence include dietary modifications, bowel irrigation, laxatives, and enemas.
  • Surgical interventions and implantable devices (passive and active) can also support continence by mimicking anorectal musculature.

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Impact:

  • Offers a new perspective on fecal continence management.
  • Provides insights into non-surgical and surgical strategies for improving quality of life for individuals with bowel dysfunction.