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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Irritable Bowel Syndrome III: Medical and Nursing Management01:30

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Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
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Fecal incontinence - Challenges and solutions.

Nallely Saldana Ruiz1, Andreas M Kaiser1

  • 1Nallely Saldana Ruiz, Andreas M Kaiser, Department of Surgery, Division of Colorectal Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, United States.

World Journal of Gastroenterology
|January 21, 2017
PubMed
Summary

Fecal incontinence is a common symptom with many causes, significantly impacting quality of life. Effective treatment requires an individualized approach, often combining therapies, with new technologies emerging.

Keywords:
Endorectal ultrasoundFecal incontinenceNew technologiesQuality of lifeSacral nerve stimulationSphincteroplasty

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Area of Science:

  • Gastroenterology and Colorectal Surgery
  • Patient Quality of Life Studies

Background:

  • Fecal incontinence is a prevalent symptom, not a distinct diagnosis, stemming from diverse underlying conditions.
  • This condition severely affects patient self-esteem, quality of life, and can lead to increased morbidity and healthcare costs.

Purpose of the Study:

  • To review the current evaluation and treatment strategies for patients experiencing fecal incontinence.
  • To discuss the role of emerging technologies in managing fecal incontinence.

Main Methods:

  • Literature review of existing studies on fecal incontinence evaluation and treatment.
  • Analysis of current and novel therapeutic modalities for fecal incontinence.

Main Results:

  • Fecal incontinence management is complex, lacking a universal cure, necessitating personalized treatment plans.
  • Various treatment modalities exist, and new technologies are being developed for potential integration.

Conclusions:

  • An individualized, multimodal treatment approach is crucial for managing fecal incontinence effectively.
  • Further research is needed to define the specific roles of new technologies in fecal incontinence treatment.