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Related Experiment Videos

Fecal incontinence

Y P Sangwan1, J A Coller

  • 1Department of Colon and Rectal Surgery, Lahey Clinic, Burlington, Massachusetts.

The Surgical Clinics of North America
|December 1, 1994
PubMed
Summary
This summary is machine-generated.

Fecal incontinence, a complex condition, requires thorough investigation and conservative treatments before considering surgery. Colostomy remains a potential option for severe, refractory cases.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Fecal incontinence is a prevalent yet underreported condition with significant patient impact.
  • Its multifactorial nature and imperfect understanding complicate management.
  • Existing surgical interventions show limited success, suggesting a need for refined treatment algorithms.

Purpose of the Study:

  • To emphasize the importance of comprehensive patient evaluation for fecal incontinence.
  • To outline a stepwise approach to managing fecal incontinence, prioritizing conservative measures.
  • To clarify indications for surgical intervention and acknowledge alternative treatments like colostomy.

Main Methods:

  • This abstract reviews current understanding and management strategies for fecal incontinence.
  • It highlights the necessity of full patient investigation prior to surgical consideration.

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  • The text advocates for a trial of dietary and medical therapies before surgical options are pursued.

    • Main Results:

    • Surgical procedures for fecal incontinence are often empirical with limited success.
    • Conservative management, including dietary adjustments and medical treatments, should be attempted first.
    • Thorough investigation and clear surgical indications are crucial for successful outcomes.

    Conclusions:

    • Fecal incontinence management requires a systematic approach, starting with conservative measures.
    • Surgery should be reserved for carefully selected patients with severe, refractory symptoms.
    • Colostomy may be the definitive treatment for a subset of patients with fecal incontinence.