Faecal incontinence

被引：53

作者：

Chatoor, D. R. ^{[1
]}

Taylor, S. J. ^{[1
]}

Cohen, C. R. G. ^{[1
]}

Emmanuel, A. V. ^{[1
]}

机构：

[1] Univ Coll Hosp, Physiol Unit, London NW1 2BU, England

来源：

BRITISH JOURNAL OF SURGERY | 2007年 / 94卷 / 02期

关键词：

ANAL-SPHINCTER REPAIR; SACRAL NERVE-STIMULATION; ARTIFICIAL BOWEL SPHINCTER; ANTEGRADE CONTINENCE ENEMA; DYNAMIC GRACILOPLASTY; VAGINAL DELIVERY; CHRONIC DIARRHEA; CONTROLLED-TRIAL; ANORECTAL FUNCTION; OBSTETRIC TRAUMA;

D O I：

10.1002/bjs.5676

中图分类号：

R61 [外科手术学];

学科分类号：

100210 [外科学];

摘要：

Background. Faecal incontinence is a life style-limiting condition with multiple aetiologies. Surgical cure is not often possible. Methods and results: A review of the literature was undertaken using Medline, Cochrane database and standard textbooks. Advanced imaging techniques now inform the treatment algorithm and objectively assess success. The long-term outcome of anal surgery is uncertain. Modem approaches favour conservative measures, such as biofeedback, and less invasive surgical procedures. Stoma formation is a definitive option for some patients. Conclusion. Current treatment of faecal incontinence is evolving from a sphincter-focused view to a more holistic one, recognizing the influence of the pelvic floor and psyche in maintaining continence. Modern imaging modalities direct treatment strategies.

引用

页码：134 / 144

页数：11

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