Incidence of anismus in fecal incontinence patients evaluated at a Coloproctology service

Journal of Coloproctology - Tập 35 - Trang 151-155 - 2015
Larissa Sokol Rotta1, Doryane Maria dos Reis Lima1,2,3,4, Dayanne Alba Chiumento1, Univaldo Etsuo Sagae1,3,5,6
1Faculdade Assis Gurgacz (FAG), Cascavel, PR, Brazil
2Universidade Federal do Ceará (UFC), Fortaleza, CE, Brazil
3Gastroclínica Cascavel, Cascavel, PR, Brazil
4Sector of Anorectal Physiology, Gastroclínica Cascavel, Cascavel, PR, Brazil
5Universidade de São Paulo (USP), São Paulo, SP, Brazil
6Universidade Estadual do Oeste do Paraná (UNIOESTE), Cascavel, PR, Brazil

Tóm tắt

Abstract Introduction Fecal incontinence is defined as a loss of bladder and bowel control. Anismus is characterized by a paradoxical contraction or inappropriate relaxation of pelvic floor muscles while trying to evacuate, being usually associated with constipation (60%). However, anismus can be present in 46% of patients with fecal incontinence. Objective To analyze the incidence of anismus in patients diagnosed with fecal incontinence in an outpatient Coloproctology Clinic of Paraná. Methodology A retrospective study of 66 patients diagnosed with fecal incontinence at Coloproctology Clinic, Hospital São Lucas, from February 2012 to October 2013. Patients were evaluated by clinical history and examination by anorectal electromanometry. Results The mean age of participants was 56 years. Regarding the evaluation by anorectal electromanometry, mean resting pressure, contraction pressure and sustained contraction pressure were, respectively, 35.18 mmHg, 90.53 mmHg and 58 mmHg. Anismus was seen in 42.42% of patients. Conclusion Through this study, it can be inferred that the incidence of anismus has a relevant impact on patients diagnosed with fecal incontinence. Our results corroborate the importance of the concomitant management of anorectal continence mechanism changes, in order to emphasize the clinical benefits and improved quality of life for patients with fecal incontinence.

Tài liệu tham khảo

Balsamo, 2011, Correlação entre achados manométricos e sintomatologia na incontinência fecal, Rev Bras Coloproctol, 31, 39, 10.1590/S0101-98802011000100006 Oliveira, 2006, Fecal incontinence, J Bras Gastroenterol, 6, 35 Alsheik, 2012, Fecal Incontinence: prevalence, severity and quality of life data from an outpatient gastroenterology practice, Gastr Res Pract, 2012, 947694 Ciriza De Los Ríos, 2010, Differences in the pressure of canal anal and rectal sensitivity in patients with fecal incontinence, chronic constipation and healthy subjects, Rev Esp Enferm Dig, 102, 683, 10.4321/S1130-01082010001200002 Carvalho, 2002, Neuropatia pudenda: correlação com dados demográficos, índice de gravidade e parâmetros pressóricos em pacientes com incontinência fecal, Arq Gastroenterol, 39, 139, 10.1590/S0004-28032002000300002 Jorge, 1993, Etiology and management of fecal incontinence, Dis Colon Rectum, 36, 77, 10.1007/BF02050307 Voderholzer, 1997, Paradoxical sphincter contraction is rarely indicative of anismus, Gut, 41, 258, 10.1136/gut.41.2.258 Balsamo, 2011, Correlation between manometric findings and symptomatology in fecal incontinence, Rev Bras Coloproctol, 31, 39, 10.1590/S0101-98802011000100006 Arend, 2009, Uso do Biofeedback na incontinência fecal e dissinergia do assoalho pélvico – relato de caso, Rev Saúde Pesq, 2, 433 Viebig, 2006, 27 Cesar, 2009, Diagnosis of the anismus through the anorectal physiology tests, Rev Bras Coloproctol, 29, 192, 10.1590/S0101-98802009000200005 Murad-Regadas, 2007, A novel procedure to assess anismus using three-dimensional dynamic anal ultrasonography, Colorectal Dis, 9, 159, 10.1111/j.1463-1318.2006.01157.x Klauser, 1990, Behavioral modification of colonic function. Can constipation be learned?, Dig Dis Sci, 35, 1271, 10.1007/BF01536418 Schouten, 1997, Anismus: fact or fiction?, Dis Colon Rectum, 40, 1033, 10.1007/BF02050925 Chiarioni, 2005, Bio-feedback treatment of fecal incontinence: where are we, and where are we going?, World J Gastroenterol, 11, 4771, 10.3748/wjg.v11.i31.4771 Heymen, 2001, Biofeedback treatment of fecal incontinence: a critical review, Dis Colon Rectum, 44, 728, 10.1007/BF02234575 Wald, 1986, Anorectal function and continence mechanisms in childhood encopresis, J Pediatr Gastroenterol Nutr, 5, 346, 10.1097/00005176-198605000-00002 Rao, 1997, Effects of biofeedback therapy on anorectal function in obstructive defecation, Dig Dis Sci, 42, 2197, 10.1023/A:1018846113210 Norton, 2008, Fecal incontinence and biofeedback therapy, Ther Gastroenterol Clin N Am, 37, 587, 10.1016/j.gtc.2008.06.008 Ness, 2008, Faecal incontinence: what influences care and management options?, Br J Nurs, 17, 1148 Regadas, 2006, 133
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Thông tin xuất bản

Journal of Coloproctology

Tập 35

151-155

Thông tin tác giả