The Role of Traditional Acupuncture in Patients with Fecal Incontinence—Mini-Review

International Journal of Environmental Research and Public Health - Tập 18 Số 4 - Trang 2112
Agne Sipaviciute1, Tomas Aukštikalnis1, Narimantas Evaldas Samalavičius1, Audrius Dulskas1
1Faculty of Medicine, Vilnius University, LT-03101 Vilnius, Lithuania

Tóm tắt

Objective: Fecal incontinence affects up to 15% of the general population, with higher rates of incidence among women and the elderly. Acupuncture is an old practice of Traditional Chinese Medicine that might be used to treat fecal incontinence. The aim of this mini review was to assess the effect of acupuncture for fecal incontinence. Materials and Methods: Cochrane Library, Web of Science, Embase, PubMed, and CENTRAL electronic databases were searched until August 2020. The following keywords were used: acupuncture, electroacupuncture, moxibustion, fecal incontinence, diarrhea, irritable bowel syndrome, and bowel dysfunction. In addition, references were searched. Five studies (two randomized controlled trials), out of 52,249 predefined publications after an electronic database search, were included into the review. Results: Overall, 143 patients were included. All studies report significant improvements in continence, although they all apply different acupuncture regimens. Randomized controlled trials show significant differences in experimental groups treated with acupuncture in improving continence. Significant improvement in quality of life scores was reported. In addition, improvement in fecal continence remained significantly improved after 18 months of follow-up. Conclusion: Acupuncture is a promising treatment alternative for fecal incontinence. Based on small, low-quality studies, it might be a safe, inexpensive, and efficient method. However, more high-quality studies are needed in order to apply this treatment technique routinely.

Từ khóa


Tài liệu tham khảo

Benezech, 2016, Faecal incontinence: Current knowledges and perspectives, World J. Gastrointest. Pathophysiol., 7, 59, 10.4291/wjgp.v7.i1.59

Lamm, 2019, Anale Inkontinenz [Fecal incontinence], Umsch, 73, 559

Whitehead, 2001, Treatment options for fecal incontinence, Dis. Colon Rectum, 44, 131, 10.1007/BF02234835

Yang, 2003, Electroacupuncture at ciliao and huiyang for treating neuropathic incontinence of defecation and urination in 30 cases, J. Tradit. Chin. Med., 23, 53

Takahashi, 2011, Mechanism of acupuncture on neuromodulation in the gut a review, Neuromodulation, 14, 8, 10.1111/j.1525-1403.2010.00295.x

Washabau, 1995, GABA receptors in the dorsal motor nucleus of the vagus influence feline lower esophageal sphincter and gastric function, Brain Res. Bull., 38, 587, 10.1016/0361-9230(95)02038-7

Kantzides, 2005, Right atrial stretch activates neurons in autonomic brain regions that project to the rostral ventrolateral medulla in the rat, Neuroscience, 133, 775, 10.1016/j.neuroscience.2005.02.038

Lin, 1993, Clinical and experimental studies on shallow needling technique for treating childhood diarrhea, J. Tradit. Chin. Med., 13, 107

Zhou, 2013, Influence of acupuncture stimulation on cerebral network in functional diarrhea, Evid. Based Complement Altern. Med., 2013, 975769, 10.1155/2013/975769

Scaglia, 2013, Sacral nerve stimulation (SNS), posterior tibial nerve stimulation (PTNS) or acupuncture for the treatment for fecal incontinence: A clinical commentary, Tech. Coloproctol., 17, 589, 10.1007/s10151-013-0985-z

Dulskas, A., Aukstikalnis, T., Kavaliauskas, P., and Samalavicius, N.E. (2021). The role of traditional acupuncture in low anterior resection syndrome treatment a pilot study. Dis. Colon Rectum, accepted for publication.

Moher, 2009, Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement, J. Clin. Epidemiol., 62, 1006, 10.1016/j.jclinepi.2009.06.005

Whitehead, 1999, Functional disorders of the anus and rectum, Gut, 45, II55, 10.1136/gut.45.2008.ii55

Treatments for Fecal Incontinence [Internet] (2020, January 15). Rockville (MD): Agency for Healthcare Research and Quality (US), Available online: https://pubmed.ncbi.nlm.nih.gov/27099893.

Rockwood, 1999, Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: The fecal incontinence severity index, Dis. Colon Rectum, 42, 1525, 10.1007/BF02236199

Jorge, 1993, Etiology and management of fecal incontinence, Dis. Colon Rectum, 36, 77, 10.1007/BF02050307

Franco, 2016, Systemic acupuncture in patients with faecal incontinence, Complement Clin. Pr., 24, 162, 10.1016/j.ctcp.2016.03.006

Rockwood, 2000, Fecal Incontinence Quality of Life Scale: Quality of life instrument for patients with fecal incontinence, Dis. Colon Rectum, 43, 9, 10.1007/BF02237236

Rao, 2002, Minimum standards of anorectal manometry, Neurogastroenterol. Motil., 14, 553, 10.1046/j.1365-2982.2002.00352.x

Sterne, 2016, ROBINS-I: A tool for assessing risk of bias in non-randomized studies of interventions, BMJ, 355, i4919, 10.1136/bmj.i4919

Guyatt, 2008, GRADE: An emerging consensus on rating quality of evidence and strength of recommendations, BMJ, 336, 924, 10.1136/bmj.39489.470347.AD

Zhao, 2015, Zhongguo Zhen Jiu, Chin. Acupunct. Moxibustion, 35, 665

Allam, 2018, Effect of laser acupuncture on fecal; incontinence after anorectal surgery, Bull. Fac. Phys. Ther., 23, 60, 10.4103/bfpt.bfpt_12_17

Scaglia, 2009, Fecal incontinence treated with acupuncture—A pilot study, Auton. Neurosci., 145, 89, 10.1016/j.autneu.2008.10.014

Xu, 2013, Adverse events of acupuncture: A systematic review of case reports, Evid. Based Complement Altern. Med., 2013, 581203, 10.1155/2013/581203

Thông tin
Thông tin xuất bản

International Journal of Environmental Research and Public Health

Tập 18 Số 4

2112

Thông tin tác giả