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Review
. 2022 Jan;26(1):1-17.
doi: 10.1007/s10151-021-02544-2. Epub 2021 Nov 12.

Critical appraisal of international guidelines for the management of fecal incontinence in adults: is it possible to define what to do in different clinical scenarios?

A Muñoz-Duyos  1 , L Lagares-Tena  2 , Y Ribas  3 , J C Baanante  2 , A Navarro-Luna  2
Affiliations
Review

Critical appraisal of international guidelines for the management of fecal incontinence in adults: is it possible to define what to do in different clinical scenarios?

A Muñoz-Duyos et al. Tech Coloproctol. 2022 Jan.

Abstract

Fecal incontinence (FI) is a complex often multifactorial functional disorder which is associated with a significant impact on patients' quality of life. There is a broad spectrum of symptoms, and degrees of severity and diverse patient backgrounds. Several treatment algorithms from different professional societies and experts are available in the literature. However, no consensus has been reached on several aspects of FI management. We performed a critical review of the most recently published guidelines on FI, emphasising the lack of consensus, highlighting specific topics mentioned in each of the guidelines that are not covered in the others and defining the treatment proposed in different clinical scenarios.

Keywords: Faecal incontinence; Guidelines; Review; Treatment algorithm.

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Conflict of interest statement

Muñoz-Duyos A. received several educational grants from MEDTRONIC as Director and Professor of Specialisation Courses on Neuromodulation (years 2004–2020), and has been an Expert Consultant for PALEX on Fecal Incontinence. The other authors do not have any conflicts of interest.

References

    1. Whitehead WE. Diagnosing and managing fecal incontinence: if you don’t ask, they won’t tell. Gastroenterology. 2005;129(1):6. doi: 10.1053/j.gastro.2005.05.043. - DOI - PubMed
    1. Landefeld CS, Bowers BJ, Feld AD, Hartmann KE, Hoffman E, Ingber MJ, King JT, Jr, McDougal WS, Nelson H, Orav EJ, Pignone M, Richardson LH, Rohrbaugh RM, Siebens HC, Trock BJ. National Institutes of Health state-of-the-science conference statement: prevention of fecal and urinary incontinence in adults. Ann Intern Med. 2008;148(6):449–458. doi: 10.7326/0003-4819-148-6-200803180-00210. - DOI - PubMed
    1. Sharma A, Yuan L, Marshall RJ, Merrie AE, Bissett IP. Systematic review of the prevalence of faecal incontinence. Br J Surg. 2016;103(12):1589–1597. doi: 10.1002/bjs.10298. - DOI - PubMed
    1. Wald A. Clinical practice. Fecal incontinence in adults. N Engl J Med. 2007;356(16):1648–1655. doi: 10.1056/NEJMcp067041. - DOI - PubMed
    1. Rao SS; American College of Gastroenterology Practice Parameters Committee Diagnosis and management of fecal incontinence. American college of gastroenterology practice parameters committee. Am J Gastroenterol. 2004;99(8):1585–1604. doi: 10.1111/j.1572-0241.2004.40105.x. - DOI - PubMed

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