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- W2741520610 abstract "Purpose of reviewFecal incontinence is a common condition, which leads to impaired quality of life and huge financial costat an individual and societal level. Recent studies have identified novel and potentially modifiable riskfactors. Newer diagnostic modalities are giving more detailed information about underlying disorders,helping to implement targeted treatment. Many therapeutic options exist, and newer treatments arechanging outcomes. This article will review recent developments in mechanisms, diagnosis, and treatmentof fecal incontinence.Recent findingsPotentially modifiable risk factors have recently been identified, and should translate to changes in clinicalpractice and hopefully patient outcomes. These include diarrhea, smoking, and dietary fiber. Advances havebeen made in anatomical and physiological testing of the anorectum and this may assist in clarifying thediagnosis and guiding management. The long-term benefit of biofeedback has been questioned but patientselection may be key. Novel pharmacological therapies (e.g., clonidine) and minimally invasive surgicalprocedures are changing outcomes in well selected patients. The development of a magnetic anal sphinctermay add a new management alternative in patients who are refractory to conservative management.SummaryFecal incontinence remains a clinical challenge. Only a minority of persons with fecal incontinence seektreatment, but for those who do, improved understanding of risk factors coupled with diagnostic techniquesand treatments are improving outcomes.Keywordsfecal incontinence, risk factors, treatment" @default.
- W2741520610 created "2017-08-08" @default.
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- W2741520610 date "2012-01-01" @default.
- W2741520610 modified "2023-09-27" @default.
- W2741520610 title "OPINION Fecal incontinence: mechanisms and management" @default.
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