Τίτλος:
Implantation of microballoons in the management of fecal incontinence
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
PURPOSE: The implantation of expandable microballoons has proved
successful for the treatment of stress urinary incontinence. This led us
to test its effectiveness in the treatment of severe fecal incontinence.
METHODS: Six patients (four male), of average age of 43 (range, 29-60)
years, with severe fecal incontinence, underwent implantation of
expandable microballoons in the submucosa of the anal canal. The
implantation was performed under intravenous sedation as an outpatient
procedure. Anal manometry, endosonography, and incontinence assessment
with a scoring system were performed before and after the implantation.
RESULTS: With a mean follow-up of 8.6 (range, 7-12) months, the
incontinence scores improved in all patients from an average of 16.16
(standard deviation: +/- 1.6) before the implantation to an average of 5
(standard deviation: +/- 1.26) after the procedure, The anal pressure at
rest was not improved in any patient (mean: 50.16 before treatment to a
mean of 53 after treatment). No significant adverse events were
associated with the procedure, and no serious postimplantation
complications were noted. DISCUSSION: Anal implantation of expandable
microballoons seems to be a simple, safe, and effective method that
restores the fecal continence without hindering normal defecation.
Συγγραφείς:
Feretis, C
Benakis, P
Dailianas, A
Dimopoulos, C and
Mavrantonis, C
Stamou, KM
Manouras, A
Apostolidis, N and
Androulakis, G
Περιοδικό:
Diseases of the Colon & Rectum
Εκδότης:
Lippincott, Williams & Wilkins
Λέξεις-κλειδιά:
fecal incontinence; microballoons; endoscopic treatment
