Bio-feedback treatment of fecal incontinence: Where are we, and where are we going?

作者: Giuseppe Chiarioni , Barbara Ferri , Antonio Morelli , Guido Iantorno , Gabrio Bassotti

DOI: 10.3748/WJG.V11.I31.4771

关键词:

摘要: Fecal incontinence is a disabling disease, often observed in young subjects, that may have devastating psycho-social consequences. In the last years, numerous evidences been reported on efficacy of bio-feedback techniques for treatment this disorder. Overall, literature data claim success rate more than 70% cases short term. However, recent controlled trials not confirmed optimistic view, thus emphasizing role standard care. Nonetheless, many authors believe should be first therapeutic approach fecal due to efficacy, lack side-effects, and scarce invasiveness. Well-designed randomized, trial are eagerly awaited solve dilemma.

参考文章(244)
G. Brodeur, R. Seeger, M Schwab, H. Varmus, J. Bishop, Amplification of N-myc in untreated human neuroblastomas correlates with advanced disease stage Science. ,vol. 224, pp. 1121- 1124 ,(1984) , 10.1126/SCIENCE.6719137
Eugene Eisman, Jeannette Tries, A new probe for measuring electromyographic activity from multiple sites in the anal canal Diseases of The Colon & Rectum. ,vol. 36, pp. 946- 952 ,(1993) , 10.1007/BF02050631
C Ménard, C Trudel, R Cloutier, Anal reeducation for postoperative fecal incontinence in congenital diseases of the rectum and anus Journal of Pediatric Surgery. ,vol. 32, pp. 867- 869 ,(1997) , 10.1016/S0022-3468(97)90638-2
Paul R. Latimer, Dugal Campbell, Jan Kasperski, A components analysis of biofeedback in the treatment of fecal incontinence. Biofeedback and Self-regulation. ,vol. 9, pp. 311- 324 ,(1984) , 10.1007/BF00998975
Peter M. Okin, Richard B. Devereux, Jan A. Kors, Gerard Herpen, Richard S. Crow, Richard R. Fabsitz, Barbara V. Howard, Computerized ST depression analysis improves prediction of all-cause and cardiovascular mortality: the strong heart study. Annals of Noninvasive Electrocardiology. ,vol. 6, pp. 107- 116 ,(2001) , 10.1111/J.1542-474X.2001.TB00094.X
Gregory Cohn, Gerardo Valdes, David M. Capuzzi, Pathophysiology and treatment of the dyslipidemia of insulin resistance Current Cardiology Reports. ,vol. 3, pp. 416- 423 ,(2001) , 10.1007/S11886-001-0059-0
Hironori Yamamoto, Yutaka Sekine, Yukihiro Sato, Toshihiko Higashizawa, Tomohiko Miyata, Satoru Iino, Kenichi Ido, Kentaro Sugano, Total enteroscopy with a nonsurgical steerable double-balloon method Gastrointestinal Endoscopy. ,vol. 53, pp. 216- 220 ,(2001) , 10.1067/MGE.2001.112181
J Lang, A B Price, A J Levi, M Burke, J M Gumpel, I Bjarnason, Diaphragm disease: pathology of disease of the small intestine induced by non-steroidal anti-inflammatory drugs. Journal of Clinical Pathology. ,vol. 41, pp. 516- 526 ,(1988) , 10.1136/JCP.41.5.516