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Anorektale Inkontinenz

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Chirurgische Proktologie

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Zusammenfassung

Die Stuhlinkontinenz stellt insbesondere vor dem Hintergrund der alternden Bevölkerungen eine Herausforderung für die proktologische Praxis dar. Kontinenzstörungen resultieren aus einer Vielzahl von Schädigungen des Kontinenzapparates und können nicht auf den Sphinkter reduziert werden. Eine umfangreiche Anamnese und eine einfache klinische Untersuchung ist in den meisten Fällen zur Diagnostik ausreichend. Entscheidender Faktor für die Behandlung ist die subjektive Beeinträchtigung durch Kontinenzstörungen. Die Behandlung ist in erster Linie konservativ durch Stuhlgangsregulation und Sphinktertraining. Bei der absoluten Mehrzahl der Patienten können dadurch subjektiv zufrieden stellende Ergebnisse erzielt werden. Die derzeit bekannten Operationsverfahren sind z. T. sehr invasiv und kostenträchtig. Sie können bei ausgeprägter Inkontinenz die Lebensqualität der Betroffenen deutlich verbessern, aber nur bei einem kleinen Anteil Betroffener eine komplette Kontinenzwiederherstellung garantieren.

Das Kapitel wurde von A. Ommer verfasst, mit Ausnahme der Abschnitte 8.6.3 (A. Köwing), 8.6.5 (J. Narro, J. Girona, B. Mölle), 8.7.2 (A. Shafik), des Abschnitts «Sphinkterplastik des M. sphinkter ani internus» (J. Girona, A. Ommer) in 8.7.5, des Abschnitts 8.7.6 (A. Shafik) sowie des Abschnitts «Implantation eines Silastikbandes» (B. Mölle) in 8.7.7.

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Authors and Affiliations

  1. End- und Dickdarm-Zentrum Essen, Rüttenscheider Straße 66, 45130, Essen, Deutschland

    Dr. med. A. Ommer

  2. Gynäkologie, Geburtshilfe, Urologie, Proktologie, Arbeitsgemeinschaft AG GGUP, Tannenbogen 12, 21244, Buchholz, Deutschland

    A. Köwing

  3. Heidelberg, Deutschland

    Prof. Dr. med. J. Girona & Prof. Dr. med. A. Shafik

  4. Ärztehaus Lützelmatt, St. Anna Hospital, Luzern, St. Anna Strasse 32, 6006, Luzern, Deutschland

    Dr. med. B. H. Mölle

  5. Burgwiesenstraße 14a, 51067, Köln, Deutschland

    Dr. med. J. L. Narro

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  1. Dr. med. A. Ommer
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  2. A. Köwing
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  3. Prof. Dr. med. J. Girona
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  4. Dr. med. B. H. Mölle
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  5. Dr. med. J. L. Narro
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  6. Prof. Dr. med. A. Shafik
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Correspondence to A. Ommer , A. Köwing , B. H. Mölle , A. Köwing , B. H. Mölle , A. Ommer or B. H. Mölle .

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  1. Ärztehaus Lützelmatt, Luzern, Switzerland

    Bernward Mölle

  2. End- und Dickdarm-Zentrum Essen, Essen, Deutschland

    Andreas Ommer

  3. Medkongress AG, St. Gallen, Switzerland

    Jochen Lange

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Ommer, A., Köwing, A., Girona, J., Mölle, B.H., Narro, J.L., Shafik, A. (2018). Anorektale Inkontinenz. In: Mölle, B., Ommer, A., Lange, J., Girona, J. (eds) Chirurgische Proktologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54682-6_8

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