Abstract
Fecal incontinence is a severe disability that deeply affects the quality of life of the afflicted patient. The estimated prevalence in the general population ranges from 1% to 17%. In France, it is estimated that 350,000 persons over the age of 45 years have a severe form of fecal incontinence. In the event of ineffective medical treatment and the inability or failure of conventional surgery, the only choice for these patients until recently was to accept their condition or opt for end colostomy. However, technological progress has opened up the prospect of effective therapy for severe fecal incontinence both in terms of performance and long-term reliability. Replacement of sphincter function by an artificial bowel sphincter is one available option that has shown promising results.
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References
Christiansen J, Lorentzen M (1987) Implantation of artificial sphincter for anal incontinence. Lancet 1:244–245
Lehur PA, Michot F, Denis P et al (1996) Results of artificial sphincter in severe anal incontinence. Report of 14 consecutive implantations. Dis Colon Rectum 39:1352–1355
Wong WD, Congilosi S, Spencer M et al (2002) The safety and efficacy of the artificial bowel sphincter for faecal incontinence: results from a multicenter cohort study. Dis Colon Rectum 45:1139–1153
Ortiz H, Armendariz P, DeMiguel M et al (2002) Complications and functional outcome following artificial anal sphincter implantation. Br J Surg 89:877–881
Altomare DF, Dodi G, La Torre F et al (2001) Multicentre retrospective analysis of the outcome of artificial anal sphincter implantation for severe faecal incontinence. Br J Surg 88:1481–1486
Parker SC, Spencer MP, Madoff RD (2003) Artificial bowel sphincter: long-term experience at a single institution. Dis Colon Rectum 46:722–729
Michot F, Costaglioli B, Leroi AM, Denis P (2003) Artificial anal sphincter in severe fecal incontinence: outcome of prospective experience with 37 patients in one institution. Ann Surg 237:52–56
Lehur PA, Zerbib F, Glemain P et al (2002) Comparison of quality of life and anorectal function after artificial sphincter implantation. Dis Colon Rectum 45:508–513
O’Brien PE, Dixon JB, Skinner S et al (2004) A prospective randomised controlled clinical trial of placement of the artificial bowel sphincter (Acticon Neosphincter) for the control of fecal incontinence. Dis Colon Rectum 47(11):1852–1860
Savoye G, Leroi AM, Denis P, Michot F (2000) Manometric assessment of an artificial bowel sphincter. Br J Surg 87:586–589
Romano G, La Torre F, Cutini G et al (2003) Total anorectal reconstruction with the artificial bowel sphincter: report of eight cases. Dis Colon Rectum 46:730–734
Marchai F, Doucet C, Lechaux D et al (2005) Secondary implantation of an artificial sphincter after abdominoperineal resection and pseudocontinent perineal colostomy for rectal cancer. Gastroenterol Clin Biol 29:425–428
Mundy L, Merlin TL, Maddern GJ, Hiller JE (2004) Systematic review of safety and effectiveness of an artificial bowel sphincter for faecal incontinence. Br J Surg 91:665–672
Vaizey CJ (2004) Letter to the editor. Dis Colon Rectum 47:1162
Matzel KE, Kamm MA, Stösser M et al and the MDT 301 Study Group (2004) Sacral Spinal Nerve Stimulation for Faecal Incontinence Multicentre Study. Lancet 363:1270–1276
Rasmussen OO, Butzen S, Sørensen M et al (2004) Sacral nerve stimulation in fecal incontinence. Dis Colon Rectum 47:1158–1163
References
Ehrenpreis ED, Chang D, Eichenwald E (2007) Pharmacotherapy for fecal incontinence: a review. Dis Colon Rectum [Epub ahead of print]
Schiller LR (2003) Treatment of fecal incontinence. Curr Treat Options Gastroenterol 6(4):319–327
Coggrave M, Wiesel PH, Norton C (2006) Management of faecal incontinence and constipation in adults with central neurological diseases. Cochrane Database Syst Rev2):CD002115. Update of: Cochrane Database Syst Rev (2001) (4):CD002115
Bachoo P, Brazzelli M, Grant A (2000) Surgery for faecal incontinence in adults. Cochrane Database Syst Rev (2):CD001757
Bharucha AE (2004) Outcome measures for fecal incontinence: anorectal structure and function. Gastroenterology 126(1 Suppl l):S90–S98
Norton C, Cody JD, Hosker G (2006) Biofeedback and/or sphincter exercises for the treatment of faecal incontinence in adults. Cochrane Database Syst Rev CD002111. Update of: Cochrane Database Syst Rev. (2000)(2):CD002111
Christiansen J, Lorentzen M (1987) Implantation of artificial sphincter for anal incontinence. Lancet 1:244–245
Lehur PA, Michot F, Denis P et al (1996) Results of artificial sphincter in severe anal incontinence. Report of 14 consecutive implantations. Dis Colon Rectum 39:1352–1355
Lehur PA, Zerbib F, Glemain P et al (2002) Comparison of quality of life and anorectal function after artificial sphincter implantation. Dis Colon Rectum 45:508–513
Parker SC, Spencer MP, Madoff RD (2003) Artificial bowel sphincter: long-term experience at a single institution. Dis Colon Rectum 46:722–729
O’Brien PE, Dixon JB, Skinner S et al (2004) A prospective randomized controlled clinical trial of placement of the artificial bowel sphincter (Acticon Neosphincter) for the control of fecal incontinence. Dis Colon Rectum 47(11):1852–1860
Romano G, La Torre F, Cutini G et al (2003) Total anorectal reconstruction with the artificial bowel sphincter: report of eight cases. Dis Colon Rectum 46:730–734
Wong WD, Congilosi S, Spencer M et al (2002) The safety and efficacy of the artificial bowel sphincter for faecal incontinence: results from a multicenter cohort study. Dis Colon Rectum 45:1139–1153
Ortiz H, Armendariz P, DeMiguel M et al (2002) Complications and functional outcome following artificial anal sphincter implantation. Br J Surg 89:877–881
Altomare DF, Dodi G, La Torre F et al (2001) Multicentre retrospective analysis of the outcome of artificial anal sphincter implantation for severe faecal incontinence. Br J Surg 88:1481–1486
Klutke JJ (2000) Current status of urethral occlusive devices in management of urinary incontinence. Curr Opin Obstet Gynecol 12(5):415–419
Madoff RD (2004) Surgical treatment options for fecal incontinence. Gastroenterology 126(1 Suppl 1):S48–S54
Altomare DF, Binda GA, Dodi G et al (2004) Disappointing long-term results of the artificial anal sphincter for faecal incontinence. Br J Surg 91:1352–1353
La Torre F, Masoni L, Montori J et al (2004) The surgical treatment of faecal incontinence with artificial anal sphincter implant. Hepatogastroenterology 51:1358–1361
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Lehur, PA., Meurette, G., La Torre, F. (2007). The Artificial Bowel Sphincter in the Treatment of Severe Fecal Incontinence in Adults. In: Ratto, C., Doglietto, G.B., Lowry, A.C., Påhlman, L., Romano, G. (eds) Fecal Incontinence. Springer, Milano. https://doi.org/10.1007/978-88-470-0638-6_19
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DOI: https://doi.org/10.1007/978-88-470-0638-6_19
Publisher Name: Springer, Milano
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