Résumé
L’incontinence fécale est une affection rarement évoquée par les patients et leur médecin. Les principaux buts d’une première consultation sont l’identification et la quantification de la plainte. L’utilisation de questionnaires autoadministrés et le recours à un examen clinique doux et complet sont particulièrement importants. L’approche thérapeutique non chirurgicale reposant sur des conseils diététiques, des modificateurs du transit intestinal (laxatifs, lopéramide) et la rééducation constituent la première étape de la prise en charge dans les situations habituelles.
Abstract
Faecal incontinence is a silent affliction for both patients and physicians. The main goals of the initial outpatient visit are to identify and quantify the symptoms. Self-administered questionnaires and a basic, yet complete, physical examination are particularly important. Currently, a conservative approach, emphasizing dietary changes, stool softeners, loperamide and biofeedback, characterizes primary treatment for this disorder.
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Siproudhis, L., Eleouet, M. Première consultation pour une incontinence fécale. Côlon Rectum 1, 194–197 (2007). https://doi.org/10.1007/s11725-007-0034-z
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DOI: https://doi.org/10.1007/s11725-007-0034-z